首页|2021-2023年北京市海淀区入托儿童生长发育及常见健康问题分析

2021-2023年北京市海淀区入托儿童生长发育及常见健康问题分析

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目的 了解北京市海淀区入托儿童生长发育及常见健康问题检出情况,为改善儿童健康水平提供依据.方法 选取2021-2023年北京市海淀区妇幼保健院体检中心进行体检的秋季入托儿童,收集其体检资料,分析身高、体质量,Hb、视力低下和龋齿等结果,综合评估入托儿童生长发育和健康状况.结果 2021-2023年,共纳入0~6岁儿童60 998名,其中男31 647名、女29 351名;3~4岁年龄组人数最多,占70.9%;儿童消瘦、超重、肥胖的检出率较高,分别为2.4%、12.3%、3.9%.2021-2023年,3年超重(χ2=46.478,P<0.001)和肥胖(χ2=14.634,P<0.001)检出率的差异有统计学意义,其中男童超重和肥胖的检出率高于女童(χ2=94.298、162.420,P<0.001).2021-2023年,贫血、龋齿、视力低下的检出率分别为1.1%、23.1%、24.6%,3年龋齿检出率的差异有统计学意义(χ2=235.689,P<0.001),2021-2023年,视力低下检出率逐年增加,3年视力低下检出率的差异有统计学意义(χ2=27.399,P<0.05).2021-2023年,3年高热惊厥、食物过敏检出率的差异有统计学意义(χ2=43.049、58.626,P<0.001);其中女童先心病检出率高于男童,高热惊厥和食物过敏检出率低于男童,差异有统计学意义(P<0.05).结论 2021-2023年北京市海淀区秋季入托儿童生长发育整体较好,超重、肥胖和视力低下仍是儿童保健工作重点,建议对家长和托幼机构有针对性地加强健康宣教,更好地提升入托儿童生长发育和健康水平.
Analysis of growth and development and common health problems of kindergarten children in Haidian district of Beijing from 2021 to 2023
Objective To understand the growth and development and the detection rate of common health problems of kindergarten children in Haidian District,Beijing,and to provide evidence for improving children's health status.Methods Children who entered kindergarten in autumn and had physical examinationat the physical examination center of Haidian District Maternal and Child Health Hospital from 2021 to 2023 were selected,their physical examination data were collected.The results of height,weight,Hb,poor visual acuity and dental caries were analyzed,the growth and development and health status of children in kindergarten were comprehensively evaluated.Results From 2021 to 2023,a total of 60 998 children aged from 0 to 6 years were selected,including 31 647 males and 29 351 females;the age group from 3 to 4 years was the largest,accounting for 70.9%.the detection rate of emaciation,overweight and obesity were 2.4%,12.3%and 3.9%,respectively.From 2021 to 2023,there were significant differences in the detection rates of overweight(χ2=46.478,P<0.001)and obesity(χ2=14.634,P<0.001)in three years,among which the detection rates of overweight and obesity in boys were higher than those in girls(χ2=94.298、162.420,P<0.001).From 2021 to 2023,the detection rates of anemia,dental caries and poor visual acuity were 1.1%,23.1%and 24.6%,respectively,and the differences in the detection rates of dental caries in three years were statistically significant(χ2=235.689,P<0.001).From 2021 to 2023,the detection rates of poor visual acuity increased year by year,and the difference of detection rate of low vision in three years was statistically significant(χ2=27.399,P<0.05).From 2021 to 2023,the differences in detection rates of febrile convulsion and food allergy were statistically significant(χ2=43.049,58.626,P<0.001),the detection rate of congenital heart disease in girls was higher than that in boys,and the detection rates of febrile convulsion and food allergy were lower than those in boys,with statistical significance(P<0.05).Conclusions The growth development of children entering kindergarten in autumn in Haidian district of Beijing is generally good from 2021 to 2023.Overweight,obesity and poor visual acuity are still the focus of children's health care.It is suggested that parents and kindergarten should strengthen health education in a targeted manner to better improve the growth development and healthcare of children in kindergartens.

physical examinationgrowth developmentoverweightobesityallergypoor visual acutiychild

袁丽、王慧禹、王雷

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100080 北京市海淀区妇幼保健院体检科

北京四季青医院麻醉科

体检 生长发育 超重 肥胖 过敏 视力低下 儿童

2024

北京医学
中华医学会北京分会

北京医学

CSTPCD
影响因子:0.714
ISSN:0253-9713
年,卷(期):2024.46(11)