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婴儿期营养性贫血多因素分析
引用本文:张文丽,王新利.婴儿期营养性贫血多因素分析[J].中国儿童保健杂志,2005,13(1):4-6.
作者姓名:张文丽  王新利
作者单位:北京大学第三医院儿科,北京,100083
基金项目:北京大学211工程循征医学学科群项目资助(21104801)
摘    要:【目的】了解婴儿期不同月龄贫血发生情况,探讨其影响因素,为干预提供依据。【方法】对829名首次就诊于儿童保健门诊的1~12个月婴儿的保健资料进行分析。【结果】贫血总检出率为15.56%,其中1~4个月组为9.7%,5~6月组为15.3%.7~12月组为32.1%。单因素分析显示1~4个月组母乳喂养者贫血发生率较低,母亲产前出血、妊高征、胎龄、出生体重均与婴儿贫血有关。5~12月人工喂养者贫血发生率较低,婴儿食欲与贫血发生相关;Logistic回归分析显示1~4月组、出生体重及母亲妊高征与婴儿贫血相关,5~12月组与贫血相关的因素为喂养方式和月平均身高增加量。【结论】加强围产保健,减少低出生体重儿的发生率,提倡婴儿期母乳喂养的同时注意适时、适量合理的添加辅食(其他食物)是减少婴儿期贫血的有力措施。

关 键 词:贫血  出生体重  喂养方式  婴儿
文章编号:1008-6579(2005)01-0004-03
修稿时间:2004年6月30日

Analysis of multiple factors for infant nutritional anemia
ZHANG Wen-li,WANG Xin-li..Analysis of multiple factors for infant nutritional anemia[J].Chinese Journal of Child Health Care,2005,13(1):4-6.
Authors:ZHANG Wen-li  WANG Xin-li
Abstract:Objective] To analyze the anemia prevalence of different months in infant,and to discuss the influential factors of anemia. Method] To study the data of 829 infants aged 1-12 months first coming to the child health care. Results] Anemia prevalence of infant was 15. 56%,in 1-4 months was 9. 7%,in 5-6 months was 15. 3% ,in 7 - 12 months was 32. 1%. In 1-4months infants, anemia prevalence was lower in breast-feeding infants, and it was association with mother suffering from antenatal bleed or pregnancy induced hypertension (PIH), infants' gestation week and birth weight. However, in 5-12months infants, anemia prevalence was lower than in formula feeding infant, and it was association with the appetite of infants. Logistic regression analysis showed that birth weight and mother suffering from PIH were correlation with anemia in 1-4 months, feeding fashion and average increase data of stature of every month were correlation with anemia in 5-12 months. Conclusion] Reinforcing the perinatal health care; reducing the rate of low birth weight infant; advocating breast-feeding and at the same time paying attention to supplementation of the complement food are the effective measures of reducing infant anemia.
Keywords:anemia  birth weight  feeding fashion  infant
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