长沙县妇幼保健院孕妇缺铁性贫血及铁缺乏的现状分析  

Current status of iron deficiency anemia and iron deficiency of pregnant women in maternal and child health hospital of Changsha county

作　　者：周珂 杨牡丹 陈瑶 赵萌 陈适 Ke Zhou;Mudan Yang;Yao Chen;Meng Zhao;Shi Chen(School of Medicine,Hunan Normal University,Changsha 410013,China;Department of clinical laboratory,maternal and child health hospital of Changsha county,Changsha410100,China)

机构地区：[1]湖南师范大学医学院,长沙410013 [2]长沙县妇幼保健院检验科,长沙410100

出　　处：《湖南师范大学学报（医学版）》2022年第5期135-138,共4页Journal of Hunan Normal University(Medical Sciences)

基　　金：湖南师范大学大学生创新创业训练计划项目(NO:2019116)。

摘　　要：目的 :研究长沙县妇幼保健院缺铁性贫血及铁缺乏的现状。方法 :选取2020年1月~2020年12月在长沙县妇幼保健院门诊进行产检的孕妇14018例为研究对象,通过孕妇年龄、孕周、血常规、血清铁蛋白含量、铁剂补充类型等指标,统计分析孕妇铁缺乏、贫血、缺铁性贫血患病率及铁剂补充情况。结果 :产检孕妇妊娠期贫血的患病率为31.3%,其中缺铁性贫血占57.8%,缺铁性贫血及铁缺乏的患病率分别为18.1%和49.8%。孕妇铁缺乏、贫血及缺铁性贫血的患病率随孕周增长均呈上升趋势,三个不同孕期组比较差异均有统计学意义;三个不同年龄组比较差异均无统计学意义。随孕周的增长,孕妇血清铁蛋白及血红蛋白浓度均逐渐下降,差异有统计学意义。全部孕妇中补充了铁剂有9426例,占67%,其中最常用的为多糖铁复合物胶囊和琥珀酸亚铁片。结论 :本地区的孕妇铁缺乏、贫血及缺铁性贫血的患病率仍处于较高水平;尤其是随孕周增长,孕妇对铁的需求量也持续增加,铁缺乏、贫血及缺铁性贫血患病率均上升,血清铁蛋白及血红蛋白浓度均下降;科学补铁对改善孕期保健质量、防治妊娠期缺铁性贫血意义重大。Objective To investigate the current status of iron deficiency anemia and iron deficiency in maternal and child health hospital of Changsha county. Methods A total of 14018 pregnant women who underwent birth examination at the outpatient clinic of Changsha maternal and child health hospital between January 2020 and December 2020 were selected for the study, and the status of maternal iron deficiency, anemia, prevalence of iron deficiency and iron deficiency were statistically analyzed by the indicators of maternal age, gestational age, blood routine, serum ferritin content, and type of iron supplementation.Results The prevalence of anemia during pregnancy in the pregnant women with antenatal examination was 31.3%, including 57.8% with iron deficiency anemia, and the prevalence of iron deficiency anemia and iron deficiency was 18.1% and 49.8% respectively. The prevalence of maternal iron deficiency, anaemia and iron deficiency anaemia increased with gestational weeks in all three groups;There were no significant differences among the three different age groups. The serum ferritin and hemoglobin concentrations of the pregnant women all gradually decreased with the increase of gestational weeks, and the differences were statistically significant. There were 9426 cases(67%) of all pregnant women supplemented with iron, of which the most commonly used were Polysaccharide-iron complex capsules and Ferrous succinate tablets. Conclusion The prevalence of maternal iron deficiency, anemia, and iron deficiency anemia in our region is still at a high level;Especially as gestational weeks increases, maternal iron requirements continue to increase, and the prevalence of iron deficiency, anemia and iron deficiency anemia all increase, while serum ferritin and hemoglobin concentrations decrease;Scientific iron supplementation is of great importance to improve the quality of pregnancy care and to prevent iron deficiency anemia of pregnancy.

关 键 词：孕妇 铁缺乏 贫血 缺铁性贫血 补铁剂 

分 类 号：R714.254[医药卫生—妇产科学]