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目的了解重庆北碚区托幼机构儿童健康体检状况并提出改善措施,以保障在园儿童的身体健康。方法对北碚区5个街道所有托幼机构儿童2012-2014年健康体检结果进行体检分析。结果北碚区托幼机构儿童身高、体重达标率达98.93%以上;消瘦、低体重和生长迟缓率分别为0.83%、0.68、0.95%,且呈逐年下降的趋势;肥胖、龋齿及视力不良发生率分别由2012年的5.15%、31.67%、24.03%上升到2014年的6.04%、57.72%、29.33%;私立托幼机构儿童的低体重率、发育迟缓发生率、龋齿患病率、贫血患病率均高于公立托幼机构的儿童,差异有统计学意义。公立托幼机构儿童的肥胖率和超重率明显高于私立托幼机构的儿童,差异有统计学意义(P<0.01);男童的肥胖率及超重率高于女童,差异有统计学意义(P<0.01);女童的龋齿患病率、视力不良发生率及营养性贫血发生率高于男童,差异有统计学意义(P<0.05)。结论北碚区托幼机构儿童健康体检状况良好,但超重及肥胖、龋齿、视力不良情况不容乐观。故今后北碚区托幼机构健康管理的重点为五官保健,妇幼保健机构应加强对私立托幼机构卫生保健工作的督导力度。
Objective To understand the situation of children’s health checkup in kindergartens and nurseries in Beibei District of Chongqing and to propose improvement measures to protect the health of children in the park. Methods The physical examination results of the physical examination results of children in all nurseries in five streets in Beibei district from 2012 to 2014 were analyzed. Results The height and weight compliance rate of children in kindergartens and nurseries in Beibei District was over 98.93%. The rates of weight loss, weight loss and growth retardation were 0.83%, 0.68% and 0.95%, respectively, and showed a declining trend year by year. The incidence of obesity, dental caries and poor eyesight Increased from 5.15%, 31.67% and 24.03% respectively in 2012 to 6.04%, 57.72% and 29.33% respectively in 2014. The prevalence of underweight, stunting, dental caries and anemia among children in private nurseries The rates were higher than those in public nurseries, with statistical significance. The obesity rates and overweight rates of children in public nurseries were significantly higher than those in private nurseries, the difference was statistically significant (P <0.01). The obesity rate and overweight rate of boys were higher than those of girls P <0.01). The prevalence of dental caries, incidence of poor eyesight and nutritional anemia in girls were higher than those in boys (P <0.05). Conclusions Beibei District nursery school child health examination in good condition, but overweight and obesity, dental caries, poor vision can not be optimistic. Therefore, in the future, Beijiao district nurseries and kindergartens should focus on the health of the elders. MCH institutions should step up supervision over the health care of private kindergartens and nurseries.