婴幼儿血清铁蛋白检测结果分析  

Analysis of serum ferritin detection results in infants and young children

作　　者：韦雪玲 WEI Xueling(Yizhou District Maternal and Child Health Hospital,Hechi City,Guangxi 546300)

机构地区：[1]河池市宜州区妇幼保健院,广西河池546300

出　　处：《智慧健康》2025年第1期121-123,127,共4页Smart Healthcare

摘　　要：目的 探讨血清铁蛋白测定对婴幼儿缺铁性贫血的临床应用。方法 回顾性分析2023年2月—2024年1月在本院儿童保健科进行常规体检的264例6个月至3岁婴幼儿的血清铁蛋白检测结果,将研究对象按年龄分组:6个月至1岁组(106例)、1~2岁组(93例)、2~3岁组(65例)。检测不同年龄段婴幼儿血清铁蛋白水平及不同年龄段铁减少、缺铁性贫血和铁缺乏症检出情况。结果 三组血清铁蛋白水平相比,同一年龄段的婴幼儿血清铁蛋白水平与性别相比没有统计学意义(P>0.05);同时可以观察到婴幼儿血清铁蛋白水平会随着年龄增长而不断增高,6个月至1岁组、1~2岁组对比,差异无统计学意义(P>0.05),6月至1岁组和1~2岁组较2~3岁组明显偏低,差异有统计学意义(P<0.05)。婴幼儿铁缺乏症检出率:264例中铁减少49例(18.6%),缺铁性贫血58例(22.0%),铁缺乏症92例(34.8%),缺铁性贫血3个期中铁缺乏期检出率最高;随着年龄的增长缺铁性贫血和铁缺乏症检出率逐渐减低,6月至1岁组最高、1~2岁组次之、2~3岁组最低,两两比较有统计学对比意义(P<0.05)。结论 3岁以下婴幼儿普遍存在铁缺乏现象,为了降低婴幼儿缺铁性贫血的发生,采取血清铁蛋白检测有利于指导家长实施辅食添加,预防和改善营养性缺铁性贫血。Objective To explore the clinical application of serum ferritin(SF) measurement in infants and young children with iron deficiency anemia.Methods A retrospective analysis was conducted on the SF test results of 264 infants and young children aged 6 months to 3 years who underwent routine physical examinations in the Children's Health Department of our hospital from February 2023 to January 2024.The study subjects were divided into age groups:106 in the 6-1-year-old group,93 in the 1~2-year-old group,and 65 in the 2~3-year-old group.Detect SF levels in infants and young children of different age groups,as well as the detection of iron deficiency,iron deficiency anemia,and iron deficiency in different age groups.Results There was no statistically significant difference in SF levels among infants and young children of the same age group compared to their gender(P> 0.05);At the same time,it can be observed that the SF level of infants and young children continues to increase with age.There was no significant difference between the June to 1 year old group and the 1~2 year old group(P> 0.05).However,the June to 1 year old group and the 1~2 year old group were significantly lower than the 2~3 year old group,and the difference was statistically significant(P< 0.05).The detection rate of iron deficiency in infants and young children:Among 264 cases,49 cases(18.6%) had reduced iron content,58 cases(22.0%) had iron deficiency anemia,92 cases(34.8%) had iron deficiency,and the detection rate of iron deficiency in the three stages of iron deficiency anemia was the highest;The detection rate of iron deficiency anemia and iron deficiency gradually decreases with age,with the highest rate in the age group of June to 1,followed by the age group of 1~2,and the lowest rate in the age group of 2~3.There is a statistically significant difference between the two groups(P< 0.05).Conclusion Iron deficiency is common in infants and young children under 3 years old.In order to reduce the occurrence of iron deficiency anemia in infants an

关 键 词：婴幼儿 血清铁蛋白 检测 营养性缺铁性贫血 

分 类 号：R72[医药卫生—儿科]