论文部分内容阅读
目的调查黄冈市黄州区6~24月龄婴幼儿缺铁性贫血(IDA)的现状,探究IDA对其神经运动发育及性格类型的影响。方法以血红蛋白(Hb)<110 g/L为IDA诊断标准,采用整群分层随机抽样法调查黄冈市黄州区1 866例6~24月龄婴幼儿IDA发生情况,统计其年龄、性别特点。比较IDA婴幼儿(IDA组)、正常婴幼儿(对照组)神经运动发育情况[盖塞尔发展量表(GDS)]及性格气质类型(易养型、中间偏易养型、启动缓慢型、中间偏难养型、难养型)的差异。结果 (1)1 866例6~24月龄婴幼儿中,发生IDA者458例(24.54%),以轻度IDA者居多(占87.77%)。(2)IDA患儿以6~12月龄者居多(占48.91%),月龄越高患病率越低,差异有统计学意义(χ~2=72.453,P<0.05);男性患儿、女性患儿的患病率比较差异无统计学意义(χ~2=0.306,P>0.05)。(3)两组婴幼儿语言行为、社交行为等评估结果比较差异均无统计学意义(均P>0.05);IDA组婴幼儿适应性行为、精细动作行为、大运动行为评估结果及发育商(DQ)水平均明显低于对照组婴幼儿,差异有统计学意义(均P<0.05)。(4)IDA组易养型、中间偏易养型婴幼儿所占比例明显低于对照组,差异有统计学意义(均P<0.05),难养型、中间偏难养型婴幼儿所占比例则明显高于对照组,差异有统计学意义(均P<0.05)。结论黄冈市黄州区6~24月龄婴幼儿存在一定IDA情况,患儿病情严重程度多为轻度,以6~12月龄者居多;IDA对婴幼儿神经运动发育及性格类型影响较大,需引起重视。
Objective To investigate the status of iron deficiency anemia (IDA) in infants and young children aged 6 ~ 24 months in Huangzhou District of Huanggang City, and to explore the effect of IDA on the development of motor and character types. Methods The diagnostic criteria of IDA with hemoglobin (Hb) <110 g / L was used to investigate the incidence of IDA in 1 866 infants and young children aged 6 to 24 months in Huangzhou District of Huanggang City by cluster stratified random sampling method. The age and gender characteristics were analyzed . Compared with IDA group, normal motor development in infants and young children (control group) [Gases Development Scale (GDS)] and temperament types (euthymic, middle partial euthyme, slow start, The middle difficult to raise type, difficult to maintain type) difference. Results (1) Of the 1 866 infants aged 6-24 months, 458 (24.54%) had IDA and 87.77% (mild) had IDA. (2) The majority of IDA children aged from 6 to 12 months (48.91%), the lower the prevalence of older age was, the difference was statistically significant (χ ~ 2 = 72.453, P <0.05) There was no significant difference in the prevalence of female children (χ ~ 2 = 0.306, P> 0.05). (3) There was no significant difference between the two groups in the assessment of verbal behavior and social behavior (P> 0.05). The ADA infants’ adaptive behavior, fine motor behavior, DQ) were significantly lower than the control group of infants and young children, the difference was statistically significant (P <0.05). (4) In the IDA group, the proportion of infant type in middle-class and partial group was significantly lower than that in control group (all P <0.05) The proportion was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion There is a certain IDA in 6 ~ 24 months old infants and young children in Huangzhou District of Huanggang City. The severity of illness in children is mild, mostly in 6 ~ 12 months old. IDA has a great influence on the development of motor and character types in infants and young children , Need to pay attention.