社区卫生服务防控维生素D缺乏性佝偻病效果初探

目的 探讨用社区卫生服务的方法防控婴儿维生素D缺乏性佝偻病的效果。方法 把开展社区卫生服务前后的293例婴儿及其母亲分为观察组178例和对照组115例，统计并对比两组婴儿佝偻病发病率和两组母亲对佝偻病相关知识知晓率，用X^2检验统计组问差异。结果 X^2值分别为13．45、28．31，P均〈0．01，两组在发病率和相关知识知晓率方面均有显著性差异，观察组的发病率低于对照组，观察组佝偻病相关知识知晓率高于对照组。结论 扎实持续的社区卫生服务可以在较短的时问内降低社区婴儿维生素D缺乏性佝偻病的发病率，显示出明显的防控效果，较传统医学模式更有优势。

Preventive and control effect of community health service for rickets of vitamin D deficiency

Objective To explore the preventive and control effect of community health service on rickets of vitamin D deficiency. Methods 293 infants and their mothers were derided into experimental group （ n=178 ） and control group （ n = 115 ）. The incidence and the rate of knowing rickets of vitamin D deficiency were analyzed by using chi - square test. Results The incidence of rickets of vitamin D deficiency in the experimental group was lower than in the control group （X^2 = 13.45 ,P 〈 0.01 ）. But the rate of knowing rickets of vitamin D deficiency in the experimental group was higher than in the control group （X^2 = 28.31, P 〈0. 01 ）. There were significant difference in two groups. Conclusion Community health service with traditional medical model has an advantage in preventing and controlling rickets of vitamin D deficiency.