婴幼儿缺铁性贫血筛查研究

1、婴幼儿缺铁性贫血筛查研究摘要目的探讨婴幼儿缺铁性贫血(ida)与性别、月 龄、母亲贫血史的关系。方法本次研究中528例婴幼儿均 为本院2009年1月2010年12月进行保健体检的儿童，根 据月龄进行分组，进行血常规与血清铁蛋白检测与问卷调 查。结果男女患病率差异无统计学意义(p>0.05)°0 6个月组与712个月组婴幼儿男女性别组间血清血红蛋白 (hb)平均值差异具有统计学意义(p < 0. 05)o婴幼儿中 712个月平均血红蛋白含量最低，婴幼儿贫血发生的高发 期为712个月。贫血发生率随着年龄的增长不断降低,25 36个月的婴幼儿hb平均值与其他组相比显著提高(p

2、< 0. 05)o结论婴幼儿ida的发病以712个月为多发，母 亲孕期贫血发病率较高，针对性预防对于婴幼儿ida的预防 和治疗有良好的作用。关键词婴幼儿；缺铁性贫血；筛查；分析中图分类号r723 文献标识码c 文章编号 1674-4721 (2012) 07 (b) -0187-02the screening analysis of infant with iron deficiency anemiagu dongling weng wenwathe maternity and child care centers of baiyun district of guangzhou city

3、 in guangdong province, guangzhou 510400, chinaabstract objective to investigate the relationship betweem iron deficiency anemia (ida) in infants and gender, months of age, maternal anemia history. methods five hundred and twenty-eight cases of infants were collected from january 2009 to december 20

4、10 in our hospital with care medical and were divided according to the months of age, the blood tests and serum iron protein detection and questionnaire survey were given. resuits the difference of the prevalenee bet ween men and women was not statisti cally signif ica nt (p > 0.05) the inf ant g

5、ender groups lib average of 0 to 6 months group and 7 to 12 mon ths group had significant difference (p < 0.05). the average hemoglobin content of infants for 7 to 12 months was the minimum, the high incidence of infant anemia occurred in 7 to 12 months anemia occurred rate was lower with the gro

6、wth of age, 25 to 36 months infant hb average increased significantly compared with other groups (p < 0. 05) conclusion the ida incidenee of infants most occurs in 7 to 12 months, maternal anemia during pregnancy has a higher prevalence it has good effect for the prevention and treatment of ida i

7、nfant to give the targeted prophylaxiskey words infants； iron deficiency anemia； screening； analysis缺铁性贫血(ida)是体内缺乏铁元素而影响血液内血 红蛋白的合成而导致的贫血症状，在婴幼儿中发病率极高 1。在我国政府以及who的小儿病防治中均为重点防治的 对象。现在医学研究表明，缺铁会导致儿童发育迟缓、运动 能力和免疫功能受到影响。笔者对本院进行健康保健的婴幼 儿进行了 ida患病率与影响因素的筛查。1资料与方法1. 1 一般资料本次研究中528例婴幼儿均为本院2009年1月2010 年12月进行保健体检的儿童，调查研究均获取儿童家长的 支持，自愿配合调查。受调查儿童月龄为136个月，受调 查儿童男313例，女215例。将所有调查对象根据月龄进行 分组，共分为06个月、712个月、1224个月、24 36个月4组。1. 2方法调查对象的血常规检查由本院检验科专职检验师进行 操作，抽取调查对象左手无名指的指端血，完成血常规与血 清铁蛋白检测。通过问卷调查的方式对被调查婴幼儿的一般 情况进行分析，包括母亲怀孕期间贫血等情况。对被调查婴幼儿进行体格检查，新生儿出生后完成，操 作均为本院儿童保健科的专职医生进行，测量内容包括新生 儿体重、身高、头围与生