559例婴幼儿铁缺乏症调查与防治

本文对6月～3岁559名婴幼儿进行铁缺乏症调查与防治。缺铁性贫血(IDA)患病率为53.85％,无贫血儿铁减少期(ID)及红细胞生成铁缺乏期(IDE)共48.11％,且各年龄组IDE均明显高于ID。贫血与发Fe、Zn无明显差异,而与发铜有非常明显差异。以调整饮食,铁强化食品,果味维生素C对轻度贫血232例分别进行防治观察,均有同样效果。

STUDY OF THE INCIDENCE OF IRON DEFICIENCY ANEMIA AND ITS THERAPEUTIC APPROACH IN CHILDREN

The incidence of iron deficiency anemia and its therapeutic measures were studied in 559 children (aged 6 months to 3 years old) in Shijiazhuang city, Hebei province. The results showed that the incidence of iron deficiency anemia(IDA) was 53.85% and iron deficiency was 48.11%. Most of IDA occurred before 2 years of age and mild in character.No differences in hair Fe and Zn content were noted between anemic and unanemic children, but hair Cu was lower significantly in anemic children than in unanemics (P<0.01). 232 children with mild IDA were assigned to one of 5 groups randomly for treatment, group A under daily good guide, group B under iron fortified food(Fe 3 mg·kg-1·d-1),group C under fruity vitamin C(VC 100mg bid for<2 years old, tid for>years old), group D under combined measures of A and B, group E as control. According to Hb re-estimated 2 months after treatment, A,B,C group had the same better therapeutic result than group E, but no combined effect was seen in group D.