6~12个月婴缺铁性贫血的病因分析.docVIP

6~12个月婴儿缺铁性贫血的病因分析 刘慧 济宁医学院公共卫生学院 [摘要] 目的 探讨6~12个月婴儿缺铁性贫血(IDA)的危险因素。方法 对济宁市某医院母婴中心2007~2008年注册1078位母婴体检资料及个体因素进行调查,对符合纳入条件527对符合两条件母婴的孕妇、乳母IDA、新生儿体重、添加辅食时间、家长受教育程度、婴儿患腹泻病情况与婴儿IDA发病关系进行统计分析。结果 孕妇、乳母IDA、添加辅食不及时、婴幼儿患腹泻是IDA发病危险因素，新生儿低体重、家长受教育程度低、性别与婴儿IDA发病无相关。结论 0~1岁为IDA预防重点阶段，针对危险因素采取预防措施是关键。 [关键词] 缺铁性贫血 婴儿 病因 辅食 Evaluation of risk factors for iron deficiency anemia in infants of 6~12 months Liou hui. School of Public Health,Jining Medical College,Jining272000,China. 【Abstract】Objective:. Exploration of the risk factors for iron deficiency anemia (IDA) in infants of 6~12 months. Methods:. Method: Medical information and individual factors were investigated in 1078 maternal and children from the Maternal and Child Center in a hospital in Jining City during the year 2007 ~2008. For 527 qualified pairs of maternal and child, statistics analysis was carried out to evaluate association between the incidence of infant IDA and possible risk factors such as mother IDA, birth weight, infant supplementary food feeding, education level of parents and infant diarrhea disease. Results: Occurrence of IDA in mothers, failing to feed supplementary food in time and infant diarrhea disease were risk factors for infant IDA, low birth weight and sex and low education level of parents seemed not play obvious roles in IDA occurrence. Conclusion: Preventive measures for IDA should be taken especially for infants of 0~12 month. 【Key words】Iron Deficiency Anemi（IDA） Infant Etiology Complementary 缺铁性贫血(IDA)是一种小细胞低色素性贫血,其病因为摄入不足而需求增加及消耗过多吸收不良，是最常见的贫血。本调查对济宁市某医院母婴中心2007~2008年注册1078位母婴体检资料及个体因素进行调查,对孕妇、乳母IDA、新生儿体重、添加辅食时间、家长受教育程度、婴儿患病情况与IDA发病关系进行统计分析。探究其病因，分析防治方法，促进母婴健康。 1 研究对象与方法 1.1 研究对象 对济宁市某医院母婴中心2007~2008年注册1078位母婴体检资料及个体因素进行调查。纳入条件：（1）婴儿年龄6~12个月足月（37周）单胎无窒息、严重黄疸母乳喂养。（2）母亲首次妊娠无严重系统性疾病生产时35岁缺铁性贫血的诊断标准：（1）贫血为小细胞低色素性：红细胞形态有明显小细胞低色素的表现，平均红细胞血红蛋白浓度（MCHC）＜0.31，平均红细胞容积（MCV）＜0fl，平均红细胞血红蛋白量（MCH）＜26pg.（2）有明确的缺铁病因，如铁供给不足、吸收障碍、需要增多或慢性失血等。（3）血清（浆）铁＜10.7μmol／L（60μg／dl）。（4）总铁结合力＞62.7μmol／L（350μ