【摘要】 目的探讨哈尔滨市0~3岁儿童婴幼儿佝偻病发病的影响因素。方法调查佝偻病及发病相关因素,取血测定血清钙(Ca)、骨碱性磷酸酶(BAP)、维生素D血清浓度,做出佝偻病程度和分期的诊断。运用logistic回归对资料进行单因素及多因素分析。结果经过调查结果显示,佝偻病的发病率为47.5%,且其发病因素和患者的性别及其各个年龄段之间无显著性差异。多因素logistic回归分析结果显示,影响婴幼儿佝偻病的发病原因主要有母亲有丰富的生活经验以及较高的学历,在怀孕期间注重补钙、锌以及维生素D,每天都有1个小时以上的锻炼活动,对婴幼儿进行母乳喂养,每天坚持喝牛奶等。结论哈尔滨市婴幼儿佝偻病的发病率为47.5%,高于全国其他地区,所以应加强对本地区怀孕妇女的健康宣教活动,告知其在怀孕期间注意补充钙、维生素D等,合理饮食,适当保持有氧运动,同时要注意给婴幼儿补充钙、锌等,适量饮用牛奶,减少婴幼儿佝偻病的发生。更多还原

【Abstract】 Objective To investigate the pathogenesis of infantile rickets in children aged 0 to 3 in Harbin.Methods survey rickets and related factors,determination of blood serum calcium(Ca),bone alkaline phosphatase(BAP),serum vitamin D concentrations,to make the diagnosis of degree of rickets and installment.Using logistic regression to single factor and multiple factors analysis data.Results Through the survey,the incidence of rickets was 47.5%,and its risk factors and patients there was no significant difference between gender and age.Multiariable logistic regression analysis results showed that mothers were the major influencing the etiology of infantile rickets has the rich life experience and a higher degree,notice filling calcium,zinc,and vitamin D during pregnancy,have more than one hour exercise every day,for infants and young children to breastfeed,and drink milk every day.Conclusion The incidence of infantile rickets in Harbin was 47.5%,higher than that of the rest of the country,so we should strengthen health education for pregnant women in the region,Tell them pay attention to calcium supplementation during pregnancy,vitamin D and so on,reasonable diet,proper keep aerobic exercise,at the same timepay attention to the infanta’s supplement of calcium,zinc and so on,let them drink the right amount of milk,reduce the occurrence of rickets in infants.更多还原