[1]李芝帆,王君兰,张 健,等.陕西省商州区2215例0～6岁儿童缺铁性贫血患病现状调查及影响因素分析[J].陕西医学杂志,2021,50(8):1027-1030.[doi:DOI:10.3969/j.issn.1000-7377.2021.08.031]
　LI Zhifan,WANG Junlan,ZHANG Jian,et al.Investigation and analysis of IDA in 2215 children aged 0～6 years in Shangzhou District,Shaanxi Province[J].,2021,50(8):1027-1030.[doi:DOI:10.3969/j.issn.1000-7377.2021.08.031]
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陕西省商州区2215例0～6岁儿童缺铁性贫血患病现状调查及影响因素分析
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年8期
页码:
1027-1030
栏目:
调查研究
出版日期:
2021-08-05

文章信息/Info

Title:
Investigation and analysis of IDA in 2215 children aged 0～6 years in Shangzhou District,Shaanxi Province
作者:
李芝帆1; 王君兰1; 张 健1; 郭 婧1; 温卓宇1; 李希斌2; 潘凯丽1
(1.西北妇女儿童医院,陕西 西安 710061; 2.商洛市商州区妇幼保健院儿科,陕西 商洛 726000)
Author(s):
LI Zhifan; WANG Junlan; ZHANG Jian; GUO Jing; WEN Zhuoyu; Li Xibin; PAN Kaili
(Northwest Women's and Children's Hospital,Xi'an 710061,China)
关键词:
缺铁性贫血;  儿童;  学龄前期;  患病率;  危险因素;  预防
Keywords:
Iron deficiency anemia;  Children;  Pre-school age;  Prevalence;  Risk factor;  Prevention
分类号:
R 556.3
DOI:
DOI:10.3969/j.issn.1000-7377.2021.08.031
文献标志码:
A
摘要:
目的:探讨陕西省商州区0～6岁儿童缺铁性贫血(IDA)患病现状及发病相关风险因素。方法:选取陕西省商州区2215例0～6岁儿童作为研究对象,通过问卷调查、常规体格检查,以及血常规、血清铁、铁蛋白含量检测和流行病学数据(孕周、出生体重、喂养情况、家庭收入等)采集,分析IDA发生的影响因素。结果:2215例0～6岁学龄前儿童IDA发病率为19.86%,其中6月龄至1岁为IDA高发年龄阶段。商州区0～6岁儿童IDA发生的影响因素有家庭收入、出生体重、辅食添加时间、饮食偏好、喂养方式及母孕期是否贫血; IDA发生的独立危险因素包括母亲生育年龄、家庭收入、出生体重、喂养方式及母孕期贫血(均P<0.05)。结论:陕西省商州区0～6岁儿童IDA患病率仍处于较高水平,需加强母孕期健康宣教,提高家庭收入,积极母乳喂养,按时添加辅食,以降低该地区0～6岁儿童IDA患病率,提高儿童健康水平。
Abstract:
Objective:To investigate the prevalence and related risk factors of iron deficiency anemia(IDA)in preschool children aged 0～6 years in Shangzhou District,Shaanxi Province.Methods:2215 children aged 0-6 years in Shangzhou District,Shaanxi Province were selected as the research objects.They were investigated through questionnaires,routine physical examinations,blood routine,serum iron,ferritin content detection,and epidemiological data(gestational age,birth weight,feeding status,family income,etc.)to collect and analyze the influencing factors of IDA.Results:The incidence of IDA in 2215 preschool children aged 0-6 years was 19.86%,among which IDA was at a high incidence age from 6 months to 1 year old.The influencing factors of IDA in children aged 0-6 years in Shangzhou District include family income,birth weight,supplementary food supplement time,dietary preferences,feeding method,and maternal anemia during pregnancy; independent risk factors for IDA include mother's childbearing age,family income,and birth weight,feeding method and maternal anemia during pregnancy(all P<0.05).Conclusion:The prevalence of IDA in children aged 0-6 years in Shangzhou District of Shaanxi Province is still at a high level.It is necessary to strengthen maternal health education during pregnancy,increase family income,encourage breastfeed,and add complementary foods on time,so as to reduce the prevalence of IDA of preschool children in this area and improve the health of children.

