【摘要】 目的探讨矫正6月龄早产儿贫血状况,分析发生贫血的影响因素。方法方便收集2020年1—6月在福建省妇幼保健院儿童保健科定期随访的矫正6月龄早产儿的血红蛋白结果及其他相关资料,根据血红蛋白<110 g/L,分为贫血组(61例)与非贫血组(245例),分析影响早产儿贫血的相关因素。结果 306例早产儿有19.9%出现贫血,贫血组在出生胎龄、出生体质量、出生身长、含铁辅食添加、规律补充铁剂和维生素D的比例低于非贫血组,差异有统计学意义(P<0.05);母亲孕期贫血的早产儿,其贫血的发生率达27.4%;Logistic回归分析结果显示出生身长(OR=1.215,P=0.019)、人工喂养(OR=3.083,P=0.003)以及规律补充铁剂(OR=5.162,P<0.001)是早产儿贫血发生的保护因素,而母亲孕期贫血是早产儿贫血发生的危险因素(0R=2.222,P=0.017)。结论早产儿贫血的发生率较高,胎龄越小、体质量越低的早产儿,更易发生贫血;母亲孕期贫血是矫正6月龄早产儿贫血发生的高危因素,应加强孕期贫血的防治,降低早产儿贫血的发生率。更多还原

【Abstract】 Objective To explore the correction of anemia in 6-month-old premature infants and analyze the influencing factors of anemia. Methods Conveniently the corrected hemoglobin results and other related data of 6-month-old preterm infants who were regularly followed up in the Children’s Health Department of Fujian Maternity and Child Health Hospital from January to June 2020 were collected. According to hemoglobin <110 g/L, they were divided into anemia group(61 cases) and the non-anemia group(245 cases), to analyze the related factors affecting anemia in preterm infants. Results19.9% of the 306 preterm infants had anemia. The anemia group had lower rates of gestational age, birth weight, birth length, iron supplementation, regular iron supplementation and vitamin D supplementation than the non-anemia group,the difference was statistically significant(P<0.05); Premature infants with anemia during pregnancy have an anemia incidence of 27.4%; logistic regression analysis results show that birth length(OR=1.215, P=0.019), artificial feeding(OR=3.083, P=0.003) and regular iron supplementation(OR=5.162, P<0.001) were protective factors for anemia in premature infants, and anemia during pregnancy is a premature infant Risk factors for anemia(OR=2.222, P=0.017). Conclusion The incidence of anemia in preterm infants is higher. Premature infants with younger gestational age and lower weight are more likely to develop anemia. Maternal anemia during pregnancy is a high risk factor for correcting anemia in 6-month-old preterm infants. The prevention and treatment of anemia during pregnancy should be strengthened and reduced the incidence of anemia in premature infants.更多还原