Thực trạng thiếu máu thiếu sắt ở trẻ từ 6 tháng tới 24 tháng tuổi mắc viêm phổi tại khoa Nhi – Bệnh viện Quốc tế Green=Iron deficiency anemia status in children 6 – 24 months with pneumonia at the pediatrics department of Green Hospital

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Tác giả: Thị Hương Giang Bùi, Vũ Dũng Lưu, Anh Ngọc Nguyễn, Thị Phương Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.51

Bộ sưu tập: Metadata

ID: 242752

Thêm vào giỏ

Background: Pneumonia was the leading cause of death in children under 5 years old. Anemia (especially iron deficiency anemia) was the most common comorbidity in pediatric patients coming to the hospital for examination and treatment, which could be a risk factor for infectious diseases including pneumonia. Objective: To determine the rate of iron deficiency anemia in children aged 6-24 months with pneumonia, the relationship between iron deficiency anemia and pneumonia in children. Method: Cross-sectional descriptive study on 120 patients (60 children aged 6-24 months with pneumonia and 60 controls) coming to the Pediatrics Department of Green International Hospital - Hai Phong for examination and treatment from October 1, 2022 to June 30, 2023. Results: The rate of anemia in the patient group was 40% (of which 83% had iron deficiency anemia). Meanwhile, the rate of anemia in the control group was 21.67%, lower than that in the patient group (p <
0.05). At the same time, the study showed that iron deficiency anemia increased the risk of pneumonia in children with OR = 2.37
p = 0.045. Conclusion: The rate of iron deficiency anemia was quite high in children aged 6 months - 24 months (patient group and control group were 36.7% and 19%, respectively). Iron deficiency anemia increased the risk of pneumonia by 2.37 times compared to children without anemia, and anemia also increased the frequency of recurrent pneumonia.Đặt vấn đề: Viêm phổi là nguyên nhân chính gây tử vong ở trẻ dưới 5 tuổi. Thiếu máu (đặc biệt thiếu máu do thiếu sắt) là bệnh kèm theo phổ biến nhất ở những bệnh nhi tới viện khám và điều trị, đây có thể là một yếu tố nguy cơ của các bệnh lý nhiễm trùng trong đó có viêm phổi. Mục tiêu: Xác định tỉ lệ thiếu máu thiếu sắt ở trẻ 6 – 24 tháng mắc viêm phổi, mối liên quan giữa thiếu máu thiếu sắt và tình trạng viêm phổi ở trẻ. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 120 bệnh nhân (60 bệnh nhi 6 – 24 tháng mắc viêm phổi và 60 đối chứng) đến khám và điều trị tại khoa Nhi bệnh viện Quốc tế Green – Hải Phòng từ 1/10/2022 đến 30/6/2023. Kết quả: Tỉ lệ thiếu máu ở nhóm bệnh là 40% (trong đó 83% thiếu máu thiếu sắt). Trong khi đó, tỉ lệ thiếu máu ở nhóm chứng là 21,67%, thấp hơn so với tỉ lệ trong nhóm bệnh (p <
0,05). Đồng thời, nghiên cứu chỉ ra thiếu máu thiếu sắt làm tăng nguy cơ viêm phổi ở trẻ với OR = 2,37
p = 0,045. Kết luận: Tỉ lệ thiếu máu thiếu sắt khá cao ở trẻ 6 tháng – 24 tháng tuổi (nhóm bệnh và nhóm chứng lần lượt là 36,7% và 19%). Tình trạng thiếu máu thiếu sắt làm tăng khả năng viêm phổi lên 2,37 lần so với bệnh nhi không thiếu máu, đồng thời thiếu máu cũng làm tăng tần suất viêm phổi tái phát.

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