宝鸡市孕产妇贫血患病状况分析  

Analysis on prevalence of anemia among pregnant women in Baoji city

作　　者：王青[1] 刘燕[1] 扈玉婷[1] WANG Qing LIU Yan HU Yu-Ting(Department of Obstetrics, Baoji Traditional Chinese Medicine Hospital, Baoji , Shaanxi 721001, China)

机构地区：[1]宝鸡市中医医院产科,陕西宝鸡721001

出　　处：《中国妇幼保健》2017年第20期5090-5092,共3页Maternal and Child Health Care of China

摘　　要：目的了解宝鸡市孕产妇贫血状况,比较不同分娩方式、不同特征对孕产妇贫血状况的影响,为临床提供科学依据。方法选取2016年1-12月在宝鸡市中医医院妇产科进行产前检查、分娩的孕产妇为研究对象,检查并分析分娩前后、不同分娩方式孕产妇血常规指标变化情况,比较不同特征孕产妇贫血率。结果 677例孕产妇中顺产380例,剖宫产例297例,分娩前血常规至分娩后3 d血常规指标比较差异有统计学意义(P<0.05),顺产产妇和剖宫产产妇血常规比较,除HCT分娩后降低(P<0.05),其余指标差异无统计学意义(P>0.05);全市孕产妇孕早期贫血率为17.21%,孕中期贫血率为36.25%,妊娠晚期贫血率为51.55%,产妇分娩后3 d贫血率为84.93%(其中轻度贫血24.82%,中度贫血58.35%,重度贫血1.77%),瘢痕子宫产妇术后3d贫血率为95.40%,高于其他剖宫产产妇(P<0.05)。结论宝鸡市孕产妇产前、产后血常规指标发生改变,顺产和剖宫产对血常规指标改变一致,全市孕产妇贫血率较高,且瘢痕子宫术后进一步加剧了孕产妇贫血状况,需要关注孕产妇贫血状况,进一步提高孕产妇孕前、孕期及产后的健康保健水平,降低孕产妇贫血发生率。Objective To investigate the prevalence of anemia among pregnant women in Baoji city, compare the effects of different de- livery modes and characteristics on prevalence of anemia, provide a scientific basis for clinical treatment. Methods The pregnant women receiving prenatal examination and parturition in Department of Gynecology and Obstetrics of the hosital from January to December in 2016 were selected. The changes of blood routine indexes of pregnant women of different delivery modes before and after delivery were detected and analyzed. The incidence rates of anemia among the pregnant women of different characteristics were compared. Results Among 677 preg- nant women, 380 pregnant women underwent vaginal delivery, and 297 pregnant women underwent cesarean section. There were statistically significant differences in blood routine indexes between before delivery and at three days after delivery （ P〈0. 05 ） . Compared with the preg- nant women undergoing cesarean section, HCT decreased after delivery among the pregnant women undergoing vaginal delivery （ P〈0. 05 ） , but there was no statistically significant difference in the other blood routine indexes （ P〉0.05 ） . In Baoji city, the incidence rates of anemia among the pregnant women during the first, the second, and the third trimesters of pregnancy were 17.21%, 36. 25%, and 51.55% , re- spectively. At three days after delivery, the incidence rate of anemia was 84. 93% , the incidence rates of mild, moderate, and severe anemi- a were 24. 82% , 58.35% , and 1.77% , respectively. The incidence rate of anemia at three days after delivery among the women with scarred uterus was 95.40% , which was statistically significantly higher than that among the women undergoing cesarean section （ P〈0.05 ） . Conclusion Blood routine indexes before and after delivery change in Baoji city, the changes of blood routine indexes among the women un- dergoing cesarean section and vaginal delivery are the same, the incidence rate of anemia among the pregnan

关 键 词：孕产妇 贫血 分娩方式 

分 类 号：R173[医药卫生—妇幼卫生保健]