儿童体检门诊中婴幼儿营养性缺铁性贫血的现状及危险因素分析

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Abstract Objective To analysis the status and risk factors of nutritional iron deficiency anemia in infants and young children in children′s physical examination clinics.Methods The general information of 200 infants and young children admitted to our children′s physical examination clinic from January 2018 to October 2019 were retrospectively analysised.All the infants and young children were examined for nutritional iron deficiency anemia.The incidence of nutritional iron-deficiency anemia in infants with different feeding methods,different ages and genders were analyzed,and the risk factors for the occurrence of nutritional iron-deficiency anemia in infants and young children were analyzed.Results The incidence of nutritional iron deficiency anemia in breastfed infants was higher than that of mixed-fed infants,and the difference was statistically significant (P＜0.05);the incidence of nutritional iron deficiency anemia in infants from 6 to 12 months was higher than that of infants and young children aged ＞1 to 2,the difference was statistically significant (P＜0.05);the incidence of nutritional iron-deficiency anemia in infants of different genders was compared,the difference was not statistically significant (P＞0.05);the incidence of nutritional iron-deficiency anemia in infants receiving parenting guidance was higher than that of infants receiving parenting guidance,and the difference was statistically significant(P＜0.05);there was no statistically significant difference in the incidence of nutritional iron-deficiency anemia in infants and young children between cities and towns(P＞0.05);there was no statistically significant difference in the incidence of nutritional iron-deficiency anemia in infants and young children who were supplemented with complementary foods from 4 to 6 months and from 7 to 9 months (P＞0.05);the incidence of nutritional iron-deficiency anemia in infants with anemia during pregnancy was higher than that of infants without anemia during pregnancy,and the difference was statistically significant (P＜0.05).The results of multivariate regression analysis showed that breastfeeding (β=2.513,OR=1.021,95%CI=0.864-1.211),6 to 12 months of age (β=2.113,OR=1.792,95%CI=0.980-2.126),no childcare guidance (β=2.452,OR=1.255,95%CI=1.031-1.722),maternal anemia during pregnancy (β=2.108,OR=2.346,95%CI=1.933-3.316) were high risk factors for infant nutritional iron deficiency anemia (P＜0.05).Conclusion The mixed feeding of infants and young children can reduce the risk of nutritional iron deficiency anemia,and the incidence of nutritional iron deficiency anemia decreases with the age of infants and young children.At the same time,the mother′s nutritional status should be appropriately adjusted during pregnancy.Intervention and parenting guidance should be given to reduce the risk of nutritional iron deficiency anemia in infants and young children.

Key words： Children&prime s physical examination clinic Nutritional iron deficiency anemia Infants Clinical analysis

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MENG Hai-xia. Analysis of the status and risk factors of nutritional iron deficiency anemia in infants and young children in children′s physical examination clinic[J]. 中国当代医药, 2020, 27(30): 86-88转92.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I30/86

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