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许伟红, 吴昕杰, 罗敏涛. 探讨营养素补充对6~12月龄儿童营养性缺铁性贫血的防治[J]. 中国妇幼卫生杂志, 2017, 8(3): 69-71.
引用本文: 许伟红, 吴昕杰, 罗敏涛. 探讨营养素补充对6~12月龄儿童营养性缺铁性贫血的防治[J]. 中国妇幼卫生杂志, 2017, 8(3): 69-71.
XU Wei-hong, WU Xin-jie, LUO Min-tao. Effect of nutrition supplement for 6-12-month-old children on nutritional iron deficiency anemia prevention[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2017, 8(3): 69-71.
Citation: XU Wei-hong, WU Xin-jie, LUO Min-tao. Effect of nutrition supplement for 6-12-month-old children on nutritional iron deficiency anemia prevention[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2017, 8(3): 69-71.

探讨营养素补充对6~12月龄儿童营养性缺铁性贫血的防治

Effect of nutrition supplement for 6-12-month-old children on nutritional iron deficiency anemia prevention

  • 摘要: 目的 探讨采用补充营养素对6~12月龄儿童营养性缺铁性贫血的防治效果。方法 调查广东省深圳市西丽社区2014年1月-2015年12月出生的儿童共232名为研究对象,随机分为两组,分别为对照组采用正常喂养联合健康宣教,干预组采用正常喂养、营养素补充和健康宣教。观察干预前后的Hb含量和贫血率情况、影响儿童营养性缺铁性贫血的因素。结果 通过重复测量的方差分析球形检验显示W=0.979,P=0.085,表明满足球形检验,采用单变量检验。F时间点=77.254,P时间点=0.0001,表明不同时间点的数据差异具有统计学意义;F时间点*组别=51.777,P时间点*组别=0.0001,说明时间点和组别具有交互作用。采用单因素方差分析结果显示干预前两组患者的Hb含量对比无差异,干预3个月和干预6个月的干预组含量高于对照组,对比差异具有统计学意义。对照组、干预组干预前贫血率对比不具有统计学意义;干预后两组的贫血率对比具有统计学意义。对照组和干预组干预后较干预前的贫血率出现下降,其中对照组对比无差异,干预组下降较干预前对比具有统计学意义。多因素Logistic回归分析结果表明营养素补充、母亲孕期贫血、人工喂养、反复腹泻是儿童营养性缺铁性贫血的影响因素。结论 补充营养素能有效地降低社区6~12月龄儿童的营养性缺铁性贫血患病率,提高儿童的血红蛋白含量。

     

    Abstract: Objective To explore the effect of supplemental nutrients for 6-12-month-old children on nutritionaliron deficiency anemia.Methods A total of 232 children borned during January 2014 to December 2015 in Xili community were selected and divided into two groups randomly.The children in control group were conducted normal feeding and health education,and the children in intervention group were conducted normal feeding,nutrient supplements and health education.The Hb,anemia rate and related influencing factors were observed before and after intervention.Result Variance for repeated measurements of spherical test displayed W=0.979,P=0.085,which showed it satisfied aspherical test and can adopt univariate tests.Ftime=77.254,Ptime=0.0001,those indicated that the difference of data in different points was statistically significant;Ftime*groups=51.777,Ptime*groups=0.0001,those explained the interaction of time points and group.One-way ANOVA analysis showed the difference of Hb between the two groups before the intervention was not statistically significant,after 3 and 6 months intervention,Hb in intervention group was higher than that in control group,and the differences was statistically significant.The difference of the rate of anemia between the two groups was not statistically significant before the intervention,and it was statistically significant after the intervention.The rate of anemia of the two groups was decreased after intervention,and the difference in control group between the before and after the intervention was not statistically significant,and the difference in intervention group between the before and after the intervention was statistically significant.Multivariate logistic regression analysis showed that nutrient supplementation,motherhood anemia,artificial feeding and repeated diarrhea were the influencing factors of nutritional iron deficiency anemia in children.Conclusion Nutrients can reduce the prevalence of nutritional iron deficiency anemia among 6-12-month-old children in community,and raising children' hemoglobin.

     

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