| 摘要: |
| 目的：调查山东省威海市文登区0~3岁婴幼儿维生素A（VA）的营养状况。方法：选择2015年1月至2016年5月在威海市中心医院儿科呼吸门诊就诊和儿保门诊健康查体的359例婴幼儿（0~3岁），抽取静脉血2 mL，采用高效液相色谱串联质谱法测定血清VA含量，并填写家长调查问卷。结果：359例婴幼儿中，VA缺乏65例（18.11%），边缘型VA缺乏162例（45.13%），VA在正常范围132例（36.77%）。≤1岁组婴幼儿VA水平最低，>1~2岁组次之，>2~3岁组VA水平最高（P<0.05）。不同喂养方式下婴幼儿血清VA水平比较差异无统计学意义（P>0.05）。补充鱼肝油的婴幼儿血清VA水平高于未补充鱼肝油的婴幼儿（P<0.05）。呼吸道感染患儿血清VA水平低于健康婴幼儿（P<0.05）。结论：山东省威海市文登区0~3岁婴幼儿VA缺乏较为普遍，其中1岁内婴儿、呼吸道感染患儿是VAD高危群体，需要引起家庭、社会和医疗机构的高度重视。 |
| 关键词: 婴幼儿 维生素A 呼吸道感染 |
| DOI：doi:10.13407/ j.cnki.jpp.1672-108X.2019.05.004 |
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| 基金项目:国家卫生计生委医药卫生科技发展研究中心计划项目,编号W2015EAE087;威海市科技发展计划项目,编号2016GNS030鄄3。 |
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| Nutritional Status of Vitamin A in 359 Infants in Weihai Wendeng District |
| Dong Chongjuan1, Wang Yongqiang1, Yang Zhimin1, Wang Zhaoxia1, Wu Jing2, Liu Shaolu1 |
| (1. Weihai Central Hospital, Shandong Weihai 264400, China; 2. Tai’an Maternal and Child Health-Care Hospital, Shandong Tai’an 271000, China) |
| Abstract: |
| Objective: To investigate the nutritional status of vitamin A (VA) in infants aged from 0 to 3 years old in Weihai Wendeng district. Methods: From Jan. 2015 to May 2016, 359 infants ( from 0 to 3 years old) admitted to the pediatric respiratory outpatient department of Weihai Central Hospital and the paediatric health care outpatient department for physical examination were selected, and 2 mL venous blood was taken. The serum VA content was determined by high performance liquid chromatography-tandem mass spectrometry, and the parent questionnaire was filled out. Results: Among the 359 infants, there were 65 cases of VA deficiency (18.11%), 162 cases of borderline VA deficiency (45.13%), and 132 cases of normal VA level (36.77%). The serum VA level of infants in the ≤1 years old group was the lowest, followed by the >1 to 2 years old group, and the serum VA level was the highest in the >2 to 3 years old group (P<0.05). There was no statistically significant difference in serum VA level of infants with different feeding patterns (P>0.05). The serum VA level of infants supplemented with cod liver oil was higher than that of infants without cod liver oil (P<0.05). The serum VA level was lower in infants with respiratory infection than in healthy infants (P<0.05). Conclusion: VA deficiency is relatively common in infants aged from 0 to 3 years old in Weihai Wendeng district, infants within 1 year old and respiratory infection are high-risk groups of VA deficiency, which need to be highly valued by families, society and medical institutions. |
| Key words: infants vitamin A respiratory infection |
