摘要
目的了解云南省临沧市成人和儿童人群中小细胞低色素性贫血的发生率,初步分析地中海贫血症在临沧市的流行情况。方法选取2014年1月-2015年4月在临沧市临翔区妇幼保健院接受婚前医学检查的成年人3 658名和2015年1-5月在临沧市妇幼保健院住院治疗的儿童522名为研究对象,成人和儿童均以平均红细胞体积(MCV)<80 fl和/或平均红细胞血红蛋白量(MCH)<27 pg为筛查阳性的标准,分析成人和儿童小细胞低色素性贫血的检出率。结果 3 658名婚检成人中小细胞低色素性贫血筛查阳性352名,阳性率为9.62%,其中男性110名(5.80%),女性242名(13.73%)。住院儿童522名中小细胞低色素性贫血筛查阳性250名,阳性率为47.89%,其中男童158名(51.13%),女童92名(43.19%)。结论小细胞低色素性贫血是临沧市成人和儿童普遍存在的不良健康问题,可能与地中海贫血和缺铁性贫血相关,有必要进一步调查临沧市地中海贫血流行情况和产生小细胞低色素性贫血的原因,以制定当地居民健康促进计划。
Objective To investigate the prevalence rates of microcytic hypochromic anemia among adults and children in Lincang city of Yunnan province,preliminarily analyze the prevalence of thalassemia in Lincang city.Methods A total of 3 658 adults receiving premarital medical examination in Maternal and Child Health Care Hospital of Linxiang District of Lincang city from January 2014 to April 2015 and 522 children treated in Lincang Municipal Maternal and Child Health Care Hospital from January to May in 2015 were selected.The positive criteria of screening included mean corpuscular volume（MCV） 80 fl and/or mean corpuscular hemoglobin（MCH） 27 pg among the adults and children.The detection rates of microcytic hypochromic anemia among the adults and children were analyzed.Results Among 3 658 adults,the positive rate of microcytic hypochromic anemia was 9.62%（352 adults）;the positive rates of microcytic hypochromic anemia in male adults and female adults were 5.80%（110 adults） and 13.73%（242 adults）.Among 522 children,the positive rate of microcytic hypochromic anemia was 47.89%（250 children）;the positive rates of microcytic hypochromic anemia in male adults and female adults were 51.13%（158 children） and 43.19%（92 children）.Conclusion Microcytic hypochromic anemia exists in adults and children in Lincang city commonly,which may be correlated with thalassemia and iron-deficiency anemia.It is necessary to investigate epidemiology of thalassemia and the causes of microcytic hypochromic anemia in Lincang city to make health promotion program for local residents.
出处
《中国妇幼保健》
CAS
2017年第22期5592-5594,共3页
Maternal and Child Health Care of China
基金
国家自然科学基金项目(81260415)
云南省卫生系统领军人才项目(L-201201)
