运动性晕厥与儿童缺铁性贫血的相关性及营养供给研究  

Relationship between exercise related syncope and iron deficiency anemia in Children and analysis of nutrition supply

作　　者：涂卓特 林迳苍 蔡枫瑜 陈扬佳 张立万 王静雯 Tu Zhuote;Lin Jingcang;Cai Fengyu;Chen Yangjia;Zhang Liwan;Wang Jingwen(Department of Health Management,Quanzhou Medical College,Fujian Quanzhou 362000,China;Department of Health Services and Management,Fujian Provincial Association of Health Managers,Fuzhou Institute of Technology,Fuzhou 350000,China)

机构地区：[1]泉州医学高等专科学校健康管理教研室,福建泉州362000 [2]福建省健康管理师协会福州理工学院健康服务与管理教研室,350000

出　　处：《中国医师进修杂志》2021年第8期732-737,共6页Chinese Journal of Postgraduates of Medicine

基　　金：福建省自然科学基金项目(2016J01421);福建省泉州市科技计划项目(2018Z165)。

摘　　要：目的:探讨运动性晕厥与儿童缺铁性贫血的相关性,以及营养供给对运动性晕厥发生的影响。方法:选取2018年6月至2020年6月泉州医学高等专科学校附属人民医院收治的306例缺铁性贫血患儿作为研究对象,将发生运动性晕厥的患儿纳入观察组(105例),未发生运动性晕厥的患儿纳入对照组(201例)。比较两组患儿一般资料和红细胞参数、铁代谢指标、血液微量元素水平的差异,分析两组患儿每日食物构成情况、三大营养素摄入量和微量元素及维生素摄入量。结果:观察组体质量指数、腰臀比和血氧饱和度低于对照组,男性、重度贫血、偏食挑食和经常吃零食占比高于对照组,差异均有统计学意义(P<0.05)。观察组患儿血红蛋白、红细胞平均血红蛋白含量和红细胞平均体积低于对照组,红细胞容积分布宽度高于对照组[(70.12±9.68)g/L比(83.64±10.12)g/L、(20.12±3.64)pg比(26.97±3.52)pg、(63.46±8.46)fl比(71.34±8.12)fl、0.258±0.058比0.201±0.064],差异均有统计学意义(P<0.05)。观察组患儿血清铁蛋白和总铁结合力高于对照组,血清铁和转铁蛋白饱和度低于对照组[(136.58±28.71)μg/L比(113.21±24.45)μg/L、(69.64±7.23)μmol/L比(56.48±8.65)μmol/L、(15.32±4.15)μmol/L比(17.69±4.21)μmol/L、0.198±0.056比0.265±0.062],差异均有统计学意义(P<0.05)。观察组患儿血液钙和锌水平低于对照组[(5.44±0.28)mmol/L比(5.63±0.34)mmol/L、(63.23±2.73)μmol/L比(68.42±2.65)μmol/L],差异有统计学意义(P<0.05)。观察组患儿每日粮谷类、动物类、蔬菜水果、豆类和蛋奶类摄入量低于对照组,观察组患儿每日碳水化合物和蛋白质摄入量低于对照组,观察组患儿每日铁、维生素C和维生素A摄入量低于对照组,差异均有统计学意义(P<0.05)。结论:儿童缺铁性贫血可能是运动性晕厥发生的危险因素之一,应加强对该人群儿童和家长的健康宣教,改变不良饮食行为,调整�Objective To investigate the relationship between exercise related syncope and iron deficiency anemia in children,and analyze the effect of nutrition supply on exercise related syncope.Methods Three hundred and six children with iron deficiency anemia in Quanzhou Medical College People′s Hospital Affiliated from June 2018 to June 2020 were enrolled,and they were divided into two groups:observation group(105 Children with exercise related syncope)and control group(201 Children without exercise related syncope).General data,red blood cell parameters,iron metabolism index and blood trace element level were compared between two groups.The daily food composition,the intake of three major nutrients,trace elements and Vitamins were analyzed.Results The body mass index and waist-to-hip ratio in the observation group were lower than those in the control group,the blood oxygen saturation was lower than that in the control group,the proportion of males,severe anemia,picky eaters and more intake of snack were higher than those in the control group,the differences were statistically significant(P<0.05).The levels of hemoglobin,mean corpuscular hemoglobin concentration and mean corpuscular volume in the observation group were lower than those in control group:(70.12±9.68)g/L vs.(83.64±10.12)g/L,(20.12±3.64)pg vs.(26.97±3.52)pg,(63.46±8.46)fl vs.(71.34±8.12)fl;and the red blood cell distribution width was higher than that in control group:0.258±0.058 vs.0.201±0.064,the differences were statistically significant(P<0.05).The levels of serum ferritin content and total iron binding capacity in observation group were higher than those in the control group:(136.58±28.71)ng/L vs.(113.21±24.45)ng/L,(69.64±7.23)μmol/L vs.(56.48±8.65)μmol/L,the levels of serum ferritin and transferin saturation were lower than those in the control group:(15.32±4.15)μmol/L vs.(17.69±4.21)μmol/L,0.198±0.056 vs.0.265±0.062,the differences were statistically significant(P<0.05).The levels of blood calcium and zinc in the observation gro

关 键 词：晕厥 贫血 缺铁性 儿童 膳食 

分 类 号：R725.5[医药卫生—儿科]