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本文在边远贫困地区采取几种不同的儿童营养不良筛查方法,探讨其可行性与有效性。结果显示:(1)在村级保健网健全的地区可由村医生进行儿童营养不良筛查,其覆盖率、筛查次数均较由乡医生执行更高,说明在这样地区应由村医生完成儿童营养不良筛查更为可行。在村级保健网不健全的地区,由乡医生进行营养不良筛查时,与预防接种同时进行组其筛查覆盖率、筛查次数较不与预防接种同时进行组高,说明该项工作应与预防接种同时进行更为可行。(2)1岁以内儿童每年筛查4次较为可行,1岁以后每年筛查2次较为可行。(3)采用本文所推荐的方案能有效地发现儿童体重不增及营养不良,并通过乡、村医生指导与治疗使营养不良患病率有所下降。
This article takes several different screening methods for malnutrition in children in remote and impoverished areas to explore their feasibility and effectiveness. The results showed that: (1) Child malnutrition screening could be conducted by village doctors in areas with sound village-level health networks, with higher coverage and screening times than those practiced by rural doctors, indicating that children should be completed by village doctors in such areas Malnourished screening is more feasible. In areas where village-level health care networks are not well-established, when village doctors carry out malnutrition screening, the coverage of screening should be carried out simultaneously with vaccination. The number of screening should be less than that of vaccination at the same time. And vaccination at the same time more feasible. (2) It is feasible to screen children under 1 year old 4 times a year. It is more feasible to screen 2 times a year after 1 year old. (3) Adopting the scheme recommended in this article can effectively find that children’s weight does not increase and malnutrition, and the prevalence of malnutrition decreased by the guidance and treatment of doctors in township and village areas.