[1]邢瑞青,王箐,邹海,等.西安地区成人贫血状况调查分析[J].现代检验医学杂志,2015,30(06):121-124.[doi:10.3969/j.issn.1671-7414.2015.06.037]
 XING Rui-qing,WANG Jing,ZOU Hai,et al.Investigation of Anemia among Adults in Xi’an Area[J].Journal of Modern Laboratory Medicine,2015,30(06):121-124.[doi:10.3969/j.issn.1671-7414.2015.06.037]
点击复制

西安地区成人贫血状况调查分析()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年06期
页码:
121-124
栏目:
检验与临床
出版日期:
2015-12-30

文章信息/Info

Title:
Investigation of Anemia among Adults in Xi’an Area
作者:
邢瑞青王箐邹海秦爽樊爱玲郑善銮彭道荣
第四军医大学附属西京医院临床实验研究所,西安710032
Author(s):
XING Rui-qingWANG JingZOU HaiQIN ShuangFAN Ai-lingZHENG Shan-luan PENG Dao-rong
Research Institute of Clinical Laboratory Medicine of PLA, Xijing Hospital,Fourth Military Medical University,Xi’an 710032,China
关键词:
贫血血红蛋白患病率调查
分类号:
R446.111
DOI:
10.3969/j.issn.1671-7414.2015.06.037
文献标志码:
A
摘要:
目的通过对西安地区居民贫血状况的调查,了解该地区贫血的流行情况,以便有针对性的采取预防措施,提高居民的健康水平。方法选择2014年2月~5月参加中国健康人群参考区间建立的西安市10个社区20~80岁成人作为调查对象,采用多阶段分层随机抽样的方法,在知情同意的原则下,随机抽取620人对其进行问卷调查,体检并采血,分别进行血液常规、血清铁蛋白、叶酸及维生素B12的检测。结果①西安地区成人总贫血患病率为8.5%,男性和女性贫血患病率分别为3.3%和12%,差异具有统计学意义(χ2=12.3,P<0.05)。②同一年龄组不同性别比较,女性20~39,40~59岁年龄组患病率显著高于男性(χ2=14.5,13.3,P<0.05);同一性别不同年龄组比较,各年龄组差异无统计学意义(χ2=1.8,3.9,P>0.05),女性贫血患病率20~39年龄组最高,男性≥60最高。③西安地区成人贫血类型主要为小细胞低色素性贫血,其构成比显著高于其他贫血类型(χ2=30.1,P<0.05),占贫血总数的47.2%。④贫血人群中,贫血女性血清铁蛋白水平显著低于正常女性及贫血男性人群(F=65.1,P<0.05),而血清叶酸和维生素B12水平各组差异并无统计学意义(F=33.9,8.8,P>0.05)。结论西安地区成人贫血患病率总体较低;20~39岁女性和≥60岁男性为贫血的高发人群;该地区贫血类型主要为小细胞低色素性贫血。
Abstract:
ObjectiveThrough this investigation to know about the epidemiology of anemia among adults in Xi’an area,take measures to control this disease and improve the healthy of people.Methods620 people in 20~80 years old in ten community of Xi’an who involved in the establishment of reference interval for healthy Chinese people during 2014.02 and 2014.05 were selected as research subjects by way of multi-stage cluster random sampling method.All people in this investigation must pass through questionnaire and physical examination.Blood specimen were collected.The whole blood were detected and blood serumferritin,folic acid,vitaminB12 were analyzed.Results①The total prevalence of anemia in this area of Xi’an was 8.5%.The prevalence rate of female (12%) was higher significantly than male (3.3%)(χ2=12.3,P<0.05).②Compared to the male in the same age,the prevalence rates of female in 20~39 and 40~59 were both higher significantly than male (χ2=14.5,13.3,P<0.05) and the prevalence rate of female and male had no differences among age groups in the same gender (χ2=1.8,3.9,P>0.05) and the highest prevalence rate of male and female were found in≥60 and 20~39 respectively.③The mail type of anemia among adults in the area of Xi’an was small cell and low pigments (47.2%) and the constituent ratio of this type was higher than other types of anemia (χ2=30.1,P<0.05).④Compared to the healthy controls and males in anemia,the serum level of ferritin in female was lower significantly (F=65.1,P<0.05),but the serum level of folic acid and vitaminB12 had no statistical difference between groups (F=33.9,F=8.8,P>0.05).ConclusionThe prevalence of anemia among adults in the area ofXi,an appeared as average level and the type of anemia was maily small cell and low pigments.The highest prevalence rate of anemia in female and male were respectively gathered in 20~39 and ≥60.

参考文献/References:

