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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 understand the occurrence and trend of nutritional iron deficiency anemia in infants and toddlers in this community, analyze its possible causes, take effective measures to improve future child health care work, and improve the health of infants and children. Methods A statistical analysis was carried out on the medical records of 2 808 infants and young children registered in the city from 2012 to 2016 and who had undergone standardized medical examination at the community health service center child health clinic. Results The overall prevalence of anemia in five-year-old children was 7.83%. The prevalence of anemia among infants and young children born in different years was different. The highest rate of anemia among infants and young children born in 2015 was 16.86% and the lowest was 4.36% in 2012. The detection rate of anemia in boys was high In girls, the detection rate of anemia in infants and young children decreased with the increase of children’s age. The highest detection rate of anemia in children aged 6 months was 7.28%. The detection rate of anemia in registered children was higher in this community than in non-registered children. Conclusion The detection rate of children’s anemia in local community born from 2012 to 2016 was lower than other communities and other regions, but the incidence of child anemia in 2012-2016 was significantly higher than that of other communities. In the future, parents of children aged 6 months, Publicity and guidance of key people, increase guidance, reduce the detection rate of anemia.