妊娠期贫血对妊娠结局的影响  

Analysis of pregnancy outcome with anemia complicating pregnancy

作　　者：邰雯 马洁桦[1] TAI Wen;MA Jie-hua(The Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, China)

机构地区：[1]南京医科大学附属妇产医院,南京市妇幼保健院,江苏南京210004

出　　处：《武警后勤学院学报（医学版）》2018年第9期765-768,共4页Journal of Logistics University of PAP（Medical Sciences）

基　　金：国家自然科学基金青年项目(81501239)

摘　　要：【目的】探讨妊娠期贫血患者的妊娠结局。【方法】选取南京医科大学附属南京市妇幼保健院2015年1月至2016年4月收治的225例妊娠期贫血患者为贫血组,按照贫血严重程度的不同分为轻度贫血组、中重度贫血组。选取同期收治的225例非贫血的正常的225例孕妇为非贫血组。比较两组孕妇的基本情况、妊娠合并症及妊娠结局,并分析血清铁蛋白与贫血的关系。【结果】贫血组的妊娠期高血压、产后贫血、产后出血、早产以及低体质量出生儿的比例高于非贫血组,差异有统计学意义(P<0.05)。中重度贫血组的妊娠期高血压、产后贫血、产后出血、早产以及低体质量出生儿的比例高于轻度组,差异有统计学意义(P<0.05)。血清铁蛋白正常的孕妇血红蛋白、红细胞计数高于血清铁蛋白较低组,差异有统计学意义(P<0.05)。【结论】妊娠期贫血对孕妇的妊娠结局有不良影响,且贫血越严重,妊娠结局越差,应加强对妊娠期贫血的防治,孕期监测血清铁蛋白的水平,对于水平降低的产妇给予及时治疗。【Objective】To explore the pregnancy outcome in patients with anemia complicating pregnancy.【Methods】A total of 225 cases with anemia complicating pregnancy from January 2015 to April 2016 in Nanjing Maternity and Child Care Center affiliated to Nanjing Medical University were selected as the research subjects and divided into anemia group. According to the severity of anemia, they were divided into mild anemia group and moderate and severe anemia group. A total of 225 cases of non anemia pregnant women were selected at the same time and divided into non anemia group. The basic situation, pregnancy complications and pregnancy outcome between the two groups were compared. The relationship between serum ferritin and anemia was analyzed.【Results】The ratios of pregnancy-induced hypertension, postpartum anemia, postpartum hemorrhage, premature birth and low birth weight in the anemia group were higher than those in the non anemia group, and the difference was statistically significant (P<0.05). The ratios of gestational hypertension, postpartum anemia, postpartum hemorrhage, premature birth and low birth weight infants in the moderate and severe anemia group were higher than those in the mild anemia group, and the difference was statistically significant (P<0.05). The level of hemoglobin and red blood cell count in the normal serum-ferritin group were higher than those in the low serum-ferritin group, and the difference was statistically significant (P<0.05).【Conclusion】Anemia complicating pregnancy has an adverse effect on the pregnancy outcome in pregnant women. The more severe the anemia, the worse the pregnancy outcome. The prevention and treatment of anemia complicating pregnancy should be strengthened, and the level of serum ferritin should be monitored during pregnancy. The pregnant women with low serum-ferritin level should be timely treated.

关 键 词：妊娠期贫血 妊娠结局 血清铁蛋白 血红蛋白 

分 类 号：R714.2[医药卫生—妇产科学]