[1]WHO/UNICEF/UNU.Iron deficiency aneamia:assessment,prevention and control[S].Geneva,World Health Oragnization,2001(WHO/NHD/01.3):251.
[2]中华人民共和国卫生部,中华人民共和国科学技术部,中华人民共和国国家统计局.中国居民营养与健康现状(最新版)[Z].北京:2002. National Health and Family Planning Commission of the People's Republic of China,Ministry of Science and Technology of the People's Republic of China,National Bureau of Statistics of the People's Republic of China.The nutrition and health status of the Chinese people(the latest format)[Z].Beijing:2002.
[3]黄劲柏,苏明珍,陆雯静.妊娠妇女不同孕期血清叶酸,维生素B12和铁蛋白检测及其临床意义[J].医学检验与临床,2014,25(1):17-18,2. Huang JB,Su MZ,Lu WJ.Serum folic acid,vitamin B12 and ferritin detection of pregnant women in different pregnancy and its clinical significance[J].Medical Laboratory Science and Clinics,2014,25(1):17-18,2.
[4]Oken E,Duggan C .Update on micronutrients:iron and zinc[J].Curr Opin Pediatr,2002,14(3):335-350.
[5]常春康,张曦,肖超,等.铁调素的表达与调节机制研究进展[J].中国实验血液学杂志,2012,20(4):1030-1033. Chang CK,Zhang X,Xiao C,et al.Research advances of hepcidin expression and its regulation mechanism-review journal[J].J Experimental Hematology,2012,20(4):1030-1033.
[6]李春陵,杨冬花.老年慢性阻塞性肺疾病稳定期合并贫血患者铁调节素,血清转铁蛋白受体和降钙素原水平[J].中国老年学杂志,2013,33(23):5992-5993. Li CL,Yang DH.Hepcidin,serum transferrin receptor and calcitonin original levels of senile patients in chronic obstructive pulmonary disease stable phase with anemia[J].Chinese Journal of Gerontology,2013,33(23):5992-5993.
[7]谢妮娅,罗保琴.60岁以上老年贫血183例临床分析[J].中国现代医生,2010,48(28):139-140. Xie NY,Luo BQ.The clinical analysis of 183 anemia cases for old pepole aged over 60[J].China Modern Doctor,2010,48(28):139-140.
[8]景晔,陆光生,王莉,等.天津地区18~60岁人群贫血流行病学调查[J].解放军预防医学杂志,2012,30(6):406-408. Jing Y,Lu GS,Wang L,et al.Epidemiological study of anemia in 18~60 years old population in Tianjin area[J].J Prev Med Chin PLA,2012,30(6):406-408.
[9]李勇.营养与食品卫生学[M].北京:北京大学医学出版社,2005:112-115. Li Y.Nutrition and food hygiene[M].Beijing:Peking University Medical Press,2005:112-115.

相似文献/References:

[1]吴凤琪,靳宝英,刘震忠.慢性呼吸衰竭贫血患者血清EPO检测与临床意义[J].现代检验医学杂志,2015,30(06):125.[doi:10.3969/j.issn.1671-7414.2015.06.038]
 WU Feng-qi,JIN Bao-ying,LIU Zhen-zhong.Serum EPO Levels and Clinical Significance in Chronic Respiratory Failure Patients with Anemia[J].Journal of Modern Laboratory Medicine,2015,30(06):125.[doi:10.3969/j.issn.1671-7414.2015.06.038]
[2]杨 柯a,郭晓宇b,欧剑锋a,等.外周血粒细胞CD55,CD59和FLAER检测在贫血及PNH诊断中的意义[J].现代检验医学杂志,2017,32(03):6.[doi:10.3969/j.issn.1671-7414.2017.03.002]
 YANG Kea,GUO Xiao-yub,OU Jian-fenga,et al.Diagnostic Significance of Detecting Peripheral Blood Granulocyte CD55/CD59 and FLAER in Anemia and PNH[J].Journal of Modern Laboratory Medicine,2017,32(06):6.[doi:10.3969/j.issn.1671-7414.2017.03.002]
[3]郝婷婷,温彦丽,戴光荣,等.血清尿素氮水平与上消化道出血关系的研究[J].现代检验医学杂志,2017,32(03):86.[doi:10.3969/j.issn.1671-7414.2017.03.023]
 HAO Ting-ting,WEN Yan-li,DAI Guang-rong,et al.Research on Relationship of Serum Urea Nitrogen Level and Upper Gastrointestinal Bleeding[J].Journal of Modern Laboratory Medicine,2017,32(06):86.[doi:10.3969/j.issn.1671-7414.2017.03.023]
[4]王 尉,高志琪.慢性肾病贫血患者血清NGAL水平与缺铁状态的临床相关研究[J].现代检验医学杂志,2017,32(03):119.[doi:10.3969/j.issn.1671-7414.2017.03.032]
 WANG Wei,GAO Zhi-qi.Clinical Study on NGAL and Iron Status in Patients with Chronic Renal Anemia[J].Journal of Modern Laboratory Medicine,2017,32(06):119.[doi:10.3969/j.issn.1671-7414.2017.03.032]
[5]左二冬,代 卫,陆 晔,等.放疗相关性贫血患者血清Hepcidin,EPO 表达特征[J].现代检验医学杂志,2020,35(02):43.[doi:10.3969/j.issn.1671-7414.2020.02.013]
 ZUO Er-dong,DAI Wei,LU Ye,et al.Expression Features of Serum Hepcidin and EPO in Tumor Patients withRadiotherapy-Related Anemia[J].Journal of Modern Laboratory Medicine,2020,35(06):43.[doi:10.3969/j.issn.1671-7414.2020.02.013]
[6]王笑笑,冯欣宇,周水森,等.HemoCue@hb301仪检测人血红蛋白在现场调查中的适用性研究[J].现代检验医学杂志,2021,36(01):100.[doi:10.3969/j.issn.1671-7414.2021.01.025]
 WANG Xiao-xiao,FENG Xin-yu,ZHOU Shui-sen,et al.Evaluation of the Application of HemoCue@hb301 for the Human Hemoglobin Detection in the Field Investigation[J].Journal of Modern Laboratory Medicine,2021,36(06):100.[doi:10.3969/j.issn.1671-7414.2021.01.025]

备注/Memo

备注/Memo:
作者简介:邢瑞青(1982-),女,住院医师,主要从事临床免疫学检验及临床相关疾病的研究工作,E-mail:xrqing210b@163.com。 通讯作者:彭道荣(1962-),女,副主任技师,主要从事临床免疫学检验及临床相关疾病的研究工作,E-mail:daorongp@aliyun.com。
更新日期/Last Update: 1900-01-01