中山市城区幼儿缺铁性贫血现况调查及相关因素研究

发布时间：2018-04-22 15:00

本文选题：缺铁性贫血 + 患病率　；参考：《中国儿童保健杂志》2012年05期

【摘要】：【目的】了解中山市城区幼儿缺铁性贫血(iron-deficiency anemia,IDA)的患病率并进行IDA相关的饮食行为危险因素分析,为幼儿IDA的防治提供依据。【方法】采用随机抽样方法,抽取690例幼儿为调查对象,经小儿缺铁性贫血诊断标准证实为IDA,并通过问卷调查法对患儿进行相关危险因素分析,选取同期就诊的非IDA患儿作为对照组,调查相同资料,从饮食行为方面查找本地区幼儿患IDA的危险因素。采集资料进行汇总、统计学处理和分析。【结果】在抽取的690例幼儿中,IDA的平均患病率为7.0%。其中13～24月龄组IDA患病率为9.7%;25～36月龄组IDA患病率为4.3%,不同年龄组间IDA患病率比较差异有统计学意义(P0.01)。即月龄越小、患病率越高。不同性别儿童IDA患病率差异无统计学意义(P0.05)。调查了IDA组及非IDA组13个危险因素,其中偏食、挑食(OR=9.639,95%CI2.241～41.465)、吃饭慢、对食物不感兴趣(OR=4.640,95%CI 1.025～21.014)、两餐间吃零食(OR=16.306,95%CI1.749～151.982)对IDA的患病率有显著影响(P均0.05)。【结论】纠正幼儿的偏食、挑食习惯,正确指导小儿饮食行为,能够提高血红蛋白水平,对改善贫血起到一定作用。
[Abstract]:[objective] to investigate the prevalence of iron deficiency anemia (IDA) in urban areas of Zhongshan City, and to analyze the risk factors of dietary behavior related to IDA. [methods] A random sampling method was used to provide evidence for the prevention and treatment of IDA in young children. A total of 690 infants were selected and confirmed as IDA by the diagnostic criteria of iron deficiency anemia in children. The risk factors of the children were analyzed by questionnaire, and the children without IDA were selected as the control group, and the same data were investigated. To find out the risk factors of IDA in children from dietary behavior. The data were collected and analyzed statistically. [results] the average prevalence rate of IDA in 690 children was 7.0%. The prevalence rate of IDA in the 13-24 month group was 9.7% and that in the 250-36 month group was 4.3. The difference of IDA prevalence among different age groups was statistically significant (P 0.01). That is, the lower the age, the higher the prevalence. There was no significant difference in the prevalence of IDA among different genders (P 0.05). Correct guidance of children's dietary behavior, can improve the level of hemoglobin, to improve anemia play a certain role.
【作者单位】：广东省南方医科大学附属中山市博爱医院儿科;广东省南方医科大学附属中山市博爱医院儿保科;广东省南方医科大学附属中山市博爱医院信息科;广东省南方医科大学附属中山市博爱医院科教科;
【分类号】：R725.5

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