论文部分内容阅读
目的:了解婴幼儿轻度缺铁性贫血(MIDA)对其发育水平的影响并进行相关危险因素分析。方法:选取2012年6月至2013年6月来我院就诊的6个月~3岁婴幼儿为研究对象,将符合MIDA诊断标准的婴幼儿列为病例组,其他非贫血儿童列为对照组。对所有研究对象进行Gesell发展诊断量表测试及相关因素的问卷调查。结果:盖塞尔(Gesell)发展诊断量表测试结果发现,MIDA病例组患儿适应行为、大运动及精细运动评分均低于对照组,两组比较差异有统计学意义(P<0.05)。缺铁性贫血患儿的血红蛋白水平与患儿适应行为、大运动及精细运动评分呈正相关(P<0.05)。多因素条件Logistic回归分析发现,婴幼儿MIDA相关危险因素有居住地为农村、家庭收入较低、纯母乳喂养、添加辅食时间>6个月、早产、低出生体质量、母亲孕期贫血,保护因素有添加富含铁蛋白的食物(P<0.05)。结论:缺铁性贫血可以影响婴幼儿适应行为、大运动及精细运动的发育,家庭经济状况、喂养方式、添加辅食时间及种类、出生体质量、母孕期贫血与婴幼儿缺铁性贫血的发病密切相关。
Objective: To understand the impact of infantile mild iron deficiency anemia (MIDA) on its level of development and analysis of relevant risk factors. Methods: From June 2012 to June 2013, 6-month-old to 3-year-old infants admitted to our hospital were enrolled in this study. Infants and young children with MIDA diagnostic criteria were selected as case group and other non-anemic children as control group . All subjects were surveyed by the Gesell Developmental Diagnostic Test Questionnaire and related factors. Results: The results of Gesell diagnostic test showed that the adaptation, movement and fine motor scores of children with MIDA were lower than those of the control group. There was significant difference between the two groups (P <0.05). Hemoglobin levels in children with iron-deficiency anemia were positively correlated with children’s adaptive behavior, grand scale and fine motor scores (P <0.05). Multivariate Logistic regression analysis found that the risk factors for MIDA in infants and young children were rural residents, low family income, exclusive breastfeeding, complementary feeding time> 6 months, preterm birth, low birth weight, mother’s pregnancy anemia, protective factors There was a diet rich in ferritin (P <0.05). CONCLUSIONS: Iron deficiency anemia can affect infants’ adaptive behavior, development of major and fine motor activities, family economic status, feeding patterns, timing and type of complementary feeding, birth weight, anemia during pregnancy and infantile iron deficiency anemia closely related.