儿童全血微量元素含量及补充现状调查

The investigation on contents and supplementation situation of trace elements in the whole blood of children

目的了解都江堰市儿童微量元素含量基本情况以及补充情况,指导父母合理补充微量元素。方法回顾并统计分析3 769名1个月～12岁门诊儿童的微量元素检测结果,随机抽查其中200名进行问卷调查。结果 3 769名儿童中有1 113例(30.0%)锌缺乏、553例(14.7%)铁缺乏、358例(9.5%)钙缺乏;另有964例(25.4%)钙含量偏高、149例(3.9%)锌含量偏高。参与调查问卷的200名儿童中有92名儿童(46.0%)的父母曾为子女补充微量元素,其中补钙占85%、补锌占41%、补铁占18%。补充微量元素的原因中受媒体引导的占51.0%,凭自己经验的占34.8%,遵从医嘱的仅占18.5%。结论都江堰市儿童微量元素摄入情况并不乐观,锌、铁、钙缺乏较普遍且未得到合理补充,建议儿童定期检测,合理调配幼儿的饮食,适当补充营养,以确保幼儿正常发育。

Objective To investigate the contents of trace elements and the supplementation situation of trace elements of children in Dujiangyan city, and to guide the parents to add reasonable trace elements to their children. Methods The trace element test results of 3 769 cases of 1 month-old-12 year-old outpatient children were analyzed statistically and reviewed retrospectively, and 200 cases were selected randomly and conducted questionnaire survey. Results The deficiency rates of zinc（ 30.0%, 1 113 cases）, iron （ 14.7%, 553 cases） and calcium （ 9.5%, 358 cases） were high. The excessive rates of calcium（25.4%, 964 cases） and zinc（3.9% , 149 cases） were high. The 46% of the 200 cases had been supplemented trace dements by parents [ calcium supplementation （85%）, zinc supplementation （41%） and iron supplementation （18%）]. Trace element supplementation guided by the media accounted for 51.0% ,guided by their own experience accounted for 34.8% , and guided by medical advice accounted for only 18.5%. Conclusions The trace element supplementation of children in Dujiangyan city is not optimistic, and the lack of zinc,iron and calcium is popular. The children do not be supplemented trace elements reasonablely. Children should have regular testing for trace elements, and the diet structure should be adjusted rationally, in order to intensify the children heahhcare.