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目的探讨VitA缺乏与缺铁性贫血之间的相关性,旨在提高儿童营养性缺铁性贫血的治愈率。方法收集来我院门诊健康体检的儿童中伴有VitA含量异常者120例(实验组),并设对照组30例,年龄均为0～6岁。对两组儿童进行血清VitA和血红蛋白含量检测,并进行相关分析。结果维生素A水平正常组、可疑SVAD组、SVAD组贫血患病率分别为3.33%、13.89%、29.17%,三组间差异非常显著(P<0.01),维生素A缺乏愈明显,贫血患病率愈高;VitA不同含量与Hb进行Pearsen相关分析,结果表明,血清VitA含量越低,Hb降低愈明显。(P<0.05)。结论VitA缺乏可能是导致三峡地区儿童缺铁性贫血的重要原因之一,在矫治儿童缺铁性贫血时,除补充铁剂外,还应注意VitA制剂的补充。
Objective To investigate the relationship between vitamin A deficiency and iron deficiency anemia and to improve the cure rate of nutritional iron deficiency anemia in children. Methods A total of 120 cases (experimental group) with abnormal VitA levels in children with physical examination in our hospital were collected, and 30 cases in control group, all of whom were 0-6 years old. Serum levels of VitA and hemoglobin were measured in two groups of children and analyzed. Results The prevalence of anemia in normal vitamin A group, suspicious SVAD group and SVAD group were 3.33%, 13.89% and 29.17%, respectively. The differences among the three groups were significant (P <0.01). The more the vitamin A deficiency was, the more the prevalence of anemia The higher the level of VitA was, the lower the level of VitA was. (P <0.05). Conclusion VitA deficiency may be one of the most important causes of iron deficiency anemia in children in the Three Gorges area. In addition to iron supplementation, vitamin A supplementation should be considered in the treatment of iron deficiency anemia in children.