儿童缺铁性贫血危险因素及影响贫血程度的相关因素分析  

Influence factors and related risk factors affecting the anemia degree in children with iron deficiency anemia

作　　者：谭忠友[1] 余超[1] 周平[1] 

机构地区：[1]重庆三峡中心医院妇女儿童医院儿内一科,404000

出　　处：《检验医学与临床》2016年第17期2444-2446,共3页Laboratory Medicine and Clinic

摘　　要：目的 对儿童缺铁性贫血（IDA）危险因素及影响贫血程度的相关因素进行分析。方法 回顾性分析该院2010年1月至2015年12月收治并明确诊断为IDA的280例1~5岁患儿临床资料（IDA组）,并根据其外周血血红蛋白（Hb）水平将贫血程度分为轻度、中度、重度及极重度。同时选取同期280例非贫血患儿为对照组。对可能的儿童IDA危险因素进行多因素Logistic回归分析,筛选儿童IDA的危险因素及影响贫血程度的相关因素。结果 280例IDA患儿轻度贫血者134例,占47.8%,中度贫血者122例,占43.6%,重度及极重度贫血者24例,占8.6%。家庭人均月收入、母亲孕期贫血、母亲未接受育儿指导、母亲文化程度、儿童既往病史及喂养方式是导致患儿发生IDA的危险因素。年龄、病程、母亲文化程度、孕周、出生体质量、喂养方式、儿童既往病史、母亲孕期贫血、母亲未接受育儿指导与贫血严重程度有关（P〈0.05）。年龄、孕周、出生体质量、儿童既往病史是影响IDA患儿贫血程度的相关因素。结论 对于儿童IDA应着重以预防为主,应加大儿童营养保健知识宣教普及力度,定期培训基层儿童保健医护人员,同时制订符合我国儿童饮食特点及含铁丰富食物饮食方案,以降低儿童IDA发病率。Objective To analyze the influence factors and related risk factors affecting the anemia degree in children with iron deficiency anemia. Methods From January 2010 to December 2015 in our hospital,280 cases of clinical data of 1--5 years old chil dren diagnosed with iron deficiency anemia （IDA） were retrospectively analyzed, and according to the content of peripheral blood hemoglobin（ Hb）, anemia degree were classified as mild,moderate, severe and very severe degrees. During the same period 280 cases of healthy children were selected as the control group. Possible risk factors of iron deficiency anemia in children were analyzed by multivariate Logistic regression analysis for screening the risk factors of children＇s iron deficiency anemia and relative factors influencing the degree of degree. Results Out of 280 children with IDA,there were 134 cases of mild anemia accounting for 47.8%, 122 cases of moderate anemia accounting for 43.6 %, 24 cases of severe and very severe anemia accounting for 8.6 %. Factors such as per capita family income, anemia in pregnancy, mother not accepting the parenting guide, mother＇ s educational level, children＇ s medical history and feeding means were all risk factors for IDA. Age, disease course, mother＇s educational level, gestational age, birth weight, feeding means, children＇s medical history, mother anemia during pregnancy, the mother not receiving parental guidance were all related to the severity of anemia（P〈0.05）. Age, gestational age, birth weight, childeren＇s medical history were all relative factors affecting the degree of anemia in IDA patients. Conclusion Attention should be paid to IDA prevention in children,health care knowledge on child nutrition should be more popularized,regular training should be carried out for the grassroots medical staff of child care,and iron-rich food diet plan should be made up according to childrenfs diet characteristics in the country in order to reduce the incidence of childhood IDA.

关 键 词：缺铁性贫血 危险因素 贫血程度 儿童 

分 类 号：R395.6[哲学宗教—心理学]