云南省贫困地区6~23月龄儿童生长发育状况调查  

Investigation on the growth and development of children aged 6-23 months in poverty areas in Yunnan Province

作　　者：陈丽琴 李艳红[2] 张娴[2] 韩永慧 李燕[3] CHEN Li-qin;LI Yan-hong;ZHANG Xian;HAN Yong-hui;LI Yan(Kunming Children's Hospital,Kunming,Yunnan 650228,China;不详)

机构地区：[1]昆明市儿童医院,云南昆明650228 [2]昆明医科大学第二附属医院,云南昆明650101 [3]昆明医科大学,云南昆明650500

出　　处：《现代预防医学》2020年第12期2178-2182,共5页Modern Preventive Medicine

摘　　要：目的分析云南省贫困地区6~23月龄儿童体格发育情况,为儿童保健部门工作的开展提供参考依据。方法采用分层整群抽样的方法抽取云南省不同贫困程度地区1202名6~23月龄儿童为调查对象,对抽取的调查对象进行体格检查。采用WHO AnthroV3.2.2测评软件进行Z值计算,SPSS 24.0软件对数据进行统计分析。结果云南省贫困地区6~23月龄男童和女童体重均值为(9.78±1.51)kg和(9.30±1.49)kg,身长均值为(76.48±6.00)cm和(75.37±5.96)cm。不同性别儿童体重、身长均不同,差异有统计学意义(t体重=5.519,P<0.001;t身长=3.226,P=0.001)。6~月龄、9~月龄、12~月龄、18~月龄组儿童体重和身长分别是(8.22±1.04)、(8.61±1.04)、(9.49±1.19)、(10.73±1.30)kg和(68.69±2.91)、(71.42±3.11)、(75.85±3.61)、(81.89±3.83)cm,随着年龄的增加,儿童的体重和身长均增加,差异有统计学意义(F体重=255.845,P<0.001;F身长=776.174,P<0.001);贫困中度区、贫困重度区、贫困重灾区儿童的体重和身长分别是(9.68±1.42)、(9.44±1.50)、(9.63±1.63)kg和(76.60±5.78)、(75.26±6.07)、(76.85±5.89)cm,不同贫困程度地区儿童的体重、身长均不同,差异有统计学意义(F体重=3.116,P=0.045;F身长=9.106,P<0.001)。儿童的营养评分WAZ、HAZ、WHZ分别为(-0.29±1.00)、(-0.58±1.22)、(0.01±1.06),不同贫困程度地区、不同性别、不同年龄儿童的营养评分WAZ、HAZ均不同,差异有统计学意义(P值均小于0.05)。儿童的低体重、生长迟缓、消瘦发生率分别为4.24%、11.06%、2.33%。不同贫困程度地区、不同性别、不同年龄儿童生长迟缓率均不同,差异有统计学意义(χ^2地区=28.979,P地区<0.001;χ^2性别=10.104,P性别=0.001;χ^2年龄=11.754,P年龄=0.008)。结论云南省贫困地区6~23月龄儿童存在比较严重的营养不良和生长发育落后问题,应对家长进行有效的健康教育和喂养指导,同时建议扩大营养包补充范围,提高儿童营养水平,改善营�Objective To investigate the growth and development of children aged 6-23 months old in poverty-stricken areas of Yunnan Province,provide references for the development of children's health care.Methods The children aged 6-23 months in different poverty areas were selected for physical examination by stratified cluster sampling method.The Z value was calculated by WHO AnthroV3.2.2 evaluation software,and the data was statistically analyzed by SPSS24.0 software.Results The average weight of boys and girls aged 6-23 months in poverty areas of Yunnan Province were 9.78±1.51 kg and 9.30±1.49 kg,and the average length were 76.48±6.00cm and 75.37±5.96cm.The weight and length of children in different genders were different,and the differences were statistically significant(t weight=5.519,P weigh<0.001;t length=3.226,P length=0.001).The weight and length of children in the 6-month-old,9-month-old,12-month-old,and 18-month-old groups were 8.22±1.04 kg,8.61±1.04 kg,9.49±1.19 kg,10.73±1.30 kg,and 68.69±2.91 cm,71.42±3.11cm,75.85±3.61cm,81.89±3.83cm,as the age increased,children's weight and length increased,the differences were statistically significant(F weight=255.845,P weight<0.001;F length=776.174,P length<0.001);The weight and length of children in the moderately poor,severely poor,and poverty-stricken areas were 9.68±1.42kg,9.44±1.50 kg,9.63±1.63 kg,and 76.60±5.78 cm,75.26±6.07 cm,76.85±5.89 cm,children of different poverty levels had different body weight and length,and the differences were statistically significant(F weight=3.116,P weight=0.045;F length=9.106,P length<0.001).The children's nutritional scores WAZ,HAZ,and WHZ were-0.29±1.00,-0.58±1.22,and 0.01±1.06,respectively.The nutritional scores of WAZ and HAZ were different in children of different poverty levels,genders,and ages.The differences were statistically significant(P values were less than 0.05).The incidence of low bodyweight,growth retardation,and wasting in children were 4.24%,11.06%,and 2.33%,respectively.The growth retardation

关 键 词：贫困地区 儿童 生长发育 调查 

分 类 号：R195.2[医药卫生—卫生统计学]