社区0～36个月儿童健康管理规范实施效果评价  

Evaluation of implementation effect of 0-36-month-old children health management standard

作　　者：杨慧敏[1] 肖峰[1] 李瑞莉[1] 政晓果[1] 崔明明[1] 金承刚[2] 李传松 何能清 陈博文[1] 

机构地区：[1]首都儿科研究所,北京100020 [2]北京师范大学 [3]山东省济南市市中区舜玉路社区卫生服务中心 [4]广东省深圳市宝安区观澜人民医院

出　　处：《中国妇幼保健》2012年第1期5-8,共4页Maternal and Child Health Care of China

基　　金：国家科技支撑计划-社区疾病预防与控制适宜技术推广应用和中远期效果评估研究〔2007BAI24B08〕

摘　　要：目的:调查社区0～36个月儿童健康管理规范实施以来试点区0～3岁儿童的生长发育及贫血、佝偻病等常见病患病情况,评价社区0～36个月儿童健康管理规范实施的效果。方法:分别收集试点区2008年、2009年和2010年按照社区0～36个月儿童健康管理规范管理的0～3岁儿童健康档案资料。采用χ2检验等方法分析规范实施以来试点区0～3岁儿童生长发育及贫血、佝偻病等患病情况的变化。结果:规范实施3年以来8个试点区共有13747位儿童参与规范管理,做过63228人次随访并取得了一定的成效:试点区所管理的0～3岁儿童低体重、消瘦、营养不良、超重等生长发育问题以及贫血、佝偻病等患病情况都有明显改善(P<0.05)。结论:社区0～3岁儿童健康管理规范的实施在一定程度上促进了试点区儿童的生长发育,改善了试点区儿童的健康状况。Objective： To investigate the growth and development, the prevalences of common diseases, such as anemia and rickets of 0 - 3 - year - old children in experimental districts after implementation of 0 - 36 - month - old children health management standard, evaluate the effect of implementation of 0 - 36 - month children health management standard. Methods： The health records and data of 0 - 3 - year - old children who received 0 - 36 - month - old children health management in experimental districts in 2008, 2009, and 2010 were collected, respectively. X2 test was used to analyze the changes of growth and development, the prevalences of anemia and rickets of 0 - 3 -year- old children in experimental districts after implementation of 0 -36 -month -old children health management standard. Results： A total of 13 747 children from 8 experimental districts participated in 0 -36 - month -old children health management from 2008 to 2010, 63 228 person times were followed up and a certain effects were obtained： the problems about growth and development, such as low body weight, emaciation, malnutrition and overweight, and the prevalences of anemia and rickets were improved among 0 - 3 - year - old children in experimental districts （ P 〈 0.05 ） . Conclusion： The implementation of 0 - 3 - year - old children health management standard promotes the growth and development and improves the health status of children in experimental districts.

关 键 词：0~3岁儿童 生长发育 评价 健康管理 

分 类 号：R174[医药卫生—妇幼卫生保健]