昆明城区、大理农村7月～7岁儿童铁缺乏调查分析

目的 :了解昆明城区及大理农村 7月～ 7岁儿童目前的铁缺乏水平 ,进一步展开对儿童铁缺乏症的防治 ,降低儿童营养性缺铁性贫血的患病率 .方法 :采用抽样调查的方法对两地 7月～ 7岁儿童共 96 9名进行血清铁蛋白 (SF)、锌原卟啉 (ZPP)、血红蛋白 (Hb)实验室检查 .结果 :7月～ 7岁儿童的总铁缺乏检出率为 2 5 1% ,铁减少检出率为 19 0 % ,贫血患病率为 6 1% ;男女童患病率在 1岁以前差别较大 ,1岁以后差别不明显 ;各年龄组患病率以 7月～ 1岁组最高 ;早产儿、低出生体重儿童患病率相对较高 ;铁缺乏的儿童营养不良的患病率高于正常儿童 .结论 :儿童缺铁性贫血仍要引起重视 .在防治中要抓重点人群 ,除改变膳食结构和饮食习惯 ,对目标人群要适当补充铁剂预防

Investigation and Analysis of Iron Deficiency from 7 Months to 7 Years Old Children in Both Kunming and Dali Regions

Objective: To find out the levels of iron deficiency from 7 months to 7 years old children in both Kunming and Dali regions, to further evolve the pre vention of iron deficiency in children, and to depress its incidence. Methods: S erum ferritin(SF), zinc protoporphyrins(ZPP) and hemoglobin(Hb) of 969 cases fro m 7 months to 7 years old in the two regions were detected with randomized sampl ing, and their results were statistically dealt with SPSS. Results: The inciden ce of iron deficiency in all cases from 7 months to 7 years old was 25 1%, of i ron reduction 19 0%, of anemia 6 1%, and the differences of incidence between m ale and female within 1 year old were significant, whereas over 1 year old, the differences of genders were not so obvious. The incidence of iron deficiency fro m 7 months to 1 year old was the highest among all groups; next were the prematu re and low birth weight infants. The incidence of malnutrition in the children w ith iron deficiency was higher than that in normal children. Conclusion: The chi ld anemia of iron deficiency should be give an attention, focus on vulnerable po pulations, and proper chalybeate as a supplement should be given, besides adjust ment of dietary composition and habit.