摘要
目的分析儿童体内微量元素锌、钙、铁的水平及分布状况,及其微量元素水平与儿童疾病的关系。方法回顾性分析2008—2010年来我社区中心就诊和体检的715例儿童的临床资料,检测记录儿童体内锌、钙、铁微量元素的水平,分析影响儿童体内锌、钙、铁微量元素水平变化的因素及微量元素与儿童常见疾病的关系。结果 1～3岁的儿童缺锌和缺铁发生率明显高于4～6岁的儿童,差异有统计学意义(P<0.05),而缺钙发生率明显低于4～6岁的儿童,差异有统计学意义(P<0.05);城市儿童缺锌、缺铁和缺钙的发生率明显低于农村(P<0.05)。反复呼吸道感染、厌食、贫血、多汗、发育迟缓、头发稀少枯黄、皮肤病患儿血锌、铁、钙等微量元素水平不同程度低于对照组儿童。结论儿童微量元素缺乏严重,需要注意调整饮食结构和给予必要的药物补充。微量元素缺乏与厌食、贫血、生长发育迟缓、头发稀少枯黄、皮肤粗糙等临床疾病和症状有一定关系,需在临床诊断和治疗中予以重视。
Objective To analyze the actual levels and distribution of children′s body zinc,calcium and iron contents,as well as the relationships of the trace elements with children′s diseases.Methods The clinical data of 715 children who had medical visits or physical examination in our community health center from 2008 to 2010 were retrospectively analyzed to record the contents of children′s body zinc,calcium,and iron,and to analyze the relationships of these trace elements with common childhood diseases.Results The incidences of children zinc deficiency and iron deficiency were significantly higher,but the prevalence of calcium deficiency was significantly lower in 1 to 3 years group than in 4 to 6 years group （P0.05）.The incidences of zinc,iron and calcium deficiency were significantly lower in urban children than in rural children （P 0.05）.The levels of serum zinc,calcium and iron in children who had recurrent respiratory infection,anorexia,anemia,polyhidrosis,growth retardation,thin,withered and yellow hair,and skin diseases were lower to some extent that the controls.Conclusion The lack of trace elements is serious in children,which needs to pay attention to adjust dietary construction and to give necessary adjustment drugs.Trace element deficiency is associated with the clinical diseases and symptom such as anorexia,anemia,growth retardation,sparse and yellow hair,and rough.It needs to be emphasized in clinical diagnosis and treatment of diseases.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第27期3096-3098,共3页
Chinese General Practice
关键词
儿童
铁
钙
锌
影响因素
Child
Iron
Calcium
Zinc
Factors
