0～6岁儿童血清维生素A水平及相关影响因素分析  

Analysis of the serum vitamin A levels and related influencing factors in children aged 0 to 6 years

作　　者：赵淑景[1] 冯娜娜[2] ZHAO Shujing;FENG Na′na(Department of Pediatrics,Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei,Hebei Province,Cangzhou 061001,China;Department of Science and Education,Cangzhou Hospital of Inte-grated Traditional Chinese Medicine and Western Medicine of Hebei,Hebei Province,Cangzhou 061001,China)

机构地区：[1]河北省沧州中西医结合医院儿科,河北沧州061001 [2]河北省沧州中西医结合医院科教科,河北沧州061001

出　　处：《中国医药导报》2019年第36期58-60,64,共4页China Medical Herald

基　　金：河北省卫健委儿童维生素A、D、E水平现状流行病学调研课题（HB2017ADE038）

摘　　要：目的了解0~6岁儿童血清维生素A(Vit A)水平及相关影响因素。方法选取2017年4月~2019年4月于河北省沧州中西医结合医院儿科门诊就诊0~6岁儿童445名,进行问卷调查。检测血清Vit A水平,观察并分析0~6岁儿童在不同性别、季节和年龄间Vit A水平以及Vit A缺乏情况。结果不同性别Vit A水平及缺乏情况比较,差异均无统计学意义(P>0.05)。不同季节间血清Vit A含量比较,差异有统计学意义(P<0.05),进一步两两比较,夏季、秋季Vit A显著高于冬季,差异有统计学意义(P<0.05)。不同年龄血清Vit A比较,差异有统计学意义(P<0.05),其中≤6个月儿童Vit A水平最低(P<0.05)。其他年龄儿童Vit A水平比较,差异无统计学意义(P>0.05)。不同季节、年龄血清Vit A缺乏情况比较,差异有统计学意义(P<0.05)。回归分析显示,季节和年龄是Vit A水平的影响因素。结论针对冬季、低年龄段儿童及时进行Vit A检测及适量的Vit A补充是必要的。Objective To investigate the serum vitamin A(Vit A)levels and related influencing factors in children aged 0 to 6 years.Methods From April 2017 to April 2019,a total of 445 children aged 0 to 6 years who were treated in the pediatric clinic of Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei Province were selected for questionnaire survey.Serum Vit A levels were measured,and the levels of Vit A and the de-ficiency of Vit A among children aged 0 to 6 years of different gender,season and age were observed and analyzed.Results There were no significant differences in Vit A levels and deficiencies between different genders(P>0.05).There was a statistically significant difference in serum Vit A levels between different seasons(P<0.05).Further com-parison,the Vit A levels in summer and autumn were significantly higher than those in winter,and the differences were statistically significant(P<0.05).Comparison of serum Vit A at different ages,the differences were statistically signifi-cant(P<0.05).Among them,the levels of Vit A were the lowest in children less than 6 months(P<0.05).There were no significant differences in the levels of Vit A among children of other ages(P>0.05).While the difference in serum Vit A deficiency was statistically significant(P<0.05).Regression analysis showed that season and age were influenc-ing factors of Vit A levels.Conclusion It is necessary to perform Vit A test and appropriate Vit A supplement in time for children in winter and low age.

关 键 词：维生素A 可疑亚临床维生素A缺乏 亚临床维生素A缺乏 儿童 

分 类 号：R153.2[医药卫生—营养与食品卫生学]