婴儿期缺铁性贫血发生率及预防措施分析

目的分析某院儿童保健门诊中婴儿期缺铁性贫血(iron deficiency anemia,IDA)喂养方式及辅食添加的早晚与婴儿期缺铁性贫血的关系,有效的降低其患病率。方法采用整群随机抽样的方法选取该院儿童保健门诊中2009年5月～2010年5月0～1岁婴儿815例,排除疾病因素,通过体格检查,家长问卷,调查其喂养方式及辅食添加的早晚将患儿分为实验组(n=396),是指无论采取何种喂养(母乳或人工或混合)均于4～6个月添加辅食;对照组(n=419),是指无论采取何种喂养(母乳或人工或混合)均于4～6个月未添加辅食。两组统一采用BASIC血细胞全自动分析仪测血常规。结果实验组贫血发生率是19.2%,对照组贫血的发生率是37.5%。差异有统计学意义(P﹤0.01)。结论无论采取何种喂养(母乳或人工或混合)均于4～6个月添加辅食其贫血的发生率低于对照组,因此正确的儿童喂养行为可以有效的预防和减少婴儿期IDA患病率。

Study on infant iron deficiency anemia incidence and preventive measures

OBJECTIVE To analyze the relation of infant iron deficiency anemia(iron deficiency anemia,IDA)feeding method and feeding time,effectively reduce the prevalence rate.METHODS A cluster random sampling method was used to select 815 cases of 0-1 years old infants in health clinic of our hospital in May 2009-May 2010,the exclusion of disease factors,through physical examination,a parent questionnaire,according to investigation of its feeding method and feeding sooner or later,the infants were divided into experimental group(n = 396),refers to added complementary in 4-6 months whether the feeding was breastmilk or artificial or mixed;the control group(n = 419),did not add complementary is that no matter what feeding(breastmilk or artificial or mixed)in 4-6 months.Uniform BASIC blood cell automatic analyzer was used in two groups to measure blood.RESULTS The anaemia rate was 19.2% in the experimental group,the incidence of anemia in the control group was 37.5%.There was a significant difference(P﹤0.01).CONCLUSION The anemia rate in the infants who add complementary)in 4-6 months no matter what feeding(breastmilk or artificial or mixed)is lower than that of the control group,so the correct child feeding behavior can effectively prevent and reduce the incidence of IDA in infancy.