基层托幼机构儿童贫血及铁缺乏症现状调查

目的 调查基层托幼机构儿童铁缺乏症的现状,以便早发现、早治疗.方法 对基层托幼机构健康体检的2 258例儿童采用问卷形式调查,并进行了血常规检查,以调查贫血患者情况;并随机抽取372例进行血清铁(Fe)检测、血清铁蛋白(SF)检测、可溶性转铁蛋白受体(sTFR)指标检测调查铁缺乏症的现状.结果 基层托幼机构2 258例儿童贫血发生率7.7%,铁缺乏症患病率是22.3%,其中ID占10.8%,IDE占8.8%,IDA占2.7%,亚临床铁缺乏SID(ID+IDE)占缺铁总人数的87.9%.结论 基层托幼机构儿童贫血发生率不高,但是铁缺乏症较为普遍,特别是亚临床铁缺乏(SID)检出率很高,采取早期鉴定、干预,加强防治工作及对托幼机构膳食指导有重要意义.

Investigation of the actuality of anemia and iron deficiency among the children from child -care institutions in certain area

Objective To investigate the actuality of iron deficiency among the children from child-care institutions in certain area for early diagnosis and treatment.Methods Questionnaire survey and blood routine examination were performed in 2 258 children from child-care institutions in this area to get the incidence of anemia.327 cases of child were randomly selected and detected for serum iron(Fe),serum ferritin(SF) and soluble transferrin receptor(sTFR) to investigate the status of iron deficiency.Results The incidences of anemia and iron deficiency was 7.7% and 22.3%,including 10.8% of iron deficiency(ID),8.8% of iron deficiency erythropiesis(IDE) and 2.7% of iron deficiency anemia(IDA).Sub-clinical ID(SID,including ID and IDE) accounted for 87.9% among all subjects with iron deficiency.Conclusion The incidence of anemia might be low in the children from child-care institutions in this area,but iron deficiency might common.The incidence of SID might be especially high.Earlier identification and intervention,enhancing the prevention and cure and making the meal guidance for the child-care institutions could be significant and helpful.