目的探讨分析营养膳食干预对幼儿体格发育的影响。方法采用分层多级整群抽样法对本地区10所幼儿园650名幼儿营养膳食情况进行调查分析，并给予针对性的膳食干预，最后观察干预前后幼儿体格发育情况。结果干预前650名幼儿膳食中热量、蛋白质、锌、维生素A摄入量均达标，而碳水化合物和铁摄入量过高，钙摄入量不足；干预后本组幼儿膳食中各项营养元素均达标。干预前650名幼儿中身高达标占82.0%、体重达标占80.0%，干预后650名幼儿身高达标占96.15%，体重达标占93.08%，干预前后比较<0.05，差异有统计学意义。同时干预后营养不良偏瘦者、肥胖、发育迟缓以及轻度贫血等比例明显低于干预前(<0.05)。结论科学合理的营养膳食对幼儿体格发育具有极大的影响，因此相关部门应加强对幼儿合理营养膳食的干预，以促进幼儿健康成长。

Objective To compare the parenting stress differences between the preschool children with and without anxiety,analyz the relationship between parenting stress in parents and anxiety in preschool children,to provide scientific basis for prevention and intervention of preschool children's anxiety. Methods A sample of 326children aged 3～6were selected from Harbin.Parents were invited to complete the Preschool Anxiety Scale(PAS)and Parenting Stress Index(PSI). Results The proportion of preschool children with anxiety in this surveyed sample was 6.13%,and there was no difference between genders(χ2=2.511,P0.05).The rate of higher level parenting stress was 32.5%.The rate of higher level parenting stress was in preschool children with anxiety than without anxiety(χ2=17.53,P0.05).Total stress score and each of three scales stress score were higher in preschool children with anxiety than without anxiety(P0.05).The scores of parental stress,parent-child dysfunctional interaction and difficult child were positively related with each of dimensions of PAS(P0.05). Conclusions Parents of preschool children with anxiety have more parenting stress.The anxiety problem is correlated with parenting stress in preschool children.

【Objective】 To know the status of anxiety for the children in Harbin and discuss the related factors. 【Methods】 732 children aged 3~6 were randomly selected from two kindergartens using the cluster sampling method in Harbin.Mothers were invited to complete the Preschool Anxiety Scale and related risk factors questionnaire. 【Results】 The research results showed that the proportion of preschool children who had anxiety in this surveyed sample was 14.1%.The gender difference was not significant in anxiety(χ2=0.764,P0.05).The anxiety rate of 3~6 groups children was respectively 16.3%,13.8%,12.6% and 12.3%,there was no statistically significant in the anxiety rate among four age groups by the chi-square test(χ2=1.365,P0.05).There was significant difference among anxiety dimensions scores,the highest was the physical injury fear,followed by separation anxiety(F=90.377,P0.05).The Logistic regression analysis showed that the education background of the mother,the working pressure,the child's character and the view consistency about the problem of the education of the children were significantly associated with preschoolers' anxiety. 【Conclusions】 The prevalence of anxiety is higher in the preschool children of Harbin.The children's character and family factors are associated with the children's anxiety.

Objective:To understand the prevalence and related risk factors of depression in pregnant women during the third trimester of pregnancy,and explore the correlation between spousal intimate relationship and depression in pregnant women during the third trimester of pregnancy.Methods:Intimate bond measure(IBM),self-rating depression scale(SDS),and general questionnaire were used to survey 326 pregnant women during 28-36 gestational weeks.Results:Among 326 respondents,the incidences of depression was 32.5%.There was a negative correlation between care score of IBM and score of depression,but there was a positive correlation between control score of IBM and score of depression(P<0.05).There was a statistically significant difference in the types of spousal intimate relationship between depression group and non-depression group(P<0.05)." Moderate care-low control" accounted for the largest proportion in depression group and non-depression group.In depression group,the proportions of " low care-low control"," high care-high control"," moderate care-high control",and " low care-high control" were statistically significantly higher than those in non-depression group.While in non-depression group,the proportions of " high care-low control" and " moderate care-low control" were statistically significantly higher than those in depression group.Conclusion:Depression exists in pregnant women during the third trimester of pregnancy universally,spousal intimate relationship is closely correlated with depression during pregnancy,more attention should be paid to reducing unhealthy emotions of pregnant women during pregnancy by improving spousal relationship.

