上海市长宁区家长绘制儿童生长曲线图的调查分析

周文莉+万杏花+赵彦红

摘 要 目的：通过由家长参与的个体儿童生长曲线图绘制，让家长实时了解儿童的体格生长规律，合理评估儿童的生长发育。方法：于2012年7月到2013年6月采取整群随机抽样方法，抽取长宁区0～6个月儿童1 571人，培训家长参与儿童生长曲线图的绘制，指导家长实时了解儿童生长发育情况，并在1年后分析家长参与绘制儿童生长曲线图评估表。结果：按年龄测体重生长曲线图看，

关键词 生长曲线 家长 参与 儿童

中图分类号：R72 文献标识码：A 文章编号：1006-1533（2016）16-0048-03

Survey and analysis of parents drawing growth curve of their children in Changning District， Shanghai

ZHOU Wenli1， WAN Xinghua2， ZHAO Yanhong2

（1. Maternal and Child Health Care Hospital of Changning District， Shanghai 200052， China； 2. Zhoujiaqiao Community Health Service

Center of Changning District， Shanghai 200052， China）

ABSTRACT Objective： To let parents understand the physical growth law of children in real time， and reasonably assess childrens growth and development through the parents participating in the individual child growth curve drawing. Methods： From July 2012 to June 2013， 1 571 children between 0 and 6 months were selected in Changning District with the method of cluster random sampling. The parents were trained to participate in children growth curve drawing and guided to understand children growth in real time. After a year， the assessment forms of children growth curve drawn by the parents who participated in were analyzed. Results： According to the weight growth curve of age measurement， the percentage of children < P3 percentile decreased（P<0.05）. According to the weight growth curve of height measurement， the percentage of children < P10 percentile decreased（P<0.05）. The percentage of children of P50-80 and P80-97 percentiles increased（P<0.05）. Conclusion： Guiding the parents to participate in the drawing of the growth curve of the children not only enables them to understand the situation of childrens growth and development in real time， but also is more conducive to promoting the growth and development of children.

KEYWORDS growing curve； parents； participation； children

儿童生长发育状况是反映一个国家或地区的社会经济水平和健康水平的重要指标之一[1]。我国予1995年在对九城市7岁以下儿童体格生长调查的基础上，绘制了中国儿童的生长曲线图[2]。生长曲线图包括按年龄测体重、按年龄测身高、按身高测体重等，生长曲线的绘制能够有效地监测儿童生长发育、营养供给情况，并提示家长改进不合理的喂养方式，是全面评价儿童体格生长发育的一种简便、直观方法，也是评价儿童营养及健康状况最常用的方法。原来生长曲线图一直由医务人员使用，现在让家长通过儿童生长曲线图的绘制和评估，积极主动参与儿童生长发育的过程，使儿童科学育儿知识和观念渗透到每个家庭，以促进儿童全面健康成长。

1 对象与方法

1.1 研究对象

本次研究采用分阶段、随机整群抽样的方法：各社区卫生服务中心，以单位进行整群抽样，于2012年7月到2013年6月调查辖区内定期前来健康检查的0～6个月儿童1 571人，发放生长发育曲线评价图。……