【摘要】 【目的】探讨如何利用儿保门诊引导家长及时正确添加辅食,进行食物转换,以减少食物转换期的营养性疾病。【方法】选取两组婴儿为观察对象,对其中的一组进行有计划的干预指导,另一组按常规儿保门诊程序观察,定期检测两组婴儿的生长情况、血色素、微量元素,并对两组婴儿家长喂养知识及行为作定期评价。【结果】①不同观察期两组婴儿体重、身长均值比较,干预组均高于对照组,6、12、18月龄时两组体重差异有显著性(P<0.05),18、24月龄时两组身长差异有显著性(P≤0.05);②干预0.5、1.0、1.5年后干预组末梢血红蛋白及微量元素铁含量、贫血率及铁低下率与对照组比较差异无显著性。③干预0.5、1.5年后两组喂养人喂养知识及行为评价表明,两组喂养人对婴儿食物的选择及进食行为的培养上有一定差别。【结论】婴幼儿食物转换期给予恰当的喂养指导可以促进婴儿正常发育,基层儿保门诊可以经过多条途径达到效果。更多还原

【Abstract】 【Objectives】 To discuss how to utilize consultation of child health care outpatient,instruct the parents to add complementary foods and make food transition timely and correctively for infants,in order to reduce the incidence of nutritional disease during the period of food transition. 【Methods】 Two groups of infants were selected as subjects.One group of infants was fed under designed intervention and guidance.The other group of infants was investigated as control according to routine child health care outpatient visiting.Both of the two groups of infants were received regular medical examination including physical examination,laboratory examination such as hemoglobin and microelements.Also the evaluations on feeding knowledge and behavior of the parents were made regularly. 【Results】 ①The average body weight and length of the infants of intervention group were all higher than those of the infants of control group whensoever for 6,12 and 18 months old.And the differences of body weight in 6,12 and 18 months old and of the body length in 18 and 24 months old between the two groups were statistically significant(P<0.05 and P≤0.05 respectively);②For the examination results of 0.5,1.0 and 1.5 years after intervention,both average hemoglobin and average Fe(microelement) in fingertip blood of intervention group were higher than those of control group while anemia rate and low iron rate were all lower than those of control group without statistical significance was obtained;③Evaluations on feeder’s feeding knowledge and behavior for the two groups 0.5 and 1.0 year after the intervention showed that there was some difference on the selection of infant foods and nurturing of infant eating behavior between the feeders of the two groups.These demonstrated that early feeding guidance could improve knowledge,belief and practice status in the respect of infant feeding. 【Conclusions】 Proper feeding guidance during the period of infant food transition can promote the growth and development of infant.And child health care outpatient visiting of grass roots can achieve the effect stated above through several approaches.更多还原