【目的】 了解洛江区集体儿童的营养及健康状况,为加强和改进托幼机构的卫生保健工作提供依据,为中国城镇化发展过程中相似地区的儿童保健提供参考。 【方法】 对洛江区全区32所托幼机构5 795名2~7岁集体儿童进行健康检查及实验室检查,对托幼机构的保健员配备、疾病防治情况、卫生保健设施及制度进行统计比对。 【结果】 2010年洛江区集体儿童低体重、发育迟缓、消瘦的检出率分别为2.97%、1.78%、1.21%,肥胖儿童检出率为2.35%,龋齿、贫血检出率分别为41.29%、8.09% ,公办与私立园之间在低体重、发育迟缓、消瘦、龋齿、贫血检出率存在差异,各年龄组儿童肥胖、贫血、龋齿检出率差异有统计学意义。 【结论】 洛江区集体儿童营养及健康状况仍不理想,私立园中的儿童的营养及健康状况较公办园存在显著差距,应当切实采取措施,加强对不同性质托幼机构的监管及膳食指导,同时加强本地区科学喂养知识宣教,改变家长不良育儿习惯。

【Objective】 To understand the health status of collective children in Luojiang in 2010, provide a scientific basis for improving the level of health service. 【Method】 5 795 children in 32 kindergartens and nurseries in Luojiang were detected to survey the collective children. 【Results】 Detection rate of the overall incidence of underweight was 2.97%, growth retardation was 1.78%, emaciated was 1.21%, overweight was 2.35%. Detection rate of dental caries and hypohemia were 41.29% and 8.09%. There were significant differences in health status of collective children between public and private kindergartens and nurseries. There were significant differences in the detection rates of dental caries, hypohemia and overweight between different age level. 【Conclusions】 The health status of collective children in Luojiang is not in very good level , especially, there is still a lot of problems in private running kindergartens and nurseries. The health services organizations still have a lot of work to do to improve manage level of kindergartens and nurseries and the health knowledge of the parents. The information of this survey provides important guidance for improving the working quality of children health care in city like Luojiang.