应用二分类Logistic回归研究高原地区婴幼儿佝偻病的危险因素.docVIP

精品论文 参考文献 应用二分类Logistic回归研究高原地区婴幼儿佝偻病的危险因素 1.西藏自治区人民医院 西藏拉萨 850000；2.西藏大学医学院 西藏拉萨 850000 【摘 要】目的：研究高原地区婴幼儿佝偻病的危险因素。方法：以整群和分层随机抽样法调查拉萨市部分社区体健及咨询的0-3岁婴幼儿240名，采取问卷调查方法了解婴幼儿家长对其喂养方式、添加辅食情况、户外活动等相关因素及佝偻病患病情况，采用二分类Logistic回归统计分析。结果：高原地区婴幼儿佝偻病的危险因素主要有：人工喂养（B=-0.946，P=0.000，OR=0.381），开始添加的辅食时间过早（B=-0.636，P=0.037，OR=0.529），辅食一般为糌粑、肉沫沫（B=-1.087，P=0.000，OR=0.337），户外活动次数少（B=-1.463，P=0.005，OR=0.232）。结论：拉萨属高原地区，海拔高，常年寒冷。婴幼儿母乳喂养减少，过早添加辅食，辅食添加单一；由于高原地区寒冷且以畜牧、农业为主要生产力导致了婴幼儿家长忽略了婴幼儿的户外活动；糌粑、牛羊肉替代母乳，少食水果、鲜菜，使维生素D摄入不足，影响骨及软骨的生长，从而导致佝偻病的发生。 【关键词】高原地区 婴幼儿 佝偻病 危险因素 Logistic回归模型 Application of binary Logistic regression model analysis on risk factors of the infants rickets in plateau area ZHENG Lei1，YAN Xiao-yun2，PU Zhen2，JING Jing2，XI Re-zhuo-ma2，LI Zi-qian2 1.Tibet Autonomous Region Peoples Hospital，Lhasa Tibet 850000，China 2.Tibet University Medical College，Lhasa Tibet 850000，China Abstract：Objective：To analysis on risk factors of the infants rickets in plateau area.Method：Cluster sampling and random sampling are adapted to investigate 240 babies from 0-3 years old who has join in physical examination or consulting of some communities in Lhasa. And we choose questionnaire method to know parentsrsquo;feeding pattern，instruction of solid food，outdoor exercise and other factors about rickets. Then we adapt the dichotomy Logistic regressive statistics to make analysis. Here is the result：the dangerous factors of infant rickets in plateau section are as follows：artificial feeding（B=-0.946，P=0.000，OR=0.381）；time of welding cored materials is so early（B=-0.636，P=0.037，OR=0.529）；And the accessory usually is zanba or minced pork（B=-1.087，P=0.000，OR=0.337）；Then outdoor activities are not enough（B=-1.463，P=0.005，OR=0.232）. Conclusion：Lhasa belongs to plateau area high elevation and chilly weather. Babies are rarely breastfeeding so that babies often eating dietary supplement too soon，and the dietary supplement is single；The next one is that because animal husbandr