目的 了解0~3岁婴幼儿维生素D的应用现状,分析其影响因素,为指导维生素D的合理应用提供依据。方法 随机抽取2016年1-12月在郑州大学第三附属医院儿童保健门诊进行健康体检和计划免疫的600名0~3岁婴幼儿作为调查对象,采用自制问卷对婴幼儿的主要带养人进行调查。结果 郑州市婴幼儿维生素D制剂的使用率为63.5%,平均添加时间为3月龄,平均停服时间为15月龄。多因素Logistic回归分析显示,婴幼儿年龄(OR＝0.816,95%CI:0.586~0.912)、母亲文化水平(OR＝0.573,95%CI:0.319~0.881)和喂养方式(OR＝0.346,95%CI:0.272~0.874)是影响维生素D制剂应用的因素。结论 维生素D制剂在婴幼儿中应用不规范,建议开展有效的健康教育活动,指导儿童家长合理补充维生素D制剂。

Objective To investigate the rate of vitamin D supplementation and related factors in children under 3 years old. Method A total of 600 children who received planned immunity and health care in child care clinic the Third Affiliated Hospital of Zhengzhou University were randomly selected in this study from January 2016 to December 2016. Self-made questionnaires were used to investigate the application of vitamin D and were filled out by main caregivers. Results The rate of vitamin D supplements for infants in Zhengzhou was 63.5%. Vitamin D supplements were started at 3 months old on average,and were stopped at 15 months old. Multi-factor Logistic regression analysis suggested that age (OR=0.816,95%CI=0.586~0.912),maternal education level (OR=0.573,95%CI=0.319~0.881) and feeding patterns (OR=0.346,95%CI=0.272~0.874) were the factors affecting the application of vitamin D supplements. Conclusions Vitamin D supplements in infants are unreasonable,and health education should be prompted in order to guide children use vitamin D supplements appropriately.