育龄妇女血清叶酸及血红蛋白水平调查  

Hemoglobin and serum folate levels among women of childbearing age in Shaanxi,China

作　　者：党少农[1] 颜虹[1] 邢远[1] 周小彦[1] 王全丽[1] 康轶君[1] 王振杰[1] 

机构地区：[1]西安交通大学医学院公共卫生系,西安710061

出　　处：《中国公共卫生》2009年第2期134-136,共3页Chinese Journal of Public Health

基　　金：陕西省科技计划项目(2006K08-G10)

摘　　要：目的了解陕西省育龄妇女血清叶酸和血红蛋白水平。方法采用横断面调查,按人口比例随机抽取陕西省城市及农村20～49岁育龄妇女610名,测定其血红蛋白、血清铁蛋白和血清叶酸,分析比较城乡育龄妇女叶酸和血红蛋白水平及贫血患病率。结果城乡妇女平均叶酸水平分别为4.99和4.91μg/L;12.5%的育龄妇女患叶酸缺乏,叶酸缺乏比例随年龄减小而增加。陕南农村妇女叶酸缺乏比例最低为6%;关中农村为14.4%,陕北农村为16.9%。城乡妇女的血红蛋白平均水平分别为122.0和123.1g/L,贫血患病率为36.4%,铁缺乏性贫血患病率为15.7%;陕北农村妇女贫血患病率为19.5%,陕南农村为38.0%,关中农村为44.8%。结论叶酸和铁缺乏在育龄妇女中普遍流行,陕北和关中是叶酸缺乏的高发地区,关中和陕南是贫血的高发地区。Objective To understand the level of serum folate and hemoglobin among women of childbearing age.Methods A cross-sectional survey was conducted among subjects selected randomly based on the population proportion.Information on family background were collected.Hemoglobin（Hb）,serum ferritin and folate were measured.Results Totally 610 subjects were obtained with complete information.Mean value of folate was 4.99 μg/L for urban women and 4.91 μg/L for rural women.12.5% of women were in folate-deficient and the prevalence of folate deficiency decreased with age.Prevalence of folate deficiency in rural women was 16.9% in north Shaanxi,6% in south Shaanxi and 14.4% in middle Shaanxi.Mean value of Hb was 122.0 g/L in urban women and 123.1 g/L in rural women.Prevalence of anemia and IDA was 36.4% and 15.7%,respectively.Prevalence of anemia in rural women was 19.5% in north Shaanxi,38.0% in south Shaanxi and 44.8% in middle Shaanxi.Conclsion Folate deficiency prevailed among the women in Shaanxi,especially in middle and north Shaanxi.Prevalence of anemia among women of childbearing age was still high in Shaanxi,especially in middle and south Shaanxi.

关 键 词：叶酸缺乏 铁缺乏 贫血 育龄妇女 

分 类 号：R153.1[医药卫生—营养与食品卫生学]