妊娠期贫血原因分析及贫血时对母婴的影响  

Analysis of Anemic Causes During Pregnancy and Its Effects on Mothers and Fetus

作　　者：李诗兰[1] 武淑英[1] 王凯燕[1] 李家滢[1] 唐仪[1] 常虹[1] 聂风娥 

机构地区：[1]北京医科大学第三医院妇产科,北京医科大学营养卫生教研室

出　　处：《临床血液学杂志》1994年第2期54-56,共3页Journal of Clinical Hematology

摘　　要：本文测定２２７例正常初产妇，于不同孕期取静脉血，测定血清铁蛋白（ＳＦ）等６项指标进行追踪观察。结果：孕妇妊娠期铁贮备、血清叶酸（ＦＡ）、维生素（ＶＢ１２），随孕龄增加呈显著性降低；而缺铁性贫血（ＩＤＡ）、巨幼红细胞盆血（ＭＡ）和混合性盆血发生率呈逐渐增高趋势。贫血发生率３０．４％，贫血合并妊高征发生率２７．５４％。作者认为妊娠中、后期补充铁剂、ＦＡ和ＶＢ１２是防治贫血的重要措施。Three parameters about iron nutritional status serum folate and vitaminB12 were observed longitudinally in 227 normal primigravidas fron the first trinester to the third trimester of pregnancy. It showed that the iron store and the concentratio of serum folate and vitaminB12 decread markedly with the progressing of gestation, The incidence of iron deficiency anemia. Megalocytic anemia and iron deficiency, Folate by vitiminB12 deficiency anemia increased as pregnancy progressed. The incidence of pregnancy complicated by anemia is 30.4%. The incidence of anemia complicated by PIH is 27.5%, The resuIts indicated that the iron nutritional status and the concentrations of serum folate and vitaminB12 were closely correlated.It suggested that iron and folate and vitaminB12 supplement should be given at the second and third trimester of pregnancy in order to prevent anemia the pregent women.

关 键 词：妊娠 贫血 孕妇 婴儿 妊娠高血压 

分 类 号：R714.254[医药卫生—妇产科学]