Analysis of related factors of nutritional iron deficiency anemia in children
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摘要: 目的 回顾性分析营养性缺铁性贫血(nutritional iron deficiency anemia,IDA)患儿的病例资料,考察其发病率与发病的相关因素,探讨对IDA患儿进行健康管理干预和治疗的临床效果。 方法 回顾性分析绍兴市人民医院2014年1月-2016年12月接诊的疑似IDA患儿的病历资料,对其中5例确诊为IDA患儿均施行系统的持续性健康管理干预,必要的补铁治疗。考察小儿营养性缺铁性贫血(nutritional iron deficiency anemia of children,IDAC)的发病率;采用单因素分析考察IDA患儿发病的相关因素;比较经健康管理干预和治疗前、后患儿临床症状、体征及体重的变化,实验室相关指标血红蛋白(HGB)、血铁。 结果 ①51例(占14.57%,51/350)患儿确诊为IDA,其实验室检查外周血中的血红蛋白、血铁蛋白(Fer)含量均低于非IDA患儿差异有统计学意义(P<0.05)。1~3岁(含)幼儿的发病率最高。②经单因素分析发现,年龄、主要喂养方式、合并消化系统等疾病均为引起IDAC的相关因素。③经健康管理干预和治疗后,多数IDA患儿实验室指标中的血红蛋白、血铁蛋白及患儿体重均基本恢复至本院实验室正常参考值范围内。多数(96.08%,49例)患儿贫血及临床不适症状或异常体征得到有效的改善。 结论 IDAC以1~3岁(含)幼儿多发,患病原因主要为膳食结构不合理、合并消化系统疾病等。对IDA患儿施行合理、持续的健康管理干预和治疗多可获得较为满意的临床效果。Abstract: Objective To retrospective analysis the clinical data of children with iron deficiency anemia (Nutritional iron deficiency anemia in children, IDAC), investigate the incidence and related factors of the disease, and to explore the clinical effects of health management intervention and necessary treatment for IDA children. Methods The 350 children patients diagnosed as IDA were excepted with the persistent health management intervention, and necessary treatment. Investigate the incidence of IDAC; to study the relevant factors of children with IDA disease by the single factor analysis; compare the clinical effect before and after the health management intervention (the changes of clinical symptoms and signs, and weight), laboratory (hemoglobin, blood iron) and the necessary treatment. Results ① 51 cases (14.57%, 51/350) were diagnosed as IDAC, their laboratory examination of peripheral blood and ferritin levels in the blood hemoglobin were lower than the normal reference of the same age, same sex children in the lower limit, the difference was statistically significant compared with non IDA patients (P<0.05). The IDA incidence is the highest in 1-3 year old children. ② The single factor analysis result showed that age, irrational dietary structure, and digestive system diseases were all related factors of IDAC. ③ After the health management intervention and necessary treatment, the hemoglobin, blood ferritin and weight of the children in the laboratory indexes of the majority of IDA children were basically restored to the normal reference range of our laboratory. In most (96.08%,49) children, the anemia and clinical symptoms or abnormal signs were improved effectively. Conclusion IDA in children aged 1-3 years is the highest, and the main causes of disease are irrational dietary structure and digestive system. By reasonable and continuous health management intervention and necessary treatment for IDA children, more satisfactory clinical results can be obtained.
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Key words:
- Iron deficiency anemia /
- Nutritional anemia /
- Children /
- Influencing factors /
- Health management
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