2808名0～36月龄婴幼儿贫血筛查结果分析

Results of iron deficiency anemia screening in 2808 0-36 month infants

目的了解本社区婴幼儿营养性缺铁性贫血发生规律和趋势,分析其可能原因,采取有效措施改进今后的儿童保健工作,提高婴幼儿的健康水平。方法对2012—2016年出生,在本社区卫生服务中心儿童保健门诊进行规范化体检的2 808名本市户籍婴幼儿体检资料进行统计分析。结果 5年出生儿童贫血总检出率为7.83%,不同年度出生婴幼儿贫血检出率不同,2015年出生婴幼儿贫血率最高16.86%,2012年出生最低为4.36%;男孩贫血检出率高于女孩;婴幼儿贫血检出率随着儿童月龄的增加而减少,6月龄儿童贫血检出率最高为7.28%;本社区户籍儿童贫血检出率高于非户籍儿童。结论 20122—2016年出生本地社区儿童贫血检出率低于其他社区以及其他地区,但近2年出现较大幅度增高,今后要把6月龄前、男孩及本社区户籍婴幼儿的家长做为宣传指导的重点人群,加大指导力度,减少贫血检出率。

Objective To know the regular pattern and trend of iron deficiency anemia（IDAI） in infants in our community and analyze the possible causes, so as to provide the evidence to take effective measures to improve children＇s health care and health conditions in the future.Methods The standard physical examination records of 2 808 infants born between January 1, 2012 and December 31, 2016 were collected and analyzed statistically.Results The total IDA detection rate was 7.83%. The infants born in different years had different IDA detection rates, the highest rate of IDA was16.86% in 2015, and the lowest was 4.36% in 2012. The IDA detection rate of boys was higher than that of girls. The IDA detection rates diminished with the increase of children＇s age, and 6-month infants had the highest IDA detection rate（7.28%）. The IDA detection rate of local household infants is higher than that of non-local household infants.Conclusion The IDA detection rate of infants born from 2012 to 2016 in our local community is lower than other local communities and areas. However, this rate increased substantially in the past two years. From now on, the infants younger than 6 months,boys, and infants＇ parents of the local community should be our targets to provide the promotion and guidance.