OBJECTIVE:This study aimed to investigate the depression status among high-risk pregnancy women, and to analyze its relevant social and psychological factors.METHODS:A total of 42 high-risk pregnancy women and 40 normal pregnancy women in a teaching hospital in Harbin city were followed up at time points of 32 - 36 weeks pregnancy, one week before labor, one week postpartum, and six weeks postpartum, respectively. During follow-up, the basic situation, social psychosocial factors of pregnancy women were collected and the depression of pregnancy women was measured by self-designed questionnaire and self-rating depression scale. The Edinburgh Postnatal Depression Scale (EPDS) was applied at timepoint of one week postpartum. Single factor analysis and the unconditional multivariate logistic regression were applied for analyzing the on the related social-psychosocial factors among high-risk pregnancy women.RESULTS:The age of high-risk pregnancy women was (31.0±5.6), and the age of normal pregnancy women was (30.5±3.8) (t=0.169, P>0.05). The results showed that the depression rate in high-risk pregnancy women was 45.2% (19/42), which was 25.0% (10/40) in normal pregnancy women, the difference was significant (χ2=3.671, P=0.045). The depression rates at different time points were 30.9% (13/42), 42.9% (18/42), 23.8% (10/42), 26.2% (11/42) in high-risk pregnancy women respectively, and 25.0% (10/40), 15.0% (6/40), 20.0% (8/40), 17.5% (7/40) in the control group respectively, the difference of the depression rates among groups at one week before labor was significant (χ2=7.680, P<0.01), the difference among groups at 32-36 weeks pregnancy (χ2=0.133, P=0.80), at one week postpartum (χ2=0.174, P=0.79) and at six weeks postpartum (χ2=0.903, P=0.43) were not significant. At one week postpartum and six weeks postpartum periods, the EPDS depression rate were 12.5% (4/32), 30.4% (7/23) in case group respectively, 8.3% (3/36), 22.9% (8/35) in control group respectively, the difference were not significant (χ2=0.319, 0.416, P=0.573, 0.519). There were significantly associations between the depression mood of one week before labor and the depressive symptoms of six weeks postpartum in both groups (r=0.824, 0.677, both P values were <0.05). The risk factors for maternal depression among high-risk pregnancy women were not ready for production (OR=2.73, P<0.01) and fearing of childbirth safety (OR=2.89, P<0.01).CONCLUSION:The depression date of high-risk pregnancy was high, especially at the time point one week before labor. Risk factors of maternal depression among high-risk pregnancy were "not ready for production" and "fear of childbirth safety".

【Objective】To study the impact of hypertension disorder complicating pregnancy(HDCP) on pregnancy outcome and to investigate the relationship between index of umbilical artery blood flow and pregnancy adverse outcomes.【Method】A prospective survey of 57 HDCP patients and 59 normal pregnant women were selected,the perinatal outcomes were observed,and the index of fetal growth and umbilical artery blood flow were recorded.【Results】In the incidence rates of neonate asphyxia,premature labor,fetal low birth weight,and the index of umbilical artery blood flow,HDCP group were significantly higher than those of normal group(P0.05).Between umbilical artery blood flow and pregnancy outcomes,there was a significant negative correlation.【Conclusions】Adverse pregnancy outcomes and abnormal umbilical artery blood flow indices are more likely to appear in HDCP mothers.Indices of uterine artery flow can predict the occur of adverse pregnancy outcomes.

【Objective】 Exploring relationship among children aged 3～5 and Parental Rearing Styles in Harbin.To study status of neglect among children aged 3～5 in Harbin city,and to provide evidence for prevention measures. 【Methods】 1 148 children's parents with children aged 3～5 years were chosen from eight kindergartens in Harbin with randomly stratified and cluster sampling.They were investigated by the evaluation questionnaire of neglect of urban children aged 3～6 years in china and child rearing practices reports. 【Results】 The total neglect rate was 34.9% and neglect degree was 33.7 among children aged 3～5 in Harbin city,this result was slightly higher than nation's average levels investigated in 2002.There was no significant difference in neglect rate and neglect degree between male and female children.The neglect rate had no significant difference.The protection and worry,encourage achievement of father and mother in parental rearing styles were different.The acceptance,encourage independent,encourage achievement in parental rearing styles with every degree of neglect showed significantly negative correlation.The refuse with physical neglect degree,emotional neglect degree,showed positive correlation.Punishment with medical neglect degree and safety neglect degree showed significantly negative correlation.The scores of acceptance,encourage achievement,punishment,protection and worry,encourage achievement in parental rearing styles was significantly higher than family of neglect. 【Conclusions】 The status of neglect among urban children aged 3～5 years in Harbin is more serious than nation's average levels,and relation between status neglect among children aged 3～5 and Parental Rearing Styles in Harbin are closely related,so relevant departments should pay attention to this issue.