系统管理儿童营养性贫血监测结果研究

System Management of Childhood Nutritional Anemia Surveillance Study

目的探讨系统管理儿童营养性贫血监测结果。方法抽取该院儿保门诊2013年1月—12月接受系统管理的婴幼儿(≤2岁)378例进行研究,分别在6月龄、1岁、2岁时实施健康体检,监测营养性贫血情况,即采取左手无名指末梢血液进行血红蛋白检测,判定有无贫血,总结贫血结果,同时分析性别、喂养方式、添加辅食等与贫血患病率的关系。结果 6月龄、1岁、2岁时监测率、贫血患病率均呈递减趋势,且6月龄贫血患病率明显高于2岁监测结果 (P<0.05);男性儿童贫血患病率要明显高于女性(P<0.05);6月龄时母乳喂养与混合喂养在贫血发生率上有明显差异(P<0.05);及时添加辅食儿童贫血患病率明显低于添加辅食过晚儿童(P<0.05)。结论男性儿童贫血发生率要更高,且6月龄混合喂养、未能及时添加辅食等更易发生贫血,建议及时添加辅食,重视纯母乳喂养。

Objective To investigate the system management of childhood nutritional anemia monitoring results. Methods Extraction child health clinic in our hospital in January 2013 to December to accept the system management infants （≤2 years） were studied 378 cases, in 6 months, 1 year, 2 years old healthy implementation, monitoring nutritional anemia, which take left ring finger peripheral blood hemoglobin, determine whether anemia, anemia summary results while analyzing the relationship between gender, feeding, complementary feeding, etc. and the prevalence of anemia. Results 6 months, 1 year, 2 years old to monitor the rate of prevalence of anemia showed a decreasing trend, and the 6-month prevalence of anemia was significantly higher than 2 years monitoring results （P 〈0.05）; prevalence of anemia among male children rate signifi- cantly higher than female （P 〈0.05）; and mixed feeding were significantly different （P 〈0.05） in the incidence of anemia breastfeeding at 6 months; timely complementary feeding was significantly lower than the prevalence of anemia in children supplementary food too late children （P 〈0.05）. Conclusion The male children to a higher incidence of anemia, and the 6- month-old mixed feeding, failure of timely complementary feeding easier anemia, we recommend timely complementary feeding, attention to exclusive breastfeeding.