本文選題：學(xué)齡前兒童 + 生長(zhǎng)發(fā)育　； 參考：《蘇州大學(xué)》2012年碩士論文

【摘要】：目的：了解2006-2010年無(wú)錫市濱湖區(qū)0-3歲嬰幼兒喂養(yǎng)情況和輔食添加情況、1-6歲兒童生長(zhǎng)發(fā)育狀況,探討并評(píng)價(jià)本地區(qū)嬰幼兒喂養(yǎng)與生長(zhǎng)發(fā)育的關(guān)系,評(píng)價(jià)基層兒童保健工作的質(zhì)量,為本地區(qū)兒童保健工作提供參考依據(jù),并為今后積極開(kāi)展有效地干預(yù)措施提供依據(jù)。 方法：對(duì)2006-2010年在無(wú)錫市濱湖區(qū)各級(jí)衛(wèi)生醫(yī)療機(jī)構(gòu)兒科門診接受體檢的嬰幼兒。對(duì)0-3歲未入托嬰幼兒根據(jù)年齡組分層機(jī)械抽樣,將抽取的嬰幼兒進(jìn)行喂養(yǎng)及營(yíng)養(yǎng)狀況的問(wèn)卷調(diào)查、體格發(fā)育的檢查；整群抽取2006-2010年無(wú)錫市濱湖區(qū)已進(jìn)入幼兒園學(xué)習(xí)的1～6歲兒童23353人,將抽取的兒童進(jìn)行體格發(fā)育的檢查。 結(jié)果：23353名無(wú)錫市濱湖區(qū)兒童接受了調(diào)查。男女性別比為1.05：1,各年齡段男童的體格指標(biāo)測(cè)量值均大于女童,存在有統(tǒng)計(jì)學(xué)意義的性別差異(p0.05)；無(wú)錫濱湖區(qū)1-6歲兒童的身長(zhǎng)、體重均隨著年齡的增長(zhǎng)而增加(p0.05),年齡越小增長(zhǎng)越快,增長(zhǎng)幅度最快發(fā)生在第一年,2歲以后兒童增長(zhǎng)速度減慢,呈平穩(wěn)增長(zhǎng)。體重中位數(shù)人數(shù)2006年4.44%0,2007年6.42%0,2008年5.71‰,2009年3.81‰,2010年5.86‰。濱湖區(qū)體弱兒檢出率為2006年10.4%,2007年10.76%,2008年11.16%,2009年12.18%,2010年11.80%,體弱兒的管理率為100%。流動(dòng)人口中重度貧血患病人數(shù)要顯著高于常住人口,近2倍,而且呈逐年上升趨勢(shì)。兒童所患疾病前三位分別為貧血占68.49%(男：69.34%,女：67.35%)、呼吸道感染占23.74%(男：25.67%,女：21.98%)和腹瀉占7.19%(男：8.20%,女：6.52%)。2006-2010年無(wú)錫市濱湖區(qū)兒童生長(zhǎng)發(fā)育狀況較WHO標(biāo)準(zhǔn)及中國(guó)7歲以下兒童生長(zhǎng)發(fā)育指標(biāo)良好,但有待進(jìn)一步提高。喂養(yǎng)方式以母乳喂養(yǎng)為主,高于2003年聯(lián)合國(guó)兒童基金會(huì)公布的67%,但距中國(guó)兒童發(fā)展綱要(2001-2010年)要求母乳喂養(yǎng)率達(dá)到85%的目標(biāo)尚有一定距離,近兩年有下降的趨勢(shì)。其中0-6天早期新生兒死亡數(shù)在所有年齡段死亡數(shù)中最高,死因構(gòu)成及順位主要為早產(chǎn)或低出生體重、出生窒息、先天性心臟病、肺炎、意外窒息、其他先天異常。 結(jié)論：2006-2010年無(wú)錫市濱湖區(qū)兒童生長(zhǎng)發(fā)育狀況較WHO標(biāo)準(zhǔn)及中國(guó)7歲以下兒童生長(zhǎng)發(fā)育指標(biāo)良好,但有待進(jìn)一步提高。濱湖區(qū)母乳喂養(yǎng)率低,輔食添加較不合理。加強(qiáng)圍產(chǎn)期保健工作乃至婚前醫(yī)學(xué)檢查,在經(jīng)濟(jì)發(fā)展的今天、無(wú)錫市近郊城鄉(xiāng)差別日益縮小的形勢(shì)下,需采取綜合性干預(yù)措施：包括加大社會(huì)各方的關(guān)注；完善婦幼保健網(wǎng)絡(luò)建設(shè)和管理；加強(qiáng)圍生期保健,加強(qiáng)兒童生長(zhǎng)發(fā)育相關(guān)知識(shí)的健康教育；加強(qiáng)對(duì)疾病的早期篩查和治療；從國(guó)家法律法規(guī)保證、支持母乳喂養(yǎng)6個(gè)月,加強(qiáng)孕產(chǎn)婦系統(tǒng)管理和健康知識(shí)的宣傳等,以促進(jìn)該地區(qū)兒童的體格發(fā)育,減輕家庭和社會(huì)負(fù)擔(dān)。
[Abstract]:Objective: to investigate the growth and development of infants aged 0-3 years old and children aged 1-6 years old in Binhu District of Wuxi City from 2006 to 2010, to explore and evaluate the relationship between infant and infant feeding and growth and development, and to evaluate the quality of primary care for children. It provides reference basis for children's health care work in our area and provides basis for effective intervention measures in the future. Methods: the infants and young children who were examined in pediatric outpatient clinic in Binhu District of Wuxi City from 2006 to 2010 were studied. According to the stratified mechanical sampling of 0-3 years old unattended infants, the infants were selected to carry on the questionnaire survey of feeding and nutrition status, and the examination of physical development. A total of 23353 children aged 6 years from 2006 to 2010 in Binhu District of Wuxi City were selected for physical development examination. Results: 23353 children in Binhu District, Wuxi City were investigated. The ratio of male to female was 1.05: 1. The physical index of boys of all ages was larger than that of girls (p0.05), and the body length of children aged 1-6 in Binhu District, Wuxi, was higher than that of girls (p0.05). The body weight increased with age (p0.05), the younger the age, the faster the growth rate, the fastest rate of increase occurred after the first year after 2 years old children's growth rate slowed down, showing a steady growth. The median body weight was 4.440 in 2006, 6.42 in 2007, 5.71 鈥，

本文編號(hào)：2057081