【摘要】：目的了解閔行區(qū)6~13歲在校學生血紅蛋白水平變化特征,為制定在校學生貧血預防措施和策略提供依據(jù)。方法 2013—2014年連續(xù)2 a對閔行區(qū)6~13歲所有在校學生共71 743名進行血紅蛋白測定,其中男生38 469名,女生33 274名。應用SPSS 18.0統(tǒng)計軟件完成所有資料分析。結果男生2次血紅蛋白均值分別為(132.4±11.3)(132.6±12.2)g/L,女生2次血紅蛋白均值分別為(131.6±11.0)(131.4±11.8)g/L,男生2次血紅蛋白均值均高于女生(P值均0.01)。貧血現(xiàn)患率為5.0%,發(fā)病率為5.8%,現(xiàn)患貧血中1 a后81.3%恢復正常,人群持續(xù)貧血率為0.9%。女生貧血患病率高于男生(P0.01);女生貧血發(fā)病風險是男生的1.20倍;持續(xù)貧血風險男女生整體差異無統(tǒng)計學意義。男生貧血患病率和發(fā)病風險均隨著年齡增加而下降,6歲組是發(fā)病及持續(xù)性貧血風險最高的年齡組;女生6歲組,12歲組是貧血患病風險、發(fā)病風險及持續(xù)性貧血風險最高的年齡組�，F(xiàn)患貧血中輕度占81.1%,中度占18.8%,重度占0.1%;16.9%輕度貧血轉化為持續(xù)貧血,26.6%中重度貧血轉化為持續(xù)貧血;新發(fā)貧血中79.3%為輕度,20.6%為中度,0.1%為重度。男、女生輕度與中重度貧血中持續(xù)貧血率總體差異均無統(tǒng)計學意義(P值均0.05)。結論對中小學生開展連續(xù)性血紅蛋白監(jiān)測,并針對不同年齡開展健康教育,同時需重點關注持續(xù)性貧血學生并進行干預。
[Abstract]:Objective to understand the changes of hemoglobin level among 6-13-year-old students in Minhang district, and to provide evidence for the prevention measures and strategies of anemia among students in Minhang district. Methods from 2013 to 2014, 71,743 students aged 6 and 13 years old in Minhang District were tested for hemoglobin, including 38,469 boys and 33,274 girls. All data were analyzed by SPSS 18.0 software. Results the mean hemoglobin of male and female were (132.4 鹵11.3) (132.6 鹵12.2g / L) and (131.6 鹵11.0) (131.4 鹵11.8g / L) respectively. The mean hemoglobin of boys was higher than that of girls (P < 0.01). The prevalence rate of anemia was 5.0% and the incidence rate was 5.8%. 81. 3% of patients with anemia returned to normal after one year, and the persistent anemia rate of population was 0.9%. The prevalence rate of anemia in girls was higher than that in boys (P0.01); the risk of anemia in girls was 1.20 times higher than that in boys; there was no significant difference in the risk of persistent anemia between boys and girls as a whole. The prevalence and risk of anemia in boys decreased with the increase of age. The 6-year-old group was the age group with the highest risk of onset and persistent anemia. Girls in 6-year-old group and 12-year-old group had the highest risk of anemia, risk of onset and persistent anemia. There were 81. 1% in mild anemia, 18. 8% in moderate anemia, 0.1% in severe anemia, 16. 9% in mild anemia and 26. 6% in moderate-severe anemia. New anemia was mild in 79.3%, moderate in 20.6% and severe in 0.1%. There was no significant difference in the rate of persistent anemia between male and female in mild anemia and moderate and severe anemia (P 0.05). Conclusion continuous hemoglobin monitoring should be carried out in primary and secondary school students and health education should be carried out according to different ages. Attention should be paid to students with persistent anemia and intervention should be carried out at the same time.
【作者單位】： 上海市閔行區(qū)疾病預防控制中心;上海市疾病預防控制中心;
【分類號】：R446.11

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