【摘要】 本文在边远贫困地区采取几种不同的儿童营养不良筛查方法,探讨其可行性与有效性。结果显示:(1)在村级保健网健全的地区可由村医生进行儿童营养不良筛查,其覆盖率、筛查次数均较由乡医生执行更高,说明在这样地区应由村医生完成儿童营养不良筛查更为可行。在村级保健网不健全的地区,由乡医生进行营养不良筛查时,与预防接种同时进行组其筛查覆盖率、筛查次数较不与预防接种同时进行组高,说明该项工作应与预防接种同时进行更为可行。(2)1岁以内儿童每年筛查4次较为可行,1岁以后每年筛查2次较为可行。(3)采用本文所推荐的方案能有效地发现儿童体重不增及营养不良,并通过乡、村医生指导与治疗使营养不良患病率有所下降。更多还原

【Abstract】 This projects has studied feasible and effective of different methods of screening children’s malnutrition in poor and remote areas. The results of study showed: ①The job of screening children’s malnutrition shoud be taken by village doctors in the areas where the health care network of village is complete, which get more cover rate,check frequency and is more feasible. In most poor and remote areas where the health care network of village is incomplete,the job of screening children’s malnutrition should be, taken by downship doctors. But it must be combined with planed immunization, which gets more cover rate,check frequent and is more feasible. ②The childern less than 1 year should be checked 4 times a year, between 1-3 years should be checked twice a years. More times of checking is not fessible. ③This scheme can check out the childern whose wight is not increase and children of malnutrition. The morbidity of children’s malnutrition is decrease under advice and treament of local doctors.更多还原