海拉尔地区0～6岁儿童常规体检中血红蛋白检测结果分析.docVIP

海拉尔地区0～6岁儿童常规体检中血红蛋白检测结果分析 　　摘要：目的 探讨儿童贫血分布情况及病因，从而实施相应的防治措施，为儿童保健工作提供依据。方法 以海拉尔区妇幼保健所检验科收到的进行常规体检的儿童末梢血样本结果为调查对象。用氰化高铁法测定幼儿的血红蛋白含量，并对血红蛋白含量低于110 g/L的样本通过采集静脉血进行复查。结果 在2015年海地区的9474例0～6岁儿童末梢血样本中，共筛查出351例贫血。0～6岁儿童贫血患病率为3.74%。以3?q以内儿童为主，其中0～3岁的321例占91.45%；3～6岁的30例占8.55%。男女幼儿贫血患病率相比，其性别差异无统计学意义（P0.05）。在351例贫血患儿中按贫血形态学分类标准分类其中小细胞低色素性的贫血333例（占94.83%）；正细胞性的贫血8例（占2.29%）；单纯小细胞性的贫血6例（占1.70%）；大细胞性的贫血4例（占1.18%）。各类贫血所占比率比较差异均由统计学意义（P0.05）。结论 在海地区351例的贫血患儿中以0～3岁患儿的数量偏高，故及早诊断，积极治疗是保证儿童健康成长的重要措施，提高儿童免疫力，有效预防贫血的发生。 　　关键词：0～6岁儿童；血红蛋白检测；贫血 　　Abstract：Objective To explore the distribution and causes of anemia in children，so as to provide appropriate evidence for prevention and treatment of children.Methods The results of the childrens peripheral blood samples collected from the Hailar District Maternal and Child Health Hospital Laboratory were investigated.The hemoglobin content of young children was measured by cyanide high iron method， and samples with hemoglobin content less than 110 g/L were collected by collecting venous blood.Results A total of 351 anemia were screened out of 9474 children aged 0 to 6 years in the sea area in 2015.The prevalence of anemia in children aged 0～6 years was 3.74%.Mainly within 3 years of age children，of which 0 to 3 years old 321 cases accounted for 91.45%；3 to 6 years old accounted for 8.55% of 30 cases.There was no significant difference in the prevalence of anemia among male and female children（P0.05）.Among the 351 cases of anemia，333 cases（94.83%）of small cell hypochromic anemia were classified according to the classification of anemia morphological classification；8 cases（2.29%）of positive cell anemia； simple small cell anemia in 6 cases（1.70%）；4 cases of large cell anemia（1.18%）.The proportion of all types of anemia was statistically significant（P0.05）.Conclusion In the 351 cases of anemia in the sea area，the number of children aged 0 to 3 years is high.Therefore，early diagnosis and active treatment are important measures to ensure the health