本文選題：貧血 + 體格生長(zhǎng)指標(biāo)�。� 參考：《重慶醫(yī)科大學(xué)學(xué)報(bào)》2017年10期

【摘要】：目的:探討學(xué)齡期兒童貧血與體格生長(zhǎng)的關(guān)系。方法:在重慶市九龍坡區(qū)采用多階段分層整群隨機(jī)抽樣的方法,對(duì)5所全日制公立小學(xué)的6 260名學(xué)齡兒童進(jìn)行體格測(cè)量及血生化指標(biāo)檢查。統(tǒng)計(jì)分析貧血組及非貧血組間常用體格生長(zhǎng)指標(biāo)(體質(zhì)量、身高)和與貧血相關(guān)的血常規(guī)指標(biāo),如紅細(xì)胞平均容積(mean corpuscular volume,MCV)、紅細(xì)胞平均血紅蛋白(mean corpuscular hemoglobin,MCH)、紅細(xì)胞平均血紅蛋白濃度(mean corpuscular hemoglobin concentration,MCHC)和紅細(xì)胞分布寬度(red blood cell distribution width,RDW)的差異及相關(guān)性。結(jié)果:4 730例有效樣本中,共檢出1 140例貧血兒童,貧血的總檢出率為24.1%,女童貧血的檢出率顯著高于男童(男童檢出率為22.6%,女童檢出率為25.7%,χ2=6.100,P=0.010)。各年齡組(6歲~、7歲~、8歲~、9歲~、10歲~、11歲~、12歲~)貧血檢出率分別為29.1%、29.1%、27.6%、23.7%、20.9%、17.4%、10.5%。不同年齡組間貧血檢出率存在顯著差異(χ2=75.800,P=0.000)。貧血組與非貧血組間的體格生長(zhǎng)指標(biāo)、血常規(guī)指標(biāo)均存在顯著性差異(P0.05)。貧血對(duì)兒童的體質(zhì)量及身高均具有顯著影響(分別為F=124.400,P=0.000;F=93.650,P=0.000)。血紅蛋白(Hb)濃度與體質(zhì)量、身高、體質(zhì)指數(shù)(body mass index,BMI)、MCV、MCH、MCHC均具有顯著相關(guān)性(相關(guān)系數(shù)分別為0.233、0.221、0.174、0.277、0.427、0.319,P值均為0.000)。結(jié)論:重慶市九龍坡區(qū)學(xué)齡兒童貧血的發(fā)生率較高;貧血的發(fā)生與年齡、性別、體質(zhì)量和身高均存在相關(guān)關(guān)系;貧血對(duì)學(xué)齡期兒童的體質(zhì)量及身高均具有顯著影響。提示重慶市九龍坡區(qū)學(xué)齡兒童貧血情況需高度重視,應(yīng)該加強(qiáng)對(duì)該類兒童家長(zhǎng)及兒童本身的營(yíng)養(yǎng)宣教,提高其對(duì)營(yíng)養(yǎng)的關(guān)注度,合理膳食。
[Abstract]:Objective: To investigate the relationship between anemia and physical growth in school-age children. Methods: a multi stage stratified cluster random sampling method was used in the Jiulongpo District of Chongqing, and 6260 school-age children in 5 full-time public primary schools were measured and the blood biochemical indexes were examined. Body mass, height) and anemia related blood routine indicators such as the average volume of mean corpuscular volume (MCV), the average hemoglobin (mean corpuscular hemoglobin, MCH) of the red cell, the average hemoglobin concentration of the red cell (mean corpuscular hemoglobin concentration,) and the red cell distribution width. Ion width, RDW) differences and correlation. Results: in 4730 cases of effective samples, 1140 cases of anemia children were detected, the total detection rate of anemia was 24.1%, the prevalence rate of anemia in girls was significantly higher than that of boys (boys were 22.6%, girls were 25.7%, 7 years ~, 8 years ~, 9 years old ~ 10 years, 11 years, 12 years old ~) poor. The detectable rates of blood were 29.1%, 29.1%, 27.6%, 23.7%, 20.9%, 17.4%, and there were significant differences in the incidence of anemia among different age groups (x 2=75.800, P=0.000). There were significant differences in the physical growth indices between the anemia group and the non anemia group (P0.05). Anemia has significant influence on the body mass and height of children (F, respectively, F =124.400, P=0.000; F=93.650, P=0.000). The concentration of hemoglobin (Hb) and body mass, height, body mass index (body mass index, BMI), MCV, MCH, and MCHC all have significant correlation (the correlation coefficient is 0). Conclusion: the incidence of anemia in school age children in Chongqing Jiulongpo area is higher; anemia is the hair. There is a correlation between life and age, sex, body quality and height. Anemia has a significant influence on the body quality and height of school-age children. It is suggested that the anemia of school age children in Chongqing Jiulongpo area should be highly valued. The nutrition education of parents and children of this kind of children should be strengthened so as to improve their attention to nutrition and reasonable diet. Food.

【作者單位】： 重慶醫(yī)科大學(xué)附屬兒童醫(yī)院兒童保健科兒童發(fā)育疾病研究教育部重點(diǎn)實(shí)驗(yàn)室兒童發(fā)育重大疾病國(guó)家國(guó)際科技合作基地兒科學(xué)重慶市重點(diǎn)實(shí)驗(yàn)室;
【分類號(hào)】：R725.5
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本文編號(hào)：1844831