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中国初级卫生保健:2019,33(7):48-50
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2 325例学龄期儿童缺铁性贫血患病状况及影响因素分析
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中文摘要: 目的 探究2 325例学龄前儿童缺铁性贫血患病情况并分析其影响因素。方法 选取2016年6月—2018年6月在西学院附属张掖人民医院进行体检2 325例儿童为研究对象,筛选出其中缺铁性贫血患儿,患儿及家属接受问卷调查,分析接受体检学龄前儿童缺铁性贫血患病情况,影响学龄前儿童缺铁性贫血患病单因素以及多因素Logistic回归分析。结果 接受体检2 325例儿童中检出缺铁性贫血儿童198例,其中轻度、中度以及重度贫血分别60例、81例和57例,缺铁性贫血儿童患病为8.52%;单因素分析结果显示,影响学龄前儿童缺铁性贫血因素有年龄、出生时体质量指数、母亲妊娠期是否有贫血、是否早产、患儿肠胃消化能力是否正常、喂养形式、进辅食时间、父母学历、是否正常补充铁元素、家庭饮食习惯、父母月收入(P<0.05);多因素Logistic回归分析结果显示,年龄小、母亲妊娠期贫血、早产、患儿肠胃消化能力不佳、进辅食时间晚、未补充铁元素以及家庭饮食习惯不佳等为导致患儿缺铁性贫血发生危险因素(P<0.05)。结论 预防学龄期儿童缺铁性贫血工作关键在于关注孕妇以及胎儿营养情况,调整儿童饮食结构,养成合适饮食习惯。
Abstract:OBJECTIVE To investigate the prevalence status of iron deficiency anemia in 2 325 preschool children, and to analyze the influencing factors. METHODS A total of 2 325 children who underwent physical examination in the hospital from June 2016 to June 2018 were selected as study subjects. The children with iron deficiency anemia were screened out. The children and their family member were given questionnaire survey. The prevalence status of iron deficiency anemia in preschool children was analyzed. Univariate and multivariate Logistic regression analysis were performed to analyze the factors affecting prevalence of iron deficiency anemia in preschool children. RESULTS Among the 2 325 children who underwent physical examination, there were 198 cases with iron deficiency anemia, including 60 cases of mild anemia, 81 cases of moderate anemia and 57 cases of moderate anemia. The prevalence rate of children with iron deficiency anemia was 8.52%. Univariate analysis results showed the factors affecting iron deficiency anemia of preschool children included age, body mass index at birth, anemia in pregnancy period, preterm, normal gastrointestinal digestive ability, feeding method, eating assisted food time, parental education level, iron supplementation, family eating habits and parental monthly income (P<0.05). Multivariate Logistic regression analysis showed young age, anemia during pregnancy period, preterm, poor gastrointestinal digestive ability, late eating assisted food time, no iron supplementation and poor family eating habits were risk factors for iron deficiency anemia in children (P<0.05). CONCLUSION The key of prevent iron deficiency anemia in school-age children was to pay attention to the nutritional status of pregnant women and fetuses, adjust diet structure of children, and develop appropriate eating habits.
文章编号:3201907016     中图分类号:R1-9    文献标志码:
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