發(fā)布時(shí)間：2019-06-06 17:24

【摘要】：目的:探討長沙市8月齡嬰兒缺鐵性貧血狀況及其影響因素。方法:采用病例對(duì)照研究,將8月齡規(guī)范化血常規(guī)檢測明確診斷為缺鐵性貧血的105例嬰兒納入病例組,按1:4個(gè)體匹配,發(fā)生1個(gè)新病例的同時(shí)選取4例同一街道、同一性別按相同標(biāo)準(zhǔn)診斷未發(fā)生缺鐵性貧血的嬰兒作入對(duì)照組,收集相關(guān)資料,運(yùn)用χ2檢驗(yàn)、條件logistic回歸分析嬰兒缺鐵性貧血發(fā)生的影響因素。結(jié)果:長沙市8月齡嬰兒缺鐵性貧血發(fā)生率為14.7%。8月齡嬰兒發(fā)生缺鐵性貧血的危險(xiǎn)因素包括:母親孕晚期貧血(OR=3.540,95%CI:1.898~6.601)、6月齡內(nèi)混合喂養(yǎng)(OR=1.682,95%CI:1.099~2.574)、6月齡內(nèi)人工喂養(yǎng)(OR=4.162,95%CI:1.343~12.896)、6月齡前添加輔食(OR=1.423,95%CI:1.022~1.982)、7月齡及以后添加輔食(OR=4.415,95%CI:2.150~9.064)、8月齡內(nèi)反復(fù)呼吸道感染(OR=2.878,95%CI:1.224~6.764)、8月齡內(nèi)反復(fù)腹瀉(OR=3.710,95%CI:1.533~8.980)。結(jié)論:長沙市8月齡嬰兒缺鐵性貧血仍有一定的發(fā)生率,應(yīng)改善母親孕期貧血,提倡科學(xué)喂養(yǎng),鼓勵(lì)純母乳喂養(yǎng)至6月齡,并及時(shí)合理添加輔食,積極治療罹患呼吸系統(tǒng)和消化系統(tǒng)疾病的患兒,預(yù)防嬰兒缺鐵性貧血的發(fā)生。
[Abstract]:Objective: to investigate the status and influencing factors of iron deficiency anemia in 8-month-old infants in Changsha. Methods: 105 infants with iron deficiency anemia diagnosed by standardized blood routine test at the age of 8 months were included in the case group by case-control study. According to 1:4 individual matching, 4 cases of the same street were selected at the same time. Infants diagnosed without iron deficiency anemia according to the same sex were enrolled into the control group. The relevant data were collected and the influencing factors of iron deficiency anemia were analyzed by 蠂 2 test and conditional logistic regression. Results: the incidence of iron deficiency anemia in 8-month-old infants in Changsha was 14.7%. The risk factors of iron deficiency anemia in 8-month-old infants included maternal anemia in the third trimester of pregnancy (OR=3.540,95%CI:1.898~6.601). Mixed feeding within 6 months of age (OR=1.682,95%CI:1.099~2.574), artificial feeding within 6 months of age (OR=4.162,95%CI:1.343~12.896), supplementary feeding (OR=1.423,95%CI:1.022~1.982) before 6 months of age, Supplementary food (OR=4.415,95%CI:2.150~9.064), recurrent respiratory tract infection (OR=2.878,95%CI:1.224~6.764) and recurrent diarrhea (OR=3.710,95%CI:1.533~8.980) were added at and after 7 months of age. Conclusion: there is still a certain incidence of iron deficiency anemia in 8-month-old infants in Changsha City. Anemia during pregnancy should be improved, scientific feeding should be advocated, exclusive breastfeeding should be encouraged to the age of 6 months, and supplementary food should be added in a timely and reasonable manner. Actively treat children with respiratory and digestive diseases to prevent iron deficiency anemia in infants.
【作者單位】： 中南大學(xué)湘雅公共衛(wèi)生學(xué)院流行病學(xué)與衛(wèi)生統(tǒng)計(jì)系;長沙市開福區(qū)衛(wèi)生局;
【基金】：國家自然科學(xué)基金(81373101)~~
【分類號(hào)】：R725.5

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