摘要
目的探讨健康教育联合辅食添加对婴幼儿缺铁性贫血的预防效果，为婴幼儿缺铁性贫血的预防提供理论依据。方法选取2014年1—12月在该院儿保门诊健康体检的6个月～3岁婴幼儿215例为研究对象，随机分为观察1组（69例）、观察2组（75例）和对照组（71例）。观察1组家长给予健康教育，观察2组家长给予健康教育的同时督导辅食添加营养素补充品，对照组未进行上述系统指导。6个月后随访并分析3组缺铁性贫血发生情况及血清铁（SI）和总体蛋白结合力（TIBC）水平。结果3组缺铁性贫血发生率比较差异有统计学意义（P〈0．05），但观察1组和观察2组比较差异无统计学意义（P〉0．05）；3组SI和TIBC水平比较差异有统计学意义（P均〈0．05），SI、TIBC水平两两比较差异有统计学意义（P均〈0．05）。结论健康教育有助于降低婴幼儿缺铁性贫血发生率，结合营养素补充可进一步改善铁营养，值得临床推广。
Objective： To explore the prophylactic effect of health education eombined with complementary feeding on iron-deficiency anemia in infants, provide theoretical basis for prevention of iron-deficiency anemia in infants. Methods. A total of 215 infants aged 6 months to 3 years old receiving healthy physical examination in Outpatient of Pediatrics in the hospital from January to Deeember in 2014 were selected and randomly divided into the first observation group （69 infants ） , the second observation group （75 infants ） , and control group （71 infants） . The parents of infants in the first observation group received health education, the parents of infants in the second observation group received health education and guidance of complementary feeding, the parents of infants in control group did not receive the above-mentioned guidance ; the infants were followed up for 3 months ; the ineidenee rates of iron-deficiency anemia and the levels of serum iron （SI） and total iron binding eapacity（ TIBC ） in the three groups were analyzed. Results ： There was statistically significant difference in the incidence rate of iron-deficiency anemia among the three groups （ P〈0. 05 ）, but there was no statistically significant difference between the first observation group and the second observation group （ P〉0. 05 ） ; there were statistically significant differences in SI and TIBC levels among the three groups （P〈0. 05 ）, and there were statistically significant differences in SI and TIBC levels between any two groups （P〈 0. 05 ） . Conclusion： Health education is helpful to reducing the incidence rate of iron-deficiency anemia in infants, iron nutrition can be further improved by combining with complementary feeding, which is worthy of clinical promotion.
出处
《中国妇幼保健》
CAS
2015年第28期4779-4781,共3页
Maternal and Child Health Care of China
基金
2014年度武汉市公共卫生及卫生政策科研项目〔WG14C27〕
