本文選題：貧困區(qū) + 貧血　； 參考：《中國學(xué)校衛(wèi)生》2017年11期

【摘要】：目的了解海南省貧困地區(qū)2016—2017年漢族黎族學(xué)生的貧血現(xiàn)況及其與營養(yǎng)狀況的關(guān)聯(lián),為進一步制定中小學(xué)生貧血防治措施提供理論依據(jù)。方法分層抽取2016年海南省實施"學(xué)生營養(yǎng)改善計劃"貧困地區(qū)的初中和小學(xué)各4所,漢族黎族學(xué)生1 324人,收集基本信息,并采集空腹靜脈血5 mL,分別采用氰化高鐵法、高效液相色譜法、液相色譜-串聯(lián)質(zhì)譜法檢測血清血紅蛋白含量、維生素A(視黃醇)水平和血清25-(OH)D水平。結(jié)果貧血檢出率為6.6%(87人),黎族(9.6%)高于漢族(3.1%)(χ~2=22.810,P0.01),性別差異無統(tǒng)計學(xué)意義(χ~2=0.603,P=0.438)。漢族男生、漢族女生、黎族男生、黎族女生4類學(xué)生貧血檢出率分別為3.7%,2.5%,8.0%,11.3%。小學(xué)生與初中生貧血檢出率差異無統(tǒng)計學(xué)意義(χ~2=3.81,P0.05)。Logistic回歸分析顯示,消瘦組和維生素A缺乏組與正常組相比均具有更高的罹患貧血的風(fēng)險(OR值分別為1.847,1.701)。結(jié)論海南省貧困地區(qū)漢族黎族中小學(xué)生的貧血檢出率較低,BMI營養(yǎng)狀況與貧血的發(fā)生存在關(guān)聯(lián)性,未來貧血防治重點應(yīng)向黎族學(xué)生傾斜。
[Abstract]:Objective to investigate the anemia status of Li nationality students of Han nationality and its relationship with nutritional status in poor areas of Hainan Province from 2016 to 2017, and to provide theoretical basis for the prevention and treatment of anemia among primary and middle school students. Methods A total of 1 324 students of Li nationality of Han nationality were collected from 4 junior middle schools and 4 primary schools in the poverty-stricken areas of Hainan Province in 2016. The basic information was collected, and the fasting venous blood was collected by 5 mL, and the method of high iron cyanide was used respectively. High performance liquid chromatography (HPLC), liquid chromatography-tandem mass spectrometry (LC-MS) were used to detect the levels of serum hemoglobin, vitamin A (retinol) and serum 25-(OH)D. Results the prevalence rate of anemia was 6.6 / 87 (P = 9.6) higher than that of Han nationality (蠂 ~ 2 = 22.810 / P 0.01), and there was no significant difference in sex (蠂 ~ 2 / 0.603 / P ~ (0.438). The prevalence rate of anemia among male students of Han nationality, female students of Han nationality, boys of Li nationality and girls of Li nationality was 3.710% and 2.5% respectively. There was no significant difference in the prevalence rate of anemia between primary and junior high school students (蠂 ~ (2 / 2) 3.81) P 0.05. Logistic regression analysis showed that there was a higher risk of anemia in the emaciated group and vitamin A deficiency group than in the normal group (OR = 1.847 鹵1.701, respectively). Conclusion the prevalence of anemia in Li nationality students in poor areas of Hainan Province is related to the incidence of anemia. The prevention and treatment of anemia should be focused on Li nationality students in the future.
【作者單位】： 海南醫(yī)學(xué)院公共衛(wèi)生學(xué)院;
【基金】：海南省教育廳項目(Hnky2017-36,HNKY2014-56)
【分類號】：R153.2

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