目的 对玉树州3岁以下儿童健康状况进行调查,了解和分析当地3岁以下儿童营养不良和贫血状况,为改善当地其健康水平提供科学依据。方法 通过测量1 897名0~35月龄的儿童的身长/高、体重和897名6~35月龄儿童血红蛋白浓度,获得相关资料,采用一般描述性分析、χ²检验来分析玉树地区3岁以下儿童营养不良和贫血的状况。结果 本次调查发现玉树州3岁以下儿童生长发育迟缓率为12.2%,低体重率为5.6%,消瘦率为4.7%,营养不良率为17.0%。18~23月龄儿童营养不良患病率较高。6~35个月儿童贫血患病率为64.7%,海拔较高地区的儿童贫血患病率较高。结论 玉树州3岁以下儿童营养不良和贫血问题需得到关注和重视,需要制定综合干预措施对目标人群进行干预。

Objective To investigate the health status of children under 3 years old,to understand the status of malnutrition and anemia of children under 3,and to provide scientific basis for further improve the health status of the Tibetan children in Yushu Tibetan Autonomous Prefecture. Methods The physical examination results on height and weight of 1 897 children at 0~35 months and hemoglobin measurement of 897 children at 6~35 months were collected.Descriptive analysis and chi-square tests were analyzed. Results The result showed proportion of children with malnutrition under 3 was 17%,proportion of stunting was 12.2%,proportion of low weight was 5.6%,rate of weight loss was 4.7% in surveyed area.Results show that children who were at 18~23 months had a higher prevalence of stunting.Meanwhile,prevalence of anemia amongst children of 6~35 months was 64.7%,and children who lived at higher altitude had a higher prevalence of anemia. Conclusions To address children health issue in Yushu prefecture,especially malnutrition and anemia,comprehensive intervention should be conducted to promotion local children health status.