扎一下手指，就知道孩子缺不缺钙——绝大多数城里孩子都做过这样的检测。然而，业内人士却坦言，查血钙是最“坑爹”的体检项目，微量元素检测基本没有意义。

Pierced the finger,Will know that children lack is not short of calcium, the vast majority of the city children are doing such a test.however,The personage inside course of study but said,Check blood calcium is the most"Pit dad"Medical project,Trace element detection basic has no meaning.

　　微量元素，在人体内的含量少到以毫克计算，却是困惑数亿家长的大心病：孩子到底缺不缺？该不该查？记者调查发现，正因为这些谜团的存在，一些机构浑水摸鱼，动不动推介家长给孩子验血检测。

Trace elements,In the body of the little content to mg calculation,It is confused hundreds of millions of parents' big heart:The children can't do without missing?This shouldn't check?Reporter survey found,Because of the existence of these mysteries,Some institutions fished in troubled waters,Often parents give children to promote blood test.

　　不靠谱的微量元素检测大行其道 By spectrum of trace element detection is popular

　　“微量元素检测，除了血铅外，其它项目没有一点价值。”一家三甲综合医院检验科医生小鲁举例说：“查血钙是史上最坑人的项目。人体只有1%的钙在血液中，身体的自我调节会保持血钙值相对恒定，身体即便‘缺钙’也很难在血液中得到体现，所以通过查血钙的方式确定是否缺钙的做法很荒谬。”

"Trace element detection,In addition to blood lead the,Other projects had no value."A top general hospital clinical laboratory doctor lu small, for example:"Check blood calcium is the most in the history of deceptive project.The human body only 1% of the calcium in the blood,The body's self adjusting will keep blood calcium value relatively constant,Body even‘acalcerosis’Also it is difficult to be reflected in the blood,So through the check blood calcium way to determine whether the practice of calcium is very ridiculous."

　　钙在人体内的含量虽不属微量，但它经常和其他微量元素放在一起检测。这种检测几乎是儿童、尤其是婴幼儿家长必谈的话题，许多医疗机构将这一项目纳入为儿童保健的必备内容。记者日前调查北京一家特级幼儿园的两个班，其中96%的学生都检测过微量元素，近70%测过多次，有一半是在社区医疗机构测的。

The content of calcium in the body is not of the trace,But it often and other trace elements together detection.This test is almost children/Especially infants parents will talk about the topic,Many medical institutions will be included in the project for children's health care the necessary content.Reporters recently survey a Beijing superfine kindergarten two classes,96% of the students are testing a trace elements,Nearly 70% had many measurement,Half is in the community medical institutions of the measurement.

　　北京的一些社区医疗机构，孩子做常规体检、接种疫苗时就会给测微量元素。如在马家堡社区卫生服务中心建档保健的婴幼儿，5个月、8个月和一岁半要各测一次微量元素。内蒙古、四川、吉林等许多地方的医疗机构也都主动给孩子检测微量元素。

Some of Beijing's community medical institutions,Children do regular physical examination/The time of the vaccine will give measuring trace elements.As in fort ma's community health service center bookbuilding care of the baby,Five months/8 months and one and a half to each measuring a trace elements.Inner Mongolia/sichuan/Jilin and many other local medical institutions are also active give children detecting trace elements.

　　北京、上海等城市大部分医院都有微量元素检测业务。一些医院检验科医生指出，检测大部分是医生主动开的，家长以为是例行检查，一般都没有异议。上海儿童医学中心儿保科副主任李斐说，临床上约三分之一是家长主动要求测的。

Beijing/Shanghai and other cities most of the hospital has trace element detection business.Some hospital clinical laboratory doctors say,Detection most is a doctor active open,Parents thought it was a routine check,Generally no objection.The Shanghai children's medical heart in the vice director of division of LiFei said,Clinical go up about one-third of parents is active request of measurement.

　　据记者了解，目前国内微量元素检测的内容主要包括铜锌钙镁铁铅。检测的方式包括测头发、测尿液、采指血、抽静脉血等，其中后两种居多。

According to reporter understanding,The current domestic detection of trace elements content mainly includes the copper zinc calcium magnesium iron lead.Detection way including measuring hair/Test urine/Mining refers to the blood/Phlebotomize, etc,The last two is in the majority.

　　亚洲儿科营养联盟主席、中国医师协会儿童健康专业委员会主任委员丁宗一直言：“近20年来，国内微量元素检测的方式花样百出，但检测结果都不靠谱。”他指出，微量元素检测对仪器和实验室的环境要求非常高，不是一般的医院实验室能做到。所以国外基本不查，孩子没病不会给抽血。

Asian pediatric nutrition union chairman/The Chinese medical doctor association children's health professional committee of the chairman of the committee DingZongYi the truth:"Nearly 20 years,Domestic trace element detection way pattern,But the test results are not by spectrum."He pointed out that,Trace element detection to the instrument and laboratory environment require very high,Is not general hospital laboratory can do it.So foreign basic don't check,Children have no disease won't give blood.

