摘要
目的:通过早期并持续监测婴儿期血红蛋白,结合身高和体重变化,评估婴儿的营养状态,进行喂养指导,从而降低贫血患病率。方法:对117例婴儿,从满3个月开始血红蛋白检测,在满6个月、9个月和1岁时进行持续检测,同时测量身高和体重,评估婴儿的营养状态,进行喂养指导。结果:3个月及6个月出现贫血的婴儿,在9个月和1岁时血红蛋白明显提高,有效率分别为72.55%和92.31%。由于提前进行有效管理,117例婴儿在9个月和1岁时新发贫血率仅为5.98%和2.56%。结论:在临床上对母乳营养素状况没有成熟的检测方法,其是否与婴儿生长发育需求相匹配,在没有明确的监测指标的情况下,血红蛋白的变化可以作为衡量婴儿生长发育及喂养状态的重要参考指标之一,提早于婴儿满3个月、6个月、9个月持续检测血红蛋白,结合婴儿的身高及体重的变化,早期发现不当的喂养方式,进行干预,可以减低贫血的患病率。
Objective:We assessed the nutritional status of infants through early and continuous monitoring of infant hemoglobin,combined the height and weight changes at the same time for feeding guidance,in order to reduce the incidence of anemia.Methods:We detected hemoglobin in 117 cases of infant started from the full 3 months,at the age of 6 months,9 months and 1 years of age were detected continuously.At the same time, we measured the height and weight,assessed the nutritional status of infants, and given the feeding guidance.Results:The 3 months and 6 months infants who had anemic,the hemoglobin is obviously improved when they were 9 months and 1 years old.The effective rates were 72.55% and 92.31% respectively.Because of the early effective management,the anemia rate of 117 babies when they were 9 months and 1 years old were only5.98% and 2.56% respectively.Conclusion:In the case of there were no mature detection method of breast milk nutritional status in clinical,and whether it is match with the growth demand of the baby,there were no clear monitoring indicators.The results of this paper show that,the changes of hemoglobin can be used as one of the important index to evaluate the growth and development of infants and feeding condition,early for babies over 3 months,6 months,9 months of continuous detection of hemoglobin,combine with the changes of the height and weight of baby,early detection of improper feeding,intervention,so it can reduce the prevalence rate of anemia.
