中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (11): 1008-1010.

• 综述与讲座 • 上一篇    下一篇

2005-2012年我国27省市3岁以内儿童佝偻病流行病学特征分析

曹艳梅1,刘华清1,冯亚红2,沈芳荣2,虞晴2,李冰燕1,张增利1   

  1. 1 苏州大学公共卫生学院,江苏 苏州 215123;
    2 苏州九龙医院,江苏 苏州 215028
  • 收稿日期:2012-04-28 发布日期:2012-11-06 出版日期:2012-11-06
  • 通讯作者: 张增利,E-mail:zhangzengli@suda.edu.cn
  • 作者简介:曹艳梅(1985-),女,四川人,硕士学位,主要研究方向为内分泌毒理学
  • 基金资助:
    国家自然科学基金(30972467);江苏省自然科学基金(SBK200920205)

Study on epidemiological characteristics of rickets in children less than 3 years old in 27 provinces from 2005 to 2012

CAO Yan-mei1,LIU Hua-qing1,FENG Ya-hong2,SHEN Fang-rong2,YU Qing2,LI Bing-yan1,ZHANG Zeng-li1   

  1. 1 School of Public Health,Soochow University,Suzhou,Jiangsu 215123,China;
    2 Kowloon Hospital,Suzhou,Jiangsu 215028,China
  • Received:2012-04-28 Online:2012-11-06 Published:2012-11-06

摘要: 【目的】 分析2005-2012年我国3岁以内儿童佝偻病的流行病学特征。 【方法】 从中国知网、重庆维普和万方数据库检索佝偻病流行病学研究的相关文献,根据设立的筛选标准进一步筛选出具有代表性的研究文献。提取性别、年龄、喂养方式、佝偻病检出率等相关数据,并与1977-1983年普查资料进行比较,采用描述流行病学方法分析2005-2012年我国27省市3岁以内儿童佝偻病的流行病学特征。 【结果】 共纳入27篇文献,我国佝偻病的平均检出率由1977-1983年的40.3%下降为本次分析的20.3%。佝偻病的检出率在东北、华北和西北地区明显下降,但江西、河南和新疆3省则明显上升。佝偻病的发病与年龄和婴幼儿喂养方式有关,1岁以内婴幼儿佝偻病的检出率最高,各种喂养方式检出率母乳喂养<混合喂养<人工喂养。 【结论】 我国佝偻病的发病整体呈下降趋势,但在幼儿特别是低龄幼儿中仍广泛流行。佝偻病是多因素综合作用的结果,需加强防治工作。

关键词: 佝偻病, 流行病学特征, 合理喂养, 儿童

Abstract: 【Objective】 To study the epidemiological characteristics on rickets in children less than 3 years old in 27 provinces from 2005 to 2012. 【Methods】 Epidemiology research papers related to rickets were searched in China National Knowledge Infrastructure,Chongqing Vip Database for Chinese Technical Periodicals and Wanfang Data,then selected representative researches according to the inclusion criteria.Research information such as gender,age and feeding pattern rickets detection rate were collected and compared with data in 1977-1983.Epidemiological characteristics on rickets were also analyzed. 【Results】 27 researches were included in the study,rickets detection average rate for all areas decreased to 20.3% from 40.3% in 1977-1983.Although the detection rate in northern areas declined significantly,but raised in Jiangxi,Henan and Xinjiang province.Prevalence of rickets was correlated to age and infant feeding pattern,the highest detection rate was seen in less than 1 year old babies,detection rate according to feeding pattern from low to high was breast feeding,mixture feeding and artificial feeding. 【Conclusions】 In recent years,the morbidity of rickets in China is general in declined tendency,but still widely prevalent in children especially infant,an appropriate feeding pattern will contribute to reduce rickets.Rickets is the result of many factors combined action,further preventive measures should be taken.

Key words: rickets, epidemiological characteristics, appropriate feeding pattern, children

中图分类号: