海南省0~6岁婴幼儿铁缺乏性贫血发生率及其影响因素  

Incidence and influence factors of iron deficiency anemia in infants aged 0-6 years in Hainan Province

作　　者：陈小菁[1] 林白浪 庄春雨 王智灵 CHEN Xiaojing;LIN Bailang;ZHUANG Chunyu;WANG Zhiling(Department of Nursing,Haikou Maternal and Child Health Hospital,Hainan Province,Haikou 570203,China;Department of Neonatology,Haikou Maternal and Child Health Hospital,Hainan Province,Haikou 570203,China)

机构地区：[1]海口市妇幼保健院护理部,海南海口570203 [2]海口市妇幼保健院新生儿科,海南海口570203

出　　处：《妇儿健康导刊》2023年第8期67-70,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：海南省自然科学基金高层次人才项目(821RC729)。

摘　　要：目的调查海南省0~6岁婴幼儿缺铁性贫血(IDA)发生率,并分析其影响因素。方法利用海口市妇幼保健院门诊管理系统,以分层抽样法筛选2018年5月至2022年5月6600名0~6岁婴幼儿作为调查对象,记录IDA发生率。采用logistic多因素模型分析影响婴幼儿IDA的相关因素。结果6600名婴幼儿中830例发生IDA,发生率为12.58%。logistic多因素分析显示,偏食挑食(β=0.671,95%CI=1.268~3.020,P=0.002)和近1个月呼吸道感染(β=0.730,95%CI=1.284~3.353,P=0.003)是IDA的高危因素。添加辅食(β=-0.642,95%CI=0.337~0.821,P=0.005)、孕期补铁(β=-0.896,95%CI=0.183~0.910,P=0.028)、育儿培训(β=-0.944,95%CI=0.173~0.875,P=0.022)及晚断脐(β=-0.792,95%CI=0.281~0.730,P=0.001)是IDA的保护因素。结论海南省0~6岁婴幼儿具有一定比例的IDA,其发生与患儿偏食挑食习惯、近1个月呼吸道感染史有关,孕期补铁、晚断脐、按时添加辅食及育儿培训有助于降低IDA风险。Objective To investigate the incidence of iron deficiency anemia(IDA)in infants aged 0-6 years in Hainan Province and analyze its influence factors.Methods The outpatient management system of Haikou Maternal and Child Health Hospital was used,the 6600 infants aged 0-6 years from May 2018 to May 2022 were screened by stratified sampling method,and the incidence of IDA was recorded.The logistic multifactor model was used to analyze the related factors affecting infant IDA.Results There were 830 had IDA among the 6600 infants,the incidence was 12.58%.The logistic multifactor analysis showed partial and picky eating(β=0.671,95%CI=1.268-3.020,P=0.002)and respiratory tract infection in recent one month(β=0.730,95%CI=1.284-3.353,P=0.003)were high risk factors for IDA.The addition of complementary food(β=-0.642,95%CI=0.337-0.821,P=0.005),iron supplementation during pregnancy(β=-0.896,95%CI=0.183-0.910,P=0.028),childcare training(β=-0.944,95%CI=0.173-0.875,P=0.022)and late umbilical cord disconnection(β=-0.792,95%CI=0.281-0.730,P=0.001)were the protection factors for IDA.Conclusion Infants aged 0-6 years in Hainan Province have a certain proportion of IDA,which is related to the children’s partial and picky eating habits and the history of respiratory tract infection in recent one month.Iron supplementation during pregnancy,late umbilical cord disconnection,timely addition of complementary food and childcare training are helpful to reduce the risk of IDA.

关 键 词：缺铁性贫血 婴幼儿 影响因素 

分 类 号：R725[医药卫生—儿科]