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1、152中国儿童保健杂志2009年04月第17卷第2期CJCHCApr.2009,Vol17,No.2文章编号:10086579(2009)02015202科研论著铁强化营养午餐对改善学生缺铁性贫血的作用观察122211肖延风,王如文,梅建,宋欣,邬德东,郑纯礼(1西安交通大学医学院第二附属医院儿科,陕西西安710004;2中国儿童中心,北京100035)中图分类号:R153.2文献标识码:A摘要:目的观察铁强化大米对改善学生缺铁性贫血的作用。方法按照随机、双盲法将228例缺铁性贫血学生分为强化组和对照组,分别食用铁强化大米或普通大米的营养午餐。治疗前后测查血
2、红蛋白(Hb)和血清铁蛋白(serumferritin,SF)。结果!强化组在铁强化营养餐后Hb∀120g/L占71.55%(78/109),对照组占40.91%(45/110);强化组Hb∀125g/L占60.55%(66/109),对照组占30.0%(33/110),差异均有显著性。干预后强化组Hb均值较干预前明显增高;对照组Hb均值也有提高,但低于强化组,两组比较差异有显著性;#强化组SF水平显著增长,对照组SF也有增长,但强化组的SF值显著高于对照组的SF值,差异有显著性(P<0.05)。结论铁强化大米能纠正学生的缺铁性贫血,提高体内的铁储存。关键词:铁强化大
3、米;缺铁性贫血;学生;午餐Effectivenessoflunchironfortifiedriceonstudentswithirondeficiencyanemia.XIAOYanfeng1,WANGRuwen2,MEIJian2,SONGXin2,WUDedong1,ZHENGChunli1.(1DepartmentofPediatrics,theSecondAffiliatedHospitalofMedicalCollege,Xi'anJiaotongUniversity,Xi'an,Shaanxi710004,China;2ChinaNationalChi
4、ldrenCenter,Beijing100035,China)Abstract:ObjectiveToevaluatetheeffectofironfortifiedriceonstudentswithirondeficiencyanemia.Methods228studentswithirondeficiencyanemiaweredividedintotwogroupsbyarandomized,doubleblindedmethod.Fortifiedgroupreceivedtreatment,whichwastheironfortifiedricel
5、unch.Controlgroupreceivedtheplacebo,whichwasidenticalbutnotfortified.Hemoglobin(Hb)andserumferritin(SF)weremeasuredbeforeandaftertreatment.Results!Aftertreatmenttherewererespectively71.5%(78/109)and40.9%(45/110)studentswithHb∀120g/Linthefortifiedgroupandthecontrolgroup.Therewere60.55%(6
6、6/109)studentswithHb∀125g/Linthefortifiedgroup,30.0%(33/110)studentswithHb∀125g/Linthecontrolgroup.ThemeanofHbwassignificantlyincreaseaftertreatmentthanbeforetreatmentinthefortifiedgroup.TheelevationofHbmeanwassignificantlyhigherinthefortifiedgroupthanthatincontrolgroup.#SFmeanincreasedafte
7、rtreatmentinthefortifiedgroup.TheelevationofSFmeanwassignificantlyhigherinthefortifiedgroupthanthatincontrolgroup.ConclusionTheironfortifiedriceiseffectiveintreatmentingirondeficiencyanemiaandimprovingironstatus.Keywords:ironfortifiedrice;irondeficien
