中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (10): 1144-1147.DOI: 10.11852/zgetbjzz2019-1615

• 临床研究与分析 • 上一篇    下一篇

上海市闵行区6~12月龄营养不良婴儿喂养困难状况及影响因素研究

陈敏1, 康淑蓉1, 张红梅2, 王慧3, 徐晓玺4, 刘敏5, 李云1   

  1. 1 上海市闵行区妇幼保健院儿童保健科,上海 201102;
    2 上海市闵行区马桥社区卫生服务中心儿童保健科,上海 201111;
    3 上海市闵行区梅陇社区卫生服务中心儿童保健科,上海 201100;
    4 上海市闵行区古美社区卫生服务中心儿童保健科,上海 201102;
    5 上海市闵行区颛桥社区卫生服务中心儿童保健科,上海 201108
  • 收稿日期:2019-10-25 修回日期:2020-03-13 出版日期:2020-10-10 发布日期:2020-10-10
  • 通讯作者: 李云,E-mail:liyun32601@126.com
  • 作者简介:陈敏(1976-),女,江西人,主治医师,学士学位,主要研究方向为儿童保健。
  • 基金资助:
    2018年上海市闵行区科委课题(2018MHZ002)

Study on feeding difficulty and its determinants of malnourished infants aged 6 to 12 months in Minhang district,Shanghai

CHEN Min1, KANG Shu-rong1, ZHANG Hong-mei2, WANG Hui3, XU Xiao-xi4, LIU Min5, LI Yun1   

  1. 1 Department of Children Health Care,Minhang District Maternity And Children Health Hospital,Shanghai 201102,China;
    2 Department of Children Health Care,Minhang District Maqiao Community Health Service Center,Shanghai 201111,China;
    3 Department of Children Health Care,Minhang District Meilong Community Health Service Center,Shanghai 201100,China;
    4 Department of Children Health Care,Minhang District Gumei Community Health Service Center,Shanghai 201102,China;
    5 Department of Children Health Care,Minhang District Zhuanqiao Community Health Service Center,Shanghai 201108,China
  • Received:2019-10-25 Revised:2020-03-13 Online:2020-10-10 Published:2020-10-10
  • Contact: LI Yun,E-mail:liyun32601@126.com

摘要: 目的 调查上海市闵行区6~12月龄营养不良婴儿喂养困难状况及影响因素,为开展针对性干预提供依据。方法 选择于2019年6-8月在闵行区4家社区卫生服务中心儿保门诊体检的137名6~12月龄营养不良婴儿为研究对象,采用统一调查问卷[一般人口学特征、蒙特利尔儿童医院喂养评分量表(MCH-FS)中文版]对婴儿家长进行调查,并采用单因素分析和多因素Logistic回归分析探讨喂养困难的影响因素。结果 137例婴儿中,喂养困难发生率为30.7%(42/137),其中轻度、中度和重度喂养困难者分别为16例(11.7%)、7例(5.1%)、19例(13.9%)。经单因素和多因素分析,低出生体重(OR=9.700,95%CI:1.913~49.190)、家长认为婴儿生长状况异常(OR=3.828,95%CI:1.178~12.434)、婴儿口腔运动功能异常(OR=14.296,95%CI:1.929~105.949)为喂养困难的独立影响因素(P<0.05)。结论 出生体重、生长状况、口腔运动功能是6~12月龄营养不良婴儿喂养困难的影响因素,应针对性地开展干预工作。

关键词: 喂养困难, 量表, 影响因素, 婴儿

Abstract: Objective To investigate the present situation of feeding difficulty and its determinants of malnourished infants aged 6 to 12 months in Minhang district of Shanghai. Methods A total of 137 malnourished infants aged 6 to 12 months,who took physical examination at child care clinic of 4 community health service centers of Minhang district,were selected as subjects.Infants′ parents were investigated by the questionnaires including general demographic characteristics and Montreal Children′s Hospital Feeding Scale (MCH-FS).Univariate and multivariate Logistic regression analysis were adopted to probe the determinants of feeding difficulty. Results The detection rate of feeding difficulty was 30.7%(42/137),of which mild,medium and severe feeding difficulty were 16 cases(11.7%),7 cases(5.1%)and 19 cases(13.9%),respectively.Logistic regression analysis demonstrated that low birth weight (OR=9.700,95%CI:1.913-49.190),abnormal infant growth condition considered by parents (OR=3.828,95%CI:1.178-12.434) and abnormality of infant oral cavity motor function (OR=14.296,95%CI:1.929-105.949) were independent determinants of feeding difficulty. Conclusion Birth weight,growth condition and oral cavity motor function are determinants of malnourished infants aged 6 to 12 months,and targeted intervention should be conducted.

Key words: feeding difficulty, scale, determinant, infant

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