491名社区体弱儿童管理情况分析

Management of frail children in Dashi Street community,Guangzhou:analysis of 491 cases

目的通过总结分析广州市大石街社区内491名0~3岁散居体弱儿童管理情况,探讨散居儿童体弱高危因素,为社区开展儿童保健工作综合服务提供决策依据。方法对2009-2012年度社区管理的全部散居体弱儿童的管理情况进行统计分析。结果社区管理4年来体弱儿童患病率呈逐年下降趋势;体弱儿童发生的高危因素集中在中、重度营养不良及早产低体重儿。结论通过加强健康宣教,孕期保健,控制早产儿、低体重儿的发生有助于降低体弱儿的发病,中、重度营养不良早发现、早干预、早治疗效果好。社区儿童保健中应加强对体弱儿的专案管理,以提高体弱儿生命质量,保证儿童在生理上的健康成长。

【Objective】To analyze the management outcomes of 491 frail children aged 0-3 years scattered in Dashi Street,Panyu District,Guangzhou City and to determine the factors contributing to physical weakness,thus offering scientific rationales for improving comprehensive children＇s health care services.【Methods】Did a statistical analysis on the management profiles of scattered children obtained from Dashi Street Community Health Center between 2009 and 2012.【Resluts】In the previous 4 years,there has been a trend towards reduced incidence rates of diseases in frail children consisted mainly of those with moderate-to-severe malnutrition and low birth weight infants.【Conclusion】 Management may be achieved by intensive education,pregnancy health care and prenatal examination that would reduce the birth rate of premature delivery and low birth weight children.Despite a declining birth rate of frail children on a yearly basis,a comparatively high incidence rate of moderate-to-severe malnutrition may be observed.However,malnourished children may recover well as a result of early detection,intervention and treatment.Establishment of frail children-oriented management protocols by community health care centers could improve frail children＇s quality of life and secure normal growth.