顺义区婴幼儿维生素D制剂应用情况及影响因素

摘要

目的：调查顺义区0~3岁婴幼儿维生素D制剂的应用现状，并分析其影响因素。方法选取2013年10月~2014年4月来本院儿童保健门诊进行健康体检并知情同意情况下选取311例婴幼儿作为调查对象。采用自制的问卷对婴幼儿主要抚养人进行维生素D制剂应用情况进行调查。结果顺义区婴幼儿维生素D制剂应用率为61.1%。在生后<2、2~4、4周~开始添加维生素D的婴幼儿分别占94.5%、0.3%、2.3%，平均添加时间为生后15 d；<1岁停用维生素D的婴幼儿占35.7%、1~2岁停用者占59.8%、2岁~停用者占4.5%，平均停用时间为14个月。多因素Logistic回归分析显示，婴幼儿年龄、健康教育、孕期补充维生素是影响维生素D制剂应用的因素。结论维生素D制剂在婴幼儿中应用普遍，但不合理，应加大健康教育力度，指导婴幼儿合理应用维生素D。%Objective To investigate the application status of vitamin D preparation for infant aged 0-3 in Shunyi dis-trict and analyze its influence factor. Methods 311 infants given health examination in child healthcare clinic were se-lected from October 2013 to April 2014 in the case of informed consent.Self-made questionnaire was used to investi-gate the application of vitamin D preparation for mainly foster person. Results The application rate of vitamin D prepa-ration of infant in Shunyi district was 61.1%.After<2,2~4,and 4 weeks-birth,the proportion of starting adding vitamin D was 94.5%,0.3%,2.3%respectively.The average time of addition was 15 days after birth.The proportion of stopping tak-ing medication at the age of <1,1-2 and 2 years old- was 35.7%,59.8% and 4.5% respectively.The average time of stopping use was 14 months.The multi-factors Logistic regression analysis suggested that age,health education and vita-min supplement of the infants were the factors that affecting the application of vitamin D preparation. Conclusion Vi-tamin D preparation in infants is widely used,but unreasonable,and the intensity of health education should be in-creased to guide infants reasonably apply vitamin D.