苏州西部地区婴幼儿缺铁性贫血状况调查  

Investigation on Iron Deficiency Anemia of Infants in Western Suzhou

作　　者：高莉莉 唐志红[1] 周景 周琴 蔡东平 GAO Li-li;TANG Zhi-hong;ZHOU Jing;ZHOU Qin;CAI Dong-ping(Department of Pediatrics,the People's Hospital of SND,Suzhou 215129,Jiangsu,China;Shishan Community Health Service Center of Suzhou High Tech Zone,Suzhou 215011,Jiangsu,China)

机构地区：[1]苏州高新区人民医院儿科,江苏苏州215129 [2]苏州高新区狮山街道社区卫生服务中心,江苏苏州215011

出　　处：《医学信息》2022年第3期146-148,155,共4页Journal of Medical Information

摘　　要：目的分析2018年苏州西部地区不同月龄婴幼儿缺铁性贫血发病情况及相关影响因素。方法收集2018年1月-12月苏州西部地区3个社区进行健康体检的6~30月龄婴幼儿10621例,通过现场检查及问卷采集数据,内容包括婴幼儿性别、月龄、居住地、是否母乳喂养、辅食添加情况、首次辅食添加时间、各类辅食构成等,分析苏州西部地区6~30月龄的婴幼儿贫血发生情况及其与性别、月龄、生长发育、喂养方式、辅食添加以及地区的关系。结果共747例婴幼儿存在缺铁性贫血,缺铁性贫血的发病率为7.03%,其中轻度贫血占96.25%,中度贫血占3.75%,无重度贫血;不同性别的婴幼儿贫血发生率比较,差异无统计学意义(P>0.05);6月龄婴幼儿贫血发病率高于18月龄和30月龄,18月龄婴幼儿贫血发病率高于30月龄,统计学意义显著(P<0.01);身高<-2SD的贫血发病率高于-2SD~+2SD和>+2SD的婴幼儿,差异有统计学意义(P<0.05);体重<-2SD或>+2SD的贫血发病率高于-2SD~+2SD的婴幼儿,差异有统计学意义(P<0.05);不同喂养方式的婴幼儿贫血发病率比较,差异有统计学意义(P<0.05);及时合理添加辅食的婴幼儿贫血发病率低于未及时合理添加辅食的婴幼儿,统计学意义显著(P<0.01);城市社区婴幼儿贫血的发病率低于农村社区,差异有统计学意义(P<0.05)。结论婴幼儿缺铁性贫血发病率及贫血程度随年龄增长逐渐下降,应大力提倡母乳喂养,及时合理添加辅食满足婴幼儿的营养需求,加强社区对婴幼儿营养的早期干预,普及相关知识,降低贫血的发病率。Objective To analyze the incidence and related influencing factors of iron deficiency anemia in infants of different months in western Suzhou in 2018.Methods A total of 10621 infants aged 6-30 months who underwent physical examination in three communities in the western region of Suzhou from January to December 2018 were collected.The data were collected by on-site inspection and questionnaire,including gender,age,place of residence,breastfeeding,supplementary food addition,first supplementary food addition time,and composition of various supplementary foods.The incidence of anemia in infants aged 6-30 months in the western region of Suzhou and its relationship with gender,age,growth and development,feeding methods,supplementary food addition and region were analyzed.Results A total of 747 infants had iron deficiency anemia,and the incidence of iron deficiency anemia was 7.03%,of which mild anemia accounted for 96.25%,moderate anemia accounted for 3.75%,and there was no severe anemia.There was no significant difference in the incidence of anemia among infants of different genders(P>0.05).The incidence of anemia in infants aged 6 months was higher than that in infants aged 18 months and 30 months,and that in infants aged 18 months was higher than that in infants aged 30 months,and the difference was statistically significant(P<0.01).The incidence of anemia in infants with height<-2SD was higher than that in infants with height of-2SD-+2SD and>+2SD,and the difference was statistically significant(P<0.05).The incidence of anemia in infants with body weight<-2SD or>+2SD was higher than that in infants with body weight of-2SD-+2SD,and the difference was statistically significant(P<0.05).The incidence of anemia in infants with different feeding methods was statistically significant(P<0.05).The incidence of anemia in infants with timely and reasonable supplementary food was lower than that in infants without timely and reasonable supplementary food,and the difference was statistically significant(P<0.01).The incidence o

关 键 词：婴幼儿 缺铁性贫血 母乳喂养 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R589.2[医药卫生—临床医学]