　　“这种检测确实没必要。”北京协和医院儿科主任宋红梅说，国内外关于微量元素检测至今没有一个公认的权威方法。即便是查静脉血，也只是血液水平，而不代表身体内的含量。

"The test didn't really necessary."Beijing union medical college hospital department of pediatrics director SongGongMei said,Both at home and abroad about the trace element detection has not been a recognized authority method.Even check venous blood,Is blood level,And don't represent the content of inside the body.

　　正因此，北京协和医院没有将微量元素检测纳入孩子的体检，北京大学第一医院自2008年7月起也取消了这一业务。

Is so,Beijing union medical college hospital no will trace element detection into the child's physical examination,The first hospital, Beijing university, since July 2008 also cancelled the business.

　　利益催“大”微量元素 误导滥补藏有隐患 Interests push"big"Trace elements for misleading abuse with hidden trouble

　　明知结果不靠谱，为何还要开展检测？“非常纠结，也很无奈。”某三甲妇幼保健院检验科医生小苏说，医院领导要求开展检测，创收是重要原因。这是问题的根源，医务人员必须考虑生计。

Knowing the results by spectrum,Why still need to open the test?"Very ravel,Is also very helpless."Top a maternal and children health care centers of clinical laboratory doctor little su said,The hospital leadership requirements to carry out inspection,Revenue is an important reason.This is the root of the problem,Medical staff must consider livelihood.

　　小鲁也表示：“除血铅外，所谓的微量元素检测除了有经济意义外无任何临床意义。医院之所以开展有的是因为儿科医生和医院管理层对微量元素检测存在错误认识；有的是即使知道真相也不会主动戳穿这个事情，毕竟增加一个检测项目就可以多赚钱”。

Small lu also said:"In addition to blood lead the,The so-called trace element detection in addition to have the economic meaning outside without any clinical significance.The hospital is to carry out partly because pediatric doctors and hospital management to trace element detection errors know;Have a plenty of even know the truth won't active expose this thing,After all, add a detection project can make more money".

　　据记者调查，我国各地微量元素检测基本都是自费，一次检查五项(除铅外)费用低的40元左右，高的近100元。

According to the reporter investigation,Our country trace element detection basic it is at one's own expense,A check of the five(In addition to lead the)Low cost 40 yuan,High nearly 100 yuan.

　　小苏告诉记者，目前医院用的主要是国产试剂，五项检查成本厂家报价7元多，再加上仪器损耗以及人工等成本，这一项目的盈利虽不算太大，但它量大。他所在医院每天就有150个左右标本，每年幼儿园体检还有很多额外的标本，全年将近6万个标本。

Little su told reporters,At present hospitals are mainly domestic reagent,Five check cost manufacturers offer more than 7 yuan,Plus instrument loss and artificial cost, etc,This project profitability is not too big,But it big.In his hospital every day about 150 specimens,Every year the kindergarten physical examination and a lot of extra specimen,The nearly 60000 specimens.

　　“微量元素检测纯属炒作。除医院外，最大的赢家就是那些卖补品的商家，还有检测仪器和试剂的生产厂家。”小鲁说，这是一个产业链。

"Trace element detection is hype.In addition to the hospital,The biggest winners are those who sell the merchants of supplements,And testing instrument and reagent manufacturers."Small lu said,This is a industrial chain.

　　微量元素检测的滥用，再加上“孩子不吃饭，补锌是关键”“钙锌同补，增强吸收”等广告的轰炸，使部分医生和家长深陷迷局。一些临床医生不了解真相，过于依赖化验单看病；一些家长主动要求检测微量元素，如果医院不能测，还会认为医院水平差。这些使得孩子滥补微量元素在所难免。

Trace element detection of abuse,plus"Children don't eat,Zinc patching is the key""Calcium zinc with complement,Enhanced absorption"Advertisement etc bombing,That part of the doctors and parents bureau in fan.Some clinical doctors don't know the truth,Reliance on laboratory sheet to see a doctor;Some parents ask for detection of trace elements,If a hospital can't test,Will also think hospital level difference.These make up the child abuse trace element unavoidable.

　　家住呼和浩特新城区的赵海燕说，孩子在防保站花了80元检测，结果略微缺锌，医生给开了150元的补锌冲剂。北京丰台区的王女士听说孩子缺锌和钙，一口气买了8盒保健品，花费数百元。

Live in new ZhaoHaiYan of Hohhot said,Children in FangBao station spent 80 yuan detection,Results slightly lack zinc,The doctor gave away 150 yuan infusion of zinc patching.Beijing fengtai district of wang heard children lack zinc and calcium,Breath bought eight box of health care products,Spend hundreds of yuan.

