婴幼儿贫血患病影响因素分析

Analysis of prevalence and influencing factors of anemia in infants

目的:探讨导致婴幼儿贫血的影响因素。方法:2013年选择6个月~3岁婴幼儿儿童系统保健体检资料,按照WHO制定的贫血筛查标准,筛选出婴幼儿贫血患儿60例,同时收集同期同乡镇非贫血婴幼儿60例作为对照组进行比较。分析其临床资料。结果:贫血组孕妇胎次(2.9±1.5)次,晚期贫血22例(36.7%),孕妇年龄>30岁16例(26.7%),Apgar评分>7分16例(26.7%),早产儿19例(31.7%),低体重儿21例(35.0%),喂养方式:奶粉喂养24例(40.0%),母乳喂养9例(18.3%),混合喂养27例(45.0%),反复感染、生病22例(36.7%)。对照组孕妇胎次(1.6±1.2)次,晚期贫血1例(1.7%),孕妇年龄>30岁5例(8.3%),Apgar评分>7分45例(75.0%),早产儿2例(8.3%),低体重儿1例(1.7%),喂养方式:奶粉喂养8例(13.3%),母乳喂养22例(36.7%),混合喂养30例(50.0%),反复感染、生病1例(1.7%)。两组比较差异有统计学意义(P<0.05)。结论:孕妇年龄偏大、产次较多、孕妇晚期贫血、胎儿低体重、胎儿易发生感染或患病及喂养方式不当是导致婴幼儿贫血的主要因素。

Objective:To investigate the factors that influence the infant anemia.Methods:We collected the system physical examination datas of 6 months^3 years old infants in 2013,in accordance with the standard WHO formulation of anemia screening,screened out 60 cases of infant anemia patients,while collecting the same township non anemia in 60 infants as the control group.Analyze the clinical data.Results:In the anemia group,the maternal parity was(2.9 ± 1.5),late anemia in 22cases(36.7%),pregnant women older than 30 years old in 16 cases(26.7%),apgar score>7 points in 16 cases(26.7%),19 cases of premature infants(31.7%),21 cases of low birth weight infant(35%);feeding methods:milk feeding in 24 cases(40%),9 cases of breast feeding(18.3%),mixed feeding of 27 cases(45%),recurrent infections and illness in 22 cases(36.7%).In the control group,the maternal parity was(1.6 ± 1.2),late anemia in 1 cases(1.7%),pregnant women older than 30 years old in 5 cases(8.3%),apgar score>7 points in 45 cases(75%),2 cases of premature(8.3%),low birth weight in 1 cases(1.7%);feeding methods:8 cases of milk feeding(13.3%),22 cases of breast feeding(36.7%),30 cases of mixed feeding(50%),recurrent infections,illness in 1 cases(1.7%).The difference was not statistically significant(P<0.05).Conclusion:The pregnant women older age,parity times,anemia in late pregnant women,low birth weight,fetal infection or illness,and feeding method properly are the main factors leading to anemia in infant and young children.