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目的通过总结分析广州市大石街社区内491名0~3岁散居体弱儿童管理情况,探讨散居儿童体弱高危因素,为社区开展儿童保健工作综合服务提供决策依据。方法对2009-2012年度社区管理的全部散居体弱儿童的管理情况进行统计分析。结果社区管理4年来体弱儿童患病率呈逐年下降趋势;体弱儿童发生的高危因素集中在中、重度营养不良及早产低体重儿。结论通过加强健康宣教,孕期保健,控制早产儿、低体重儿的发生有助于降低体弱儿的发病,中、重度营养不良早发现、早干预、早治疗效果好。社区儿童保健中应加强对体弱儿的专案管理,以提高体弱儿生命质量,保证儿童在生理上的健康成长。
OBJECTIVE To analyze the management of 491 children aged 3-3 years old living fragile within Dashijie Community in Guangzhou and to explore the frail and risk factors for diaspora children so as to provide decision-making basis for the community to carry out the comprehensive service of children’s health care. Methods A statistical analysis was conducted on the management of all vulnerable diasporas in community management in 2009-2012. Results The prevalence of frail children showed a decreasing trend year by year in community management for four years. The risk factors for frail children focused on moderate and severe malnutrition and preterm low birth weight infants. Conclusion By strengthening the health education, pregnancy health care, control of premature children, low birth weight children can help reduce the incidence of infants, early detection of moderate and severe malnutrition, early intervention, early treatment effect is good. Community child health should strengthen the project management of frail children, in order to improve the quality of life of infants and children to ensure the physiological and healthy growth of children.