铁剂联合个体化饮食指导治疗妊娠期缺铁性贫血的效果观察  

Effect Observation of Iron Agent Combined with Individualized Dietary Guidance in Treatment of Iron Deficiency Anemia During Pregnancy

作　　者：程炜 Cheng Wei(Beijing Shunyi District Maternal and Child Health Hospital,Shunyi Women's&Children's Hospital of Beijing Children's Hospital,Beijing 101320,China)

机构地区：[1]北京市顺义区妇幼保健院,北京儿童医院顺义妇儿医院,北京101320

出　　处：《中国社区医师》2024年第15期50-52,共3页Chinese Community Doctors

摘　　要：目的:探讨铁剂联合个体化饮食指导治疗妊娠期缺铁性贫血的效果。方法:选取2022年1月—2023年5月北京市顺义区妇幼保健院收治的102例妊娠期缺铁性贫血