小儿营养性缺铁性贫血的原因及治疗效果分析

Causes and treatment effect of children with nutritional iron deficiency anemia

目的通过了解小儿营养性缺铁性贫血的原因,采取针对性的治疗对策,并观察其疗效。方法以我院2012年2月至2014年1月诊治的200例营养性缺铁性贫血患儿为研究对象,随机分为对照组和观察组各100例,对照组患儿给予常规治疗,观察组患儿则先通过问卷调查了解营养性缺铁性贫血的原因,然后采取对症支持治疗,比较两组治疗效果、治疗前后营养状况。结果营养性缺铁性贫血原因中以辅食添加不合理、辅食添加晚为主,分别占48.0%、28.0%。观察组治疗总有效率94.0%,与对照组的74.0%比较差异有统计学意义(P<0.01)。另外,两组治疗后Hb[(129.5±6.6)vs(110.2±6.0)]g·L-1、SI[(19.7±6.0)vs(14.4±6.2)]μmol·L-1及SF[(29.9±6.2)vs(21.5±6.0)]μg·L-1,比较差异有统计学意义(P<0.05)。结论小儿营养性缺铁性贫血主要与辅食添加问题有关,给予健康教育、宝儿康散等对症治疗效果明确,能有效改善患儿营养状况。

Objective To understand the causes of nutritional iron deficiency anemia, take appropriate treatment strategies, observe its curative effect. Methods A total of 200 cases of iron deficiency anemia of children in our hospital from February 2012 to January 2014 as the research object, were randomly divided into two groups, each of 100 cases. Control group was given conventional treatment. Observation group was to be understood the reasons of iron deficiency anemia first through a questionnaire survey, and then took support treatment. The treatment effect of two groups and nutritional status before and after treatment were compared. Results The causes of nutritional iron deficiency anemia were mainly unreasonable complementary feeding and late complementary feeding, accounted for 48%and 28%. Total effective rate of observation group was 94%, and control group of 74%, the difference was significant（P〈0.01）. In addition, after treatment, Hb of two groups were [（129.5±6.6）vs（110.2±6.0）]g · L^-1 , SIE（19.7±6.0）vs （14.4±6.2）]μmol· L^-1 and SFF（29.9±6.2）vs（21.5±6.0）]μg· L^-1, the difference was significant（P〈0.05）. Conclusion Children with iron deficiency anemia is mainly relevant to com- plementary feeding issues, the effect of health education, Bao＇ erkang San and other symptomatic treatment is clear, can effectively improve the nutritional status of children.