昆明地区妊娠期缺铁性贫血的状况及影响因素分析  

Analysis of the Status and influencing Factors of Iron Deficiency Anemia During Pregnancy in Kunming

作　　者：刘玲艳 朱绍丹 胡晗宇 颜芳[1] 张新梅 董旭东[1] LIU Lingyan;ZHU Shaodan;HU Hanyu;YAN Fang;ZHANG Xinmei;DONG Xudong(Dept.of Obstetrics,The First People’s Hospital of Yunnan Province,The Affiliated Hospital of Kunming University of Science and Technology,Kunming Yunnan 650031;County People’s Hospital of Zhenyuan,Zhenyuan Yunnan 666500,China)

机构地区：[1]云南省第一人民医院/昆明理工大学附属医院产科,云南昆明650031 [2]镇沅县人民医院,云南镇沅666500

出　　处：《昆明医科大学学报》2022年第10期79-83,共5页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学联合专项基金项目(2019FE001-125,2019FE001-290,202001AY070001-288);云南省高层次卫生健康技术人才培养专项基金项目(L-2018006,H-2018045);云南省妇产疾病临床医学研究中心项目(2022YJZX-FC18)。

摘　　要：目的 分析昆明市不同孕周孕妇缺铁性贫血(iron deficiency anemia,IDA)的患病率及影响因素,为该病的防治提供科学依据。方法 问卷调查结合临床资料、实验室检查结果对2021年10月至2022年3月在云南省第一人民医院分娩的493例孕产妇进行研究,统计分析不同孕期铁缺乏(iron deficiency,ID)、IDA的患病率、孕妇的认知行为情况及缺铁性贫血的影响因素。结果 中孕期铁缺乏ID及IDA患病率均最高,孕妇对补铁相关知识掌握不全面,孕妇的学历、产次、孕前BMI、科学补铁的知识行为因素是妊娠期IDA的独立危险因素(P<0.05)。结论 昆明监测医院妊娠期ID、IDA检出率处于较低水平,但仍需结合现代网络教学工具来加强孕产妇科学补铁相关知识的宣教,从而最大程度来改善当地IDA的患病状况,参照国际经验予预防性补铁有望为当地该病的预防带来新的突破。Objective To analyze the prevalence and influencing factors of iron-deficiency anemia among women in different pregnancy stages in Kunming,as so to provide a scientific basis for the prevention and treatment of the disease. Methods A questionnaire survey combined with clinical data and laboratory test results were used to statistically analyze the prevalence of ID,IDA,cognitive behavior,and influencing factors among 493 pregnant women who gave birth in Yunnan First People’ s Hospital from October 2021 to March 2021. Results The prevalence rates of ID and IDA in the second trimester were the highest, and pregnant women had incomplete knowledge about scientific iron supplementation. Factors such as educational background,income,parity,prepregnancy BMI, and knowledge and behavior of scientific iron supplementation were related to iron deficiency anemia during pregnancy(P<0.05). Conclusions The prevalence rate of ID and IDA during pregnancy in Kunming Surveillance Hospital is at a low level,but it is still necessary to combine modern online teaching tools to strengthen the education of iron supplementation-related knowledgein maternity and obstetrics. Referring to international experience,preventive iron supplementation is expected to bring new breakthroughs in the prevention of this disease.

关 键 词：妊娠期 缺铁性贫血 血清铁蛋白 

分 类 号：R714.7[医药卫生—妇产科学]