摘要
目的了解河南省农村地区艾滋病病毒(HIV)感染母亲分娩婴幼儿的营养状况。方法使用WHO的Anthro 2010软件,分别计算160名婴幼儿在满1、3、6、9、12、18月龄的年龄别体重、年龄别身高、身高别体重Z值评分,以WHO参考人群为标准评估婴幼儿的营养状况。结果共调查满18月龄存活婴幼儿160人,其中HIV阳性婴幼儿32例,HIV阴性婴幼儿128人;除3月龄以外,HIV阳性婴幼儿低体重发病率均高于HIV阴性婴幼儿(P<0.05);6、12、18月龄HIV阳性婴幼儿的生长发育迟缓率均高于HIV阴性婴幼儿(P<0.05);3月龄以后HIV阴性婴幼儿年龄别体重Z值(WAZ)增长趋势优于HIV阴性婴幼儿(P<0.05),随访期间阴性婴儿WAZ值为-0.59～0.79,阳性婴儿的WAZ值为-1.41～-0.04;年龄别身长Z值(HAZ)2组婴幼儿在9、18月龄差异均有统计学意义(P<0.05);随访期间阴性婴儿HAZ值为-1.22～-0.17,阳性婴儿HAZ值为-1.89～-0.90;HIV阳性产妇分娩的婴幼儿在多个月龄的体重、身高值与正常婴幼儿差异有统计学意义。结论河南省农村地区HIV阳性产妇分娩婴幼儿的营养不良发病率较高,HIV阳性婴幼儿更为严重。
Objective To evaluate the nutrition status of children born to human immunodeficiency virus（HIV）-infected mothers in rural area of Henan province.Methods Totally 160 children were included in the research.Z scores of weight for age,height for age,and weight for height were calculated using WHO Anthro 2010 at birth and 1,3,6,9,12,and 18 months of age.Z scores based on WHO standard were used to evaluate nutrition status of the children.Results Among the children,128 were HIV negative and 32 HIV positive.The incidence of underweight in the HIV-negative children was lower than in HIV-positive children except for the children at the age of 3 months（P0.05）.The incidence of stunning in HIV-negative children was lower than in HIV-positive children at 6,12,and 18 months of age（P0.05）.The growth trend of Z values for age-related weight（WAZ） in HIV-negative children was better than in HIV-positive children（P0.05） and the WAZ ranged from-0.59 to 0.79 for HIV-negative children and-1.41 to-0.04 for HIV-positive children.There were significant differences in Z values for age-related height（HAZ） at 9 and 18 months of age between two groups and HAZ ranged from-1.22 to-0.17 for HIV-negative children and-1.89 to-0.14 for HIV-positive children.The length and weight of the children at different months of age were lower than the normal standards significantly.Conclusion The incidence of malnutrition in the children born to HIV infected mothers in rural area of Henan province is high,especially in the HIV-positive children.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2012年第12期1555-1558,共4页
Chinese Journal of Public Health
关键词
艾滋病
儿童
营养不良
Z值法
AIDS
children
malnutrition
Z-score method
