无锡市滨湖区学龄前儿童生长发育状况调查研究

发布时间：2018-06-23 12:11

  本文选题：学龄前儿童 + 生长发育　； 参考：《苏州大学》2012年硕士论文

【摘要】：目的：了解2006-2010年无锡市滨湖区0-3岁婴幼儿喂养情况和辅食添加情况、1-6岁儿童生长发育状况,探讨并评价本地区婴幼儿喂养与生长发育的关系,评价基层儿童保健工作的质量,为本地区儿童保健工作提供参考依据,并为今后积极开展有效地干预措施提供依据。 方法：对2006-2010年在无锡市滨湖区各级卫生医疗机构儿科门诊接受体检的婴幼儿。对0-3岁未入托婴幼儿根据年龄组分层机械抽样,将抽取的婴幼儿进行喂养及营养状况的问卷调查、体格发育的检查；整群抽取2006-2010年无锡市滨湖区已进入幼儿园学习的1～6岁儿童23353人,将抽取的儿童进行体格发育的检查。 结果：23353名无锡市滨湖区儿童接受了调查。男女性别比为1.05：1,各年龄段男童的体格指标测量值均大于女童,存在有统计学意义的性别差异(p0.05)；无锡滨湖区1-6岁儿童的身长、体重均随着年龄的增长而增加(p0.05),年龄越小增长越快,增长幅度最快发生在第一年,2岁以后儿童增长速度减慢,呈平稳增长。体重中位数人数2006年4.44%0,2007年6.42%0,2008年5.71‰,2009年3.81‰,2010年5.86‰。滨湖区体弱儿检出率为2006年10.4%,2007年10.76%,2008年11.16%,2009年12.18%,2010年11.80%,体弱儿的管理率为100%。流动人口中重度贫血患病人数要显著高于常住人口,近2倍,而且呈逐年上升趋势。儿童所患疾病前三位分别为贫血占68.49%(男：69.34%,女：67.35%)、呼吸道感染占23.74%(男：25.67%,女：21.98%)和腹泻占7.19%(男：8.20%,女：6.52%)。2006-2010年无锡市滨湖区儿童生长发育状况较WHO标准及中国7岁以下儿童生长发育指标良好,但有待进一步提高。喂养方式以母乳喂养为主,高于2003年联合国儿童基金会公布的67%,但距中国儿童发展纲要(2001-2010年)要求母乳喂养率达到85%的目标尚有一定距离,近两年有下降的趋势。其中0-6天早期新生儿死亡数在所有年龄段死亡数中最高,死因构成及顺位主要为早产或低出生体重、出生窒息、先天性心脏病、肺炎、意外窒息、其他先天异常。 结论：2006-2010年无锡市滨湖区儿童生长发育状况较WHO标准及中国7岁以下儿童生长发育指标良好,但有待进一步提高。滨湖区母乳喂养率低,辅食添加较不合理。加强围产期保健工作乃至婚前医学检查,在经济发展的今天、无锡市近郊城乡差别日益缩小的形势下,需采取综合性干预措施：包括加大社会各方的关注；完善妇幼保健网络建设和管理；加强围生期保健,加强儿童生长发育相关知识的健康教育；加强对疾病的早期筛查和治疗；从国家法律法规保证、支持母乳喂养6个月,加强孕产妇系统管理和健康知识的宣传等,以促进该地区儿童的体格发育,减轻家庭和社会负担。
[Abstract]:Objective: to investigate the growth and development of infants aged 0-3 years old and children aged 1-6 years old in Binhu District of Wuxi City from 2006 to 2010, to explore and evaluate the relationship between infant and infant feeding and growth and development, and to evaluate the quality of primary care for children. It provides reference basis for children's health care work in our area and provides basis for effective intervention measures in the future. Methods: the infants and young children who were examined in pediatric outpatient clinic in Binhu District of Wuxi City from 2006 to 2010 were studied. According to the stratified mechanical sampling of 0-3 years old unattended infants, the infants were selected to carry on the questionnaire survey of feeding and nutrition status, and the examination of physical development. A total of 23353 children aged 6 years from 2006 to 2010 in Binhu District of Wuxi City were selected for physical development examination. Results: 23353 children in Binhu District, Wuxi City were investigated. The ratio of male to female was 1.05: 1. The physical index of boys of all ages was larger than that of girls (p0.05), and the body length of children aged 1-6 in Binhu District, Wuxi, was higher than that of girls (p0.05). The body weight increased with age (p0.05), the younger the age, the faster the growth rate, the fastest rate of increase occurred after the first year after 2 years old children's growth rate slowed down, showing a steady growth. The median body weight was 4.440 in 2006, 6.42 in 2007, 5.71 鈥，

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