上海市闵行区外来和常住小学生贫血现状调查  

Cross-sectional study on nutritional anemia among immigrate and native students in Minhang District,Shanghai

作　　者：屠月珍[1] 张颖[1] 

机构地区：[1]上海市闵行区疾病预防控制中心,上海201101

出　　处：《中国校医》2010年第1期5-6,8,共3页Chinese Journal of School Doctor

摘　　要：目的了解闵行区外来和常住小学生的贫血患病率及贫血构成比的差异,探索其各自存在的营养问题,为有针对性地采取干预措施提供依据。方法采用随机整群抽样方法,抽取闵行区小学生1752人,采用氰化高铁血红蛋白测定法,按WHO标准作为贫血筛查标准。同时,进行身高和体重的测量,并根据身高标准体重评价其营养状况。结果闵行区小学生贫血患病率为27.3%,以边缘性贫血为主;外来小学生贫血患病率(38.2%)显著高于常住小学生贫血患病率(12.2%)(P<0.01);超重儿、肥胖儿、营养正常者中的贫血患病率高于营养不良者(P<0.01)。结论应当针对外来和常住小学生的不同特点,科学安排学生的膳食结构,增加膳食铁的供给;普及科学营养知识;重点防治外来民工小学生的贫血。Objective To ,understand nutritional anemia among immigrate and native students in .primary schools in Minhang District, so as to provide the evidence for nutritional interventions. Methods A cross sectional study was conciucted in 1 752 primary school students in Minhang District with the random clustered sampling method. The prevalence of anemia was analyzed via screening based on the WHO standard. Individual nutritional status was assessed according to the indicator weight for height （W/H）. Results The overall prevalence of nutritional anemia was 27.3 %. The type of anemia observed was＂ mostly mild anemia. The prevalence of anemia was significantly：higher in the hnmigrate students （38.2 % ）-.than in the native students （ 12.2 %, P 〈 0.01 ）. The prevalence of anemia among the overweight, fat or normal students was higher than among the innutrition students, P 〈 0.01. Conclusions Nutritional intervention is needed to increase the iron storage from the rich iron food for the students. A nutritional education program should be introduced, particularly for immigrate students.

关 键 词：贫血 中小学生卫生保健服务 

分 类 号：R53[医药卫生—内科学] R123[医药卫生—临床医学]