某社区0～4岁儿童维生素A、铁缺乏的现状调查

摘要

目的 调查重庆市南友村社区0～4岁儿童维生素A、铁缺乏的现状并分析其可能影响的因素.方法 调查重庆市南友村社区166名儿童,按年龄将其分为:<1岁组(n=19)、1～<2岁组(n=37)、2～<3岁组(n=73)、3～<4岁组(n=37).检测上述儿童的血清维生素A、铁浓度及血红蛋白浓度.以问卷法调查抚养人及家庭一般情况、出生情况、母亲孕期合并疾病、儿童新生儿期疾病和喂养情况等.结果 <1岁组、1～<2岁组、2～<3岁组及3～<4岁组儿童的贫血发生率分别为26.31%(5/19)、5.41%(2/37)、41.10%(3/73)、0.00%(0/37),所有贫血儿童均为轻度贫血.与其他组比较,<1岁组儿童维生素A、铁缺乏的发生率最高.家庭月收入和奶的摄入情况为维生素A缺乏的影响因素;家庭月收入、分娩方式、母亲孕期合并高胆酸血症、肉类和维生素A、D的添加情况为铁缺乏的影响因素.结论 儿童亚临床维生素A、铁缺乏状态应引起足够的重视,加强儿童家长的喂养指导是防治儿童维生素A、铁缺乏的重要手段.%Objective To survey the status of vitamine A and iron deficiency in children age 0-4 in Nanyoucun community in Chongqing and analyze their possible influence factors. Methods 166 children in Nanyoucun community in Chongqing were investi gated and were divided into <1 year old group(n = 19) ,1-<2 year old group(n = 37) ,2-<3 year old group(n = 73) and 3-<4 year old group(n = 37) ,according to children s age. Their serum concentrations of vitamin A,iron and hemoglobin were detected. Questionnaire method was performed to survey general conditions of foster parents and families,birth circumstances,diseases suf fered by mother during pregnancy and diseases suffered by children in neonatal period. Results Anemia incidence of children in