佛山市高明区婴幼儿维生素AD补充剂应用状况及影响因素
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摘要
目的探究广东省佛山市高明区婴幼儿应用维生素AD(Vit AD)补充剂的现状,并分析影响因素。方法随机选取高明区儿童保健门诊及预防接种点就诊的3岁以下儿童440例作为研究对象,调查婴幼儿家长给予儿童Vit AD补充剂应用状况,对比分析调查结果。结果出生后～3岁儿童中,随着年龄的增长,婴幼儿的户外活动时间逐渐增加,但是婴幼儿每天户外活动时间仍相对不足。婴幼儿添加Vit AD补充剂应用率为60.9%。婴幼儿开始添加Vit AD补充剂时间主要集中在出生后1～3个月,90.52%的家长会在婴幼儿3岁内停用Vit AD补充剂。大部分家长不清楚正在服用的Vit AD补充剂剂量。24.40%的家长选购Vit AD制剂的剂量不适宜。家长对Vit AD的认知度较低。结论广东省佛山市高明区婴幼儿中Vit AD应用较为普遍,但规范性差,年龄、出生胎龄、家长文化水平等因素均可影响Vit AD的补充,临床工作中应提高对Vit AD补充知识的宣传教育,增加家长的重视程度。
Objective To investigate the status of vitamin AD supplementation in infants in Gaoming District of Foshan City and to analyze the influencing factors.Methods A total of 440 children who were under 3 years old and treated in the child care clinics and vaccination points of Gaoming District were randomly selected as the research subjects.The self-made questionnaire was used to investigate the status of infants and young children who were given vitamin AD supplements,and the survey results was comparatively analyzed.Results Among children aged between birth to 3 years old,the outdoor activities of infants and young children was gradually increased with the increase of age.However,some infants and young children spend few time outdoors each day.The application rate of vitamin AD supplements for infants and young children was 60.9%.The time to start adding vitamin AD supplements for infants and young children was mainly in the first 3 months after birth,and 90.52% of parents would stop using vitamin AD in infants and young children within 3 years of age.Most parents were not aware of the dose of vitamin AD supplements,and 24.40%of parents did not choose the appropriate dose of vitamin AD.Parents had low awareness of vitamin AD.Conclusion Vitamin AD is more commonly used in infants and young children in Gaoming District of Foshan City,Guangdong Province,but the standardization is poor,and the age,gestational age,cultural level of parents can affect vitamin AD supplementation.It is of great significance to increase the publicity and education of vitamin AD supplements in clinical work and increase the attention of parents.
Objective To investigate the status of vitamin AD supplementation in infants in Gaoming District of Foshan City and to analyze the influencing factors.Methods A total of 440 children who were under 3 years old and treated in the child care clinics and vaccination points of Gaoming District were randomly selected as the research subjects.The self-made questionnaire was used to investigate the status of infants and young children who were given vitamin AD supplements,and the survey results was comparatively analyzed.Results Among children aged between birth to 3 years old,the outdoor activities of infants and young children was gradually increased with the increase of age.However,some infants and young children spend few time outdoors each day.The application rate of vitamin AD supplements for infants and young children was 60.9%.The time to start adding vitamin AD supplements for infants and young children was mainly in the first 3 months after birth,and 90.52% of parents would stop using vitamin AD in infants and young children within 3 years of age.Most parents were not aware of the dose of vitamin AD supplements,and 24.40%of parents did not choose the appropriate dose of vitamin AD.Parents had low awareness of vitamin AD.Conclusion Vitamin AD is more commonly used in infants and young children in Gaoming District of Foshan City,Guangdong Province,but the standardization is poor,and the age,gestational age,cultural level of parents can affect vitamin AD supplementation.It is of great significance to increase the publicity and education of vitamin AD supplements in clinical work and increase the attention of parents.
引文
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[14]王媛,胡燕.家长参加儿童健康体检的依从性调查[J].中国儿童保健杂志,2013,21(5):555-558.
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[16]陈永英,郭四红.学龄前儿童血清红细胞生成素水平与维生素A和锌的相关性研究[J].中国妇幼保健,2017,32(13):2946-2948.
[17]齐双辉,魏兵,张超,等.维生素A对反复呼吸道感染婴幼儿的免疫调节作用研究[J].中国儿童保健杂志,2017,25(8):837-840.
[18]中华医学会骨质疏松和骨矿盐疾病分会.维生素D及其类似物临床应用共识[J].协和医学杂志,2018,9(2):127-143.
[2]东利娟,仰曙芬.维生素A、E与反复呼吸道感染的研究进展[J].中国儿童保健杂志,2018,26(3):273-275.
[3]仰曙芬,吴光驰.维生素D缺乏及维生素D缺乏性佝偻病防治建议解读[J].中国儿童保健杂志,2015,23(7):680-683.
[4]杨春,杨晓光.中国人群维生素A的影响因素[J].医学综述,2016,22(7):1249-1252.
[5]胡晞江,杨少萍,姚顺芳,等.儿童维生素A亚临床缺乏分析[J].现代预防医学,2008,35(12):2238-2240.
[6]胡华芸,陈运彬,吴婕翎,等.广州地区8998例婴幼儿血清25-羟维生素D3水平调查[J].广东医学,2015,36(11):1740-1742.
[7]曾贞,郭艳,马美美,等.佛山市南海区5017名儿童25-羟基维生素D检测结果分析[J].中国儿童保健杂志,2015,23(10):1101-1103.
[8]全国佝偻病防治科协作组,中国优生科学协会小儿营养专业委员会.维生素D缺乏及维生素D缺乏性佝偻病防治建议[J].中国儿童保健杂志,2015,23(7):781-782.
[9]Andersen AB,Schmidt LKh,Faurholt-Jepsen D,et al.The effect of daily consumption of the small fish Amblypharyngodon mola or added vitamin A on iron status:a randomised controlled trial among Bangladeshi children with marginal vitamin A status[J].Asia Pac J Clin Nutr,2016,25(3):464-471.
[10]杨建荣,张健,王丽丽,等.维生素AD波浪式剂量给药方法对预防婴儿维生素D缺乏病的效果分析[J].中国医药导刊,2017,19(5):497-498.
[11]田勇,白永莲,刘曌霞,等.3岁内儿童维生素D缺乏性佝偻病的影响因素[J].湖南师范大学学报(医学版),2017,14(4):71-75.
[12]陈俊国,张旭,吴鸣,等.孕妇与新生儿维生素D营养状况及影响因素分析[J].中华全科医学,2015,13(12):1976-1978.
[13]李红梅,黄萍,宋芳,等.维生素D预防应用后儿童维生素D缺乏及中毒情况随访[J].中华临床研究,2016,6(15):117-118.
[14]王媛,胡燕.家长参加儿童健康体检的依从性调查[J].中国儿童保健杂志,2013,21(5):555-558.
[15]张巍,常立文,陈欣欣,等.儿童保健医生日光暴露及维生素D相关知识调查[J].北京医学,2012,34(1):64-65.
[16]陈永英,郭四红.学龄前儿童血清红细胞生成素水平与维生素A和锌的相关性研究[J].中国妇幼保健,2017,32(13):2946-2948.
[17]齐双辉,魏兵,张超,等.维生素A对反复呼吸道感染婴幼儿的免疫调节作用研究[J].中国儿童保健杂志,2017,25(8):837-840.
[18]中华医学会骨质疏松和骨矿盐疾病分会.维生素D及其类似物临床应用共识[J].协和医学杂志,2018,9(2):127-143.