关注妊娠合并缺铁性贫血  

Focus on iron deficiency anemia during pregnancy

作　　者：李力 黄畅晓 LI Li;HUANG Changxiao(Obstetrics and Gynecology Center,Daping Hospital,Army Military Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院妇产科中心,重庆400042

出　　处：《西南医科大学学报》2024年第3期185-187,共3页Journal of Southwest Medical University

基　　金：国家自然科学基金(31470886);重庆市自然科学基金(cstc2019jcyj-msxm0680)。

摘　　要：缺铁性贫血是妊娠期最常见的合并症之一,全世界患病率水平差距较大。研究表明,妊娠合并缺铁性贫血对于孕妇和胎儿、新生儿均有不良影响。在临床上,缺铁性贫血以及铁缺乏是依据血常规和血清铁蛋白的测定进行评估,建议在妊娠期间适度地关注和检查,合理评估补铁治疗的适应证。有指征的采用口服补铁的方式、是否采取静脉补铁方式目前尚有争议。本文就妊娠合并缺铁性贫血的诊断和治疗进行评析,旨在为临床医师的决策提供借鉴与参考。Iron deficiency anemia(IDA)during pregnancy is one of the most common complications of pregnancy,with a wide range of prevalence around the world.Studies showed that IDA had negative effects on pregnant women,fetuses and neonates.Clini⁃cally,IDA and iron deficiency(ID)were evaluated by routine blood test and serum ferritin measurement.Appropriate attention and ex⁃amination were recommended during pregnancy,and the indications of iron supplementation were reasonably evaluated.The use of oral iron supplementation was indicated,but the use of intravenous iron supplementation was still controversial.This article reviewed the di⁃agnosis and treatment of iron deficiency anemia during pregnancy,aiming to provide a reference for clinicians to make decisions.

关 键 词：缺铁性贫血 妊娠 铁缺乏 诊断 治疗 

分 类 号：R714[医药卫生—妇产科学]