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目的:了解西双版纳州0～6岁儿童贫血的发病情况,为防治儿童贫血提供依据。方法:运用Sysmex KX-21N和迈瑞-2000血细胞分析仪、血红蛋白电泳分析,应用醋酸纤维素膜电泳(PH8.6),使用DY-600电泳和美国Helena公司配套试剂和扫描分析系统。统计分析采用SPSS.13.Window/PEMS.3软件包,χ2检验和多因素logistic回归分析。结果:贫血总患病率为19.0%,其中男童贫血患病率为18.8%,女童为19.1%,贫血患病率随年龄增长而降低。傣族患病率高于布朗族和基诺族,其他民族之间两两比较无明显差异,勐腊县贫血率高于景洪市和勐海县。结论:西双版纳州学龄前儿童贫血总患病率与同类农村地区的资料基本一致,与本省0～6岁儿童不同时期缺铁性贫血相比贫血患病率高于全国抽样调查资料。贫血发病情况复杂,其严重影响儿童生长发育和生命质量,只有大规模的人群调查,摸清流行情况,为防治贫血提供基本数据及措施才能达到预定目标。
Objective: To understand the incidence of anemia in children aged 0 ~ 6 years in Xishuangbanna Prefecture and provide evidence for prevention and treatment of childhood anemia. Methods: Sysmex KX-21N and Mindray-2000 hematology analyzer were used for hemoglobin electrophoresis analysis. Cellulose acetate electrophoresis (PH8.6), DY-600 electrophoresis and Helena reagents and scanning analysis system were used. Statistical analysis using SPSS.13.Window / PEMS.3 package, χ2 test and multivariate logistic regression analysis. Results: The total prevalence of anemia was 19.0%. Among them, the prevalence of anemia was 18.8% in boys and 19.1% in girls. The prevalence of anemia decreased with age. The prevalence rate of Dai is higher than that of Blang and Jino. There is no significant difference between other ethnic groups in any pairwise comparison. The prevalence of anemia in Mengla County is higher than that in Jinghong City and Menghai County. Conclusion: The total prevalence of anemia in preschool children in Xishuangbanna Prefecture is basically the same as the data in the same kind of rural areas. The prevalence of anemia in iron deficiency anemia of children aged 0-6 years in our province is higher than that of the national sampling survey. The incidence of anemia is complex, which seriously affects children’s growth and quality of life. Only a large-scale population survey to find out the prevalence and to provide basic data for prevention and treatment of anemia and measures to achieve the intended target.