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目的:分析评估辖区内0~6岁儿童维生素D营养状况,探讨0~6岁儿童维生素D营养状况监测方式。方法:对辖区内2013年1月~2013年10月,儿童保健部登记在册参加0~6岁保健的1 192名儿童进行血清25-(OH)-D3检测。结果:25-(OH)-D3含量在20~100 ng/ml比例是80.2%;25-(OH)-D3含量在16~20 ng/ml比例是17.03%;25-(OH)-D3含量在5~15 ng/ml比例是2.18%;25-(OH)-D3含量<5 ng/ml比例是0.59%。结论:随着对维生素D营养平衡认识的深入以及儿童保健工作的推进,辖区内0~6岁儿童维生素D营养状况基本良好。大部分儿童维生素D营养能够满足自身生长发育的需要,但是也有少部分儿童维生素D营养不足,甚至缺乏、严重缺乏。应根据儿童个体不同时期的发育特点及个体间差异,并结合年龄区间,有选择性的进行单次或者连续多次维生素D营养水平的监测。及时发现维生素D营养失衡,在足量、适量补充维生素D的同时防止维生素D过量。
OBJECTIVE: To analyze and evaluate the nutritional status of vitamin D in children aged 0 ~ 6 in the area of jurisdiction and explore the monitoring methods of vitamin D status in children aged 0 ~ 6 years. Methods: From January 2013 to October 2013, a total of 1 192 children enrolled in the Department of Child Health to participate in the health care of 0 ~ 6 years old were tested for serum 25- (OH) -D3. Results: The content of 25- (OH) -D3 was 80.2% in the range of 20-100 ng / ml; the content of 25- (OH) -D3 was 17.03% in the range of 16-20 ng / ml; the content of 25- (OH) The ratio of 5 ~ 15 ng / ml was 2.18%. The ratio of 25- (OH) -D3 <5 ng / ml was 0.59%. Conclusion: With the deepening understanding of the nutritional balance of vitamin D and advancing child care work, the nutritional status of vitamin D in children aged 0 ~ 6 in the area is basically good. Most children’s vitamin D nutrition to meet their own growth and development needs, but there are also a small number of children with vitamin D nutritional deficiencies, or even lack of a serious lack of. Should be based on individual child development characteristics of different periods and individual differences, combined with the age range, selective or multiple consecutive vitamin D nutrition monitoring. Timely discovery of vitamin D nutritional imbalance, adequate, appropriate amount of vitamin D while preventing excessive vitamin D.