婴儿缺铁性贫血:一个回顾性队列研究
Vered Shkalim Zemer1,2, Michal Barzel Weinberger1,3, Dafna Nesselroth1,3
1Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Pediatric hematology and oncology
|September 13, 2024
概括
产后缺铁性贫血影响以色列中部9-18个月的婴儿超过4%. 阿拉伯和极端正统的犹太婴儿以及社会经济地位较低的婴儿面临更高的风险.
科学领域:
- 儿科 儿科 儿科
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 在婴儿时期 (6-24个月) 的产后缺铁 (ID) 持续影响到成年.
- 早期发现和治疗缺铁性贫血 (IDA) 对长期健康结果至关重要.
研究的目的:
- 描述以色列中部地区9-18个月龄的婴儿中IDA的流行率和人口风险因素.
- 为了确定特定的婴儿亚群,增加了IDA的风险.
主要方法:
- 从2010年到2021年,对101,650名婴儿 (9至18个月) 的回顾性图表审查.
- 分析完整血清 (CBC) 参数 (血红蛋白,平均体积) 和人口统计数据 (性别,行业,社会经济地位,居住地).
- IDA定义为血红蛋白<11 g/dL,平均体积<70 fL.
主要成果:
- 总体上,IDA的患病率为4.2% (4296名婴儿).
- 与非超正统犹太婴儿 (3%) 相比,阿拉伯 (6.6%) 和超正统犹太 (6%) 婴儿的IDA明显更为普遍.
- 在社会经济地位较低的婴儿和农村居民中观察到更高的患病率.
结论:
- 阿拉伯和极端正统的犹太婴儿代表了该地区的IDA高风险人群.
- 建议加强针对临床医生和家长的全国性干预计划,以改善IDA的检测和治疗.
- 为了防止短期和长期的不良健康后果,迅速管理IDA至关重要.
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