台州市6个月～6岁儿童贫血状况调查分析

To investigate and analyze the status of anemia among children aged from 6 months to 6 years in Taizhou

目的探讨台州市6个月~6岁儿童贫血状况与贫血类型,为制定相应的干预措施提供依据。方法检测2013年1月-2016年6月台州市中心医院就诊的41 688例儿童血红蛋白浓度(Hb)、平均红细胞体积(MCV)、平均血红蛋白含量(MCH)、平均血红蛋白浓度(MCHC)。结果贫血儿童为4 499例(10.79%),其中男性2 761例,占11.35%(2 761/24 325);女性1 738例,占10.01%(1 738/17 363),男性、女性儿童贫血率差异有统计学意义(P<0.05)。其中大细胞贫血189例(4.20%),正细胞性贫血1 529例(33.98%),小细胞性贫血2 781例(61.81%)。6个月~1岁儿童贫血率最高,达20.93%,6岁时儿童血红蛋白开始回升。结论台州市6个月~6岁儿童贫血以小细胞性贫血为主,建议有关部门尽早采取相关措施。

Objective To explore the anemia status and the types of anemia among children aged 6 months to 6 years in Taizhou,so as to provide reference for the establishment of corresponding intervention measures. Methods 41 688 children collected from Taizhou Central Hospital during January 2013-June 2016 were conducted for the detection of hemoglobin concentration（ Hb）,mean corpuscular volume（ MCV）,mean hemoglobin content（ MCH） and mean hemoglobin concentration（ MCHC）. Results 4 499 cases of anemia in children were detected（ 10. 79%）,including 2 761 cases of anemia in male children accounting for 11. 35%（ 2 761/24 325）,and 1 738 cases of anemia in female children accounting for 10. 01%（ 1 738/17 363）,with the difference of anaemia rate between male children and female children statistically significant（ P〈0. 05）. There were 189 cases with large cell anemia（ 4. 20%）,1 529 cases of positive cell anemia（ 33. 98%）,and 2 781 cases of small cell anemia（ 61. 81%）. The anaemia rate was the highest in children aged from 6 months to 1 year old（ 20. 93%）. Hemoglobin began to rise at six. Conclusion Small cell anemia took major position in children aged from 6 months to 6 years old in Taizhou,so the relevant departments should take relevant interventions as soon as possible to promote the healthy growth of children.