摘要
目的缺铁性贫血(iron deficiency anemia,IDA)是婴幼儿时期常见的营养性疾病,严重威胁患者的生长发育和生命健康。本研究了解社区婴幼儿IDA检出情况,并分析原因,提出预防措施。方法选取2017年在康桥社区卫生服务中心儿童保健门诊常规体检的1 970名0～2岁婴幼儿作为研究对象,统计喂养方式及IDA患病情况,并对其抚养人进行贫血相关知识调查。结果 IDA总检出率为11.07%(218/1 970),其中6月龄为14.85%(146/983),12月龄为10.93%(53/485),24月龄为3.78%(19/502),月龄间检出率差异有统计学意义,χ~2=41.37,P<0.001。6月龄儿童中纯母乳喂养者IDA检出率为17.66%(104/589),非纯母乳喂养者为10.66%(42/394);12月龄儿童中不合理添加辅食者IDA检出率为35.85%(19/141),合理添加添加辅食者为9.88%(34/344);24月龄中存在挑食偏食情况者IDA检出率为13.59%(14/103),均衡饮食者为1.25%(5/399);IDA检出率与喂养方式有关联,均P<0.01。抚养人对婴幼儿贫血相关知识总知晓率为58.55%。结论加强对婴幼儿各个发育阶段的保健工作,合理喂养,预防IDA;定期体检,及时发现贫血,积极治疗,提高儿童的健康状况及生活质量。
OBJECTIVE Iron deficiency anemia(IDA)is a common nutritional disease in infants and young children,which seriously threatens the growth and development of patients and their health.The study aims to investigate the detection rate of IDA in infants in the community children’s health care clinic,analyze the causes and propose preventive measures.METHODS The infants aged 0-2 years old who underwent routine physical examination in the children’s health clinic in Kangqiao community health center in 2017 were selected as the research subjects.The feeding patterns and the prevalence of IDA were recorded,and the anemia related knowledge among their dependants was investigated.RESULTS The total detection rate of IDA was 11.07%(218/1 970),including 14.85%(146/983)among the 6-month-old,10.93%(53/485)among the 12-month-old and 3.78%(19/502)among the 24-month-old.There was significant difference in the detection rate between months of age,χ~2=41.37,P<0.001.In exclusively breastfed 6-month-old infants,the rate was 17.66%(104/589)and 10.66%(42/397)in non-exclusively breastfed ones.In 12-month-old infants with unreasonable food supplements,the rate was 35.85%(19/141)and 9.88%(34/344)with reasonable food supplements.In24-month-old children with picky eating bias,the rate was 13.59%(14/103),and 1.25%(5/399)with balanced diets.The detection rate of IDA was related with feeding patterns(P<0.01).The total awareness rate of infantile anemia knowledge was 58.55%.CONCLUSION It should strengthen the health care for infants at all stages of development,reasonable feeding to prevent IDA,and take them to physical examinations regularly to find anemia in time,and actively treat to improve children’s health and quality of life.
作者
顾燕敏
刘虹霞
GU Yan-min;LIU Hong-xia(Kangqiao Community Health Service Center,Pudong District,Shanghai 201315,P.R.China)
出处
《社区医学杂志》
2019年第4期200-202,共3页
Journal Of Community Medicine
关键词
缺铁性贫血
婴幼儿
喂养方式
预防
社区
儿童保健门诊
iron deficiency anemia
infant
feeding
prevention
community
children’s health clinic
