闵行区中小学生血红蛋白监测结果分析

发布时间：2019-03-07 12:18

【摘要】：目的了解闵行区6~13岁在校学生血红蛋白水平变化特征,为制定在校学生贫血预防措施和策略提供依据。方法 2013—2014年连续2 a对闵行区6~13岁所有在校学生共71 743名进行血红蛋白测定,其中男生38 469名,女生33 274名。应用SPSS 18.0统计软件完成所有资料分析。结果男生2次血红蛋白均值分别为(132.4±11.3)(132.6±12.2)g/L,女生2次血红蛋白均值分别为(131.6±11.0)(131.4±11.8)g/L,男生2次血红蛋白均值均高于女生(P值均0.01)。贫血现患率为5.0%,发病率为5.8%,现患贫血中1 a后81.3%恢复正常,人群持续贫血率为0.9%。女生贫血患病率高于男生(P0.01);女生贫血发病风险是男生的1.20倍;持续贫血风险男女生整体差异无统计学意义。男生贫血患病率和发病风险均随着年龄增加而下降,6岁组是发病及持续性贫血风险最高的年龄组;女生6岁组,12岁组是贫血患病风险、发病风险及持续性贫血风险最高的年龄组。现患贫血中轻度占81.1%,中度占18.8%,重度占0.1%;16.9%轻度贫血转化为持续贫血,26.6%中重度贫血转化为持续贫血;新发贫血中79.3%为轻度,20.6%为中度,0.1%为重度。男、女生轻度与中重度贫血中持续贫血率总体差异均无统计学意义(P值均0.05)。结论对中小学生开展连续性血红蛋白监测,并针对不同年龄开展健康教育,同时需重点关注持续性贫血学生并进行干预。
[Abstract]:Objective to understand the changes of hemoglobin level among 6-13-year-old students in Minhang district, and to provide evidence for the prevention measures and strategies of anemia among students in Minhang district. Methods from 2013 to 2014, 71,743 students aged 6 and 13 years old in Minhang District were tested for hemoglobin, including 38,469 boys and 33,274 girls. All data were analyzed by SPSS 18.0 software. Results the mean hemoglobin of male and female were (132.4 卤11.3) (132.6 卤12.2g / L) and (131.6 卤11.0) (131.4 卤11.8g / L) respectively. The mean hemoglobin of boys was higher than that of girls (P < 0.01). The prevalence rate of anemia was 5.0% and the incidence rate was 5.8%. 81. 3% of patients with anemia returned to normal after one year, and the persistent anemia rate of population was 0.9%. The prevalence rate of anemia in girls was higher than that in boys (P0.01); the risk of anemia in girls was 1.20 times higher than that in boys; there was no significant difference in the risk of persistent anemia between boys and girls as a whole. The prevalence and risk of anemia in boys decreased with the increase of age. The 6-year-old group was the age group with the highest risk of onset and persistent anemia. Girls in 6-year-old group and 12-year-old group had the highest risk of anemia, risk of onset and persistent anemia. There were 81. 1% in mild anemia, 18. 8% in moderate anemia, 0.1% in severe anemia, 16. 9% in mild anemia and 26. 6% in moderate-severe anemia. New anemia was mild in 79.3%, moderate in 20.6% and severe in 0.1%. There was no significant difference in the rate of persistent anemia between male and female in mild anemia and moderate and severe anemia (P 0.05). Conclusion continuous hemoglobin monitoring should be carried out in primary and secondary school students and health education should be carried out according to different ages. Attention should be paid to students with persistent anemia and intervention should be carried out at the same time.
【作者单位】：上海市闵行区疾病预防控制中心;上海市疾病预防控制中心;
【分类号】：R446.11

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