　　业内人士指出，不仅检测、开药增加家长的负担，更令人担忧的是，拿不靠谱的检验结果去指导用药，其中潜藏隐患。如补钙过量会高钙血症、脏器组织钙化等；锌过量则会导致孩子胃肠道不适。

The personage inside course of study points out that,Not only testing/Prescribe increase the burden of parents,More worrying is,Take the test results without spectrum to guide medicine,The hidden dangers lurk.Such as calcium too much can hypercalcemia/Organ organization calcification, etc;Zinc too much may cause the child to have the gastrointestinal discomfort.

　　微量元素检测禁令遭遇“软执行” 惩罚违规应有“硬措施” Trace elements testing ban encounter"Soft execution" Punish illegal due"Hard measures"

　　“微量元素被人为夸大，一个有良知、有职业修养的医生不应该开这个检查。”丁宗一说。微量元素检测的泛滥，给孩子的成长人为设置了“暗礁”。

"Trace elements are artificially exaggerate,A conscience/Have professional training of doctors should not open this check."DingZongYi said.Trace element detection flood,To a child's growth people set up"reef".

　　其实，早在2009年，卫生部就专门下发文件要求：“除血铅检测外，医疗机构临床实验室不得开展其他重金属和类金属的临床检测，不得出具临床检测报告。”这一规定在现实中明显遭遇“软执行”，凸显了监管的乏力。

In fact,As early as in 2009,The ministry of health issued documents is special requirement:"In addition to blood lead detection outside,A medical institution clinical laboratory shall not carry out any other heavy metals and metalloid clinical detection,Shall not produce clinical test report."The provisions in the reality with obvious"Soft execution",Highlights the weakness of supervision.

　　受访专家指出，首先，卫生部门应加强对医疗机构的监管，规范其诊疗行为，废弃不合理、不科学的检查；医生要有正确意识，要负责任，合理开出各种检验申请，对违反规定的医疗机构和医生应有可操作性的处罚措施。同时要加强培训，提高医生专业知识水平和业务能力，尤其是基层医生。

Of experts point out that,First of all,Health department should strengthen the supervision of the medical institution,To standardize the behavior of diagnosis and treatment,Abandoned not reasonable/Don't scientific inspection;The doctor should have correct consciousness,Be responsible,Reasonable open various inspection application,In violation of the regulations for medical institutions and the doctor should have operability of punishment measures.At the same time to strengthen training,Improve the doctors professional knowledge level and professional ability,Especially the grass-roots the doctor.

　　宋红梅表示，医生不能“纸上看病”。如关于孩子微量元素是否缺乏，不能简单地凭检测结果做出判断并开药，更重要的是看孩子的临床症状、饮食情况以及病史等综合考虑。“孩子只要是正常饮食，不偏食，没有先天代谢缺陷，以现在的生活条件一般不缺微量元素；婴幼儿时期按医嘱适当补充些维生素D和钙即可，而没必要检测。”

SongGongMei said,The doctor can't"Paper to see a doctor".Such as the child is the lack of trace elements,Can't simply by test results judgement and prescribe,More important is to see the child's clinical symptoms/Diet history and comprehensive consideration."Child as long as it is normal diet,a,No innate metabolic defect,With the present living conditions generally does not lack of trace elements;Baby period according to the doctor's advice appropriate added some vitamin D and calcium can,And don't need to test."

　　其次，要对家长进行宣教，正确引导，减少盲从性。“与其给孩子补微量元素，不如给家长多补补营养知识。”北京大学第一医院妇产儿童医院副主任医师刘景城说。

secondly,To parents mission,The correct guidance,Reduce bigotry sex."Rather than the child USES trace elements,As for parents and mend more nutritional knowledge."The first hospital, Beijing university, and children's hospital of doctor of vice director of LiuJingCheng said.

　　丁宗一也表示，家长不应太关注微量元素检测结果是否正常，而应该多关注些这样的问题：了解各种食物中都含有哪些微量元素，含有哪些营养素，如何搭配好一日三餐。

DingZongYi also said,Parents should not be too concerned about trace element test results is normal or not,But should pay more attention to these problems:A knowledge of the various foods contain what trace elements,Contain what nutrients,How to match good three meals a day.

　　此外，专家们还指出，相关部门应严格监管补充微量元素药品、保健品的不实广告宣传，以免公众被误导。政府部门、社会、家庭等各方应携手，消除儿童成长过程中人为增添的烦恼。(记者周婷玉、张丽娜、仇逸)

In addition,Experts also pointed out,Relevant departments shall strictly supervision trace element supplement for drugs/Health care products of the false advertising,In order to avoid the public was misleading.Government departments/social/The family, as well as the parties shall hand in hand,Eliminate children grow artificial add troubles.(Reporter ZhouTingYu/ZhangLiNa/QiuYi)