参考文献/References:

[1] 郭 平,姚欢迎.小儿营养性缺铁性贫血的相关因素分析[J].中华全科医学,2018,16(2):257-259,295.
[2] Vallée L.Iron and neurodvelopment[J].Archives De Pédiatrie,2017,24:18-22.
[3] Pivina L,Semenova Y,Dosa MD,et al.Iron deficiency,cognitive functions,and neurobehavioral disorders in children[J].J Mol Neurosci,2019,68(1):1-10.
[4] Mudd AT,Fil JE,Knight LC,et al.Early-life iron deficiency reduces brain iron content and alters brain tissue composition despite iron repletion:A neuroimaging assessment[J].Nutrients,2018,10:35-52.
[5] Khan L.Anemia in childhood[J].Pediatr Ann,2018,47(2):42-47.
[6] Hassan TH,Badr MA,Karam NA,et al.Impact of iron deficiency anemia on the function of the immune system in children[J].Medicine,2016,95:5395.
[7] Pasricha SR,Drakesmith H,Black J,et al.Control of iron deficiency anemia in low-and middle-income countries[J].Blood,2013,121(14):2607-2617.
[8] Baker RD,Greer FR.Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children(0-3 years of age)[J].Pediatrics,2010,126(5):1040-1050.
[9] 《中华儿科杂志》编辑委员会,中华医学会儿科学分会血液学组,中华医学会儿科学分会儿童保健学组.儿童缺铁和缺铁性贫血防治建议[J].中华儿科杂志,2008,46(7):502-504.
[10] 刘海虹,李雪兰,王磊清,等.陕西地区妊娠期妇女铁缺乏和缺铁性贫血患病率调查研究[J].陕西医学杂志,2018,47(7):943-946.
[11] Chang S,Wang L,Wang Y,et al.Iron-deficiency anemia in infancy and social emotional development in preschool-aged Chinese children[J].Pediatrics,2011,127(4):927-933.
[12] 中国儿童铁缺乏症流行病学调查协作组.中国7个月至7岁儿童铁缺乏症流行病学的调查研究[J].中华儿科杂志,2004,42(12):886-891.
[13] 刘 渊,王 健,朱建玉,等.上海市某社区婴幼儿缺铁性贫血情况调查及影响因素分析[J].中国临床医学,2018,25(4):538-541.
[14] 陈志军,吕照治.汉中地区部分婴幼儿营养性缺铁性贫血临床分析[J].中国妇幼健康,2015,26(5):1053-1054.
[15] 程 宇,李 青,林 勇,等.遵义地区1岁以下农村儿童缺铁性贫血发病率及影响因素[J].中华实用儿科临床杂志,2019,19:1503-1505.
[16] 王增成,赵惠君,谢晓恬.苏州工业园区入托儿童铁缺乏症和缺铁性贫血患病率及影响因素研究[J].中国小儿血液与肿瘤杂志,2020,25(2):70-75.
[17] 刘 宇.自贡市6个月至6岁儿童缺铁性贫血状况调查[J].中国实用医刊,2020,47(11):38-40.
[18] Sun J,Zhang L,Cui J,et al.Effect of dietary intervention treatment on children with iron deficiency anemia in China:A meta-analysis[J].Lipids Health Dis,2018,17(1):108.
[19] André HP,Sperandio N,Siqueira RL,et al.Food and nutrition insecurity indicators associated with iron efficiency anemia in Brazilian children:A systematic review[J].Cien Saude Colet,2018,23(4):1159-1167.
[20] Camaschella C.New insights into iron deficiiency and iron deficiency anemia[J].Blood Reviews,2017,31:225-233.
[21] 商洛市统计局.商洛统计年鉴(2020)[M].北京:中国统计出版社,2020:36,75.

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更新日期/Last Update: 2021-08-05