广东省河源市龙川县罗西村留守学龄儿童健康状况分析

发布时间：2018-04-06 21:08

本文选题：留守儿童　切入点：微量元素　出处：《广东医学》2015年07期

【摘要】：目的探讨河源市龙川县罗西村留守学龄儿童的健康状况。方法对河源市龙川县罗西村178名5~15岁留守学龄儿童进行常规体格检查,并与适龄儿童身高、体重标准值进行比较;全血微量元素含量检测、地中海贫血基因检测及13、18、21号染色体非整倍体快速检测,综合评估留守儿童的健康状况。选取年龄及性别相近的180例全血微量元素含量正常的健康体检儿童作对照(正常对照组)。结果该地区留守儿童身高和体重明显低于正常适龄儿童(P0.05,P0.01)。全血锌和铁元素含量明显低于正常对照组(P0.05,P0.01),分别为(78.3±12.6)μmol/L和(8.11±0.72)mmol/L,其他微量元素水平与正常对照组比较差异无统计学意义。检测到26名儿童携带地中海贫血基因,其中α地中海贫血18名,β地中海贫血8名。有1名疑似唐氏综合征的儿童通过13、18、21号染色体非整倍体快速检测方法确定为21-三体。结论河源市龙川县罗西村留守学龄儿童普遍身材矮小,锌和铁等微量元素缺乏现象比较普遍。应及时补充必需的微量元素,并给予优生优育知识的健康宣教,以提高当地群众的健康意识,改善留守儿童的健康状况和生活质量。
[Abstract]:Objective to investigate the health status of school children in Luoxi Village, Longchuan County, Heyuan City.Methods 178 children in Luoxi Village, Longchuan County, Heyuan City, were examined by routine physical examination and compared with the standard values of height and weight of children of school age, and the contents of trace elements in whole blood were detected.The health status of left-behind children was evaluated by rapid detection of thalassemia gene and aneuploidy on chromosome 131,21.180 healthy children with normal trace elements in whole blood were selected as control group.Results the height and weight of left-behind children in this area were significantly lower than that of normal school-age children.The contents of Zn and Fe in whole blood were significantly lower than those in the normal control group (P 0.05, P 0.01) 渭 mol/L (78.3 卤12.6) 渭 mol/L and 8.11 卤0.72 渭 mol / L, respectively. There was no significant difference in the levels of other trace elements between the two groups.Twenty-six children with thalassemia gene were detected, including 18 伪 -thalassemia and 8 尾 -thalassemia.One child suspected to have Down syndrome was identified as 21-trisomy by rapid detection of chromosomal aneuploidy 13 and 21.Conclusion Left-behind school-age children in Luoxi Village, Longchuan County, Heyuan City, are generally short in stature and lack of trace elements such as zinc and iron.The necessary trace elements should be replenished in time and health education should be given in order to improve the health consciousness of the local people and improve the health status and quality of life of the children left behind.
【作者单位】：广东省妇幼保健院医学遗传中心、妇幼代谢与遗传病重点实验室、生物样本库;广东省妇幼保健院保健部;广东省妇幼保健院康复科;广东省妇幼保健院新生儿科;广东省妇幼保健院儿童保健科;广东省妇幼保健院内科;广东省妇幼保健院行政办公室;
【分类号】：R179

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