婴幼儿营养性缺铁性贫血相关危险因素分析  

Analysis of the related risk factors of the nutritional iron deficiency anemia in the infants and children

作　　者：赵玮婷[1] 傅弦琴 杜兆辉 

机构地区：[1]上海市浦东新区潍坊社区卫生服务中心,上海200122

出　　处：《上海医药》2015年第22期60-62,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探讨社区儿童保健门诊婴幼儿营养性缺铁性贫血相关危险因素及预防措施,以降低婴幼儿贫血发生率。方法 :选取2012年10月至2013年9月出生,在浦东新区潍坊社区卫生服务中心儿童保健门诊常规定期体检的婴幼儿作为研究对象,回顾性分析其临床资料,包括孕周、出生体重、喂养情况、血常规检查等,分析发生营养性缺铁性贫血的高危因素及防治措施。结果 :在406例研究对象中,6月龄贫血69例,贫血率17.00%;12月龄贫血31例,占比7.64%;6月龄贫血患儿到12月龄时治愈率79.71%;6月龄,辅食添加及时组贫血率10.49%,不及时组28.33%,两组差异有统计学意义(P<0.05)。Logistic回归分析显示孕周小、出生体重低、不及时添加辅食是婴幼儿营养性缺铁性贫血的高危因素。结论 :应加强围生期保健,合理喂养,及时添加辅食;加强对有高危因素的婴幼儿进行儿童系统保健和健康教育,定期检查,早期发现贫血,早期治疗,提高儿童生存质量。Objective： To investigate the risk factors and preventive measures of the nutritional iron deficiency anemia（IDA） in the infants and children in the community health care clinic in order to reduce their anemia incidence. Methods： The infants who were born from September 2012 to October 2013 and had the regular physical examination in Weifang Community Health Service Center of Pudong New District were selected and regarded as the research objects. The clinical data were retrospectively analyzed, which included the gestational age, birth weight, feeding, blood routine tests etc. The risk factors of the occurrence of the nutritional IDA and the preventive measures were analyzed. Results： In 406 objects, 69 six-month-old cases were diagnosed as anemia, and the anemia rate accounted for 17%, and 31 twelve-month-old ones as anemia and its rate 7.64%. The curative rate in the infants aged from 6 to 12 months was 79.71%. In the six-month-old infants, the anemia rates were 10.49% and 28.33% in the timely complementary feeding group and in the untimely complementary feeding group. There was a statistical difference between two groups（P0.05）. The logistic regression analysis result showed that the low gestational age, low birth weight, and untimely complementary feeding were the high risk factors of the nutritional IDA in the infants. Conclusion： The perinatal care, reasonable feeding, and timely complementary feeding should be strengthened and the infants with the high risk factors should be strengthened to carry out the children＇s systematical health care and health education, regular health inspection, and early detection and treatment of anemia to improve their existing life quality.

关 键 词：缺铁性贫血 高危因素 婴幼儿 防治 

分 类 号：R725.5[医药卫生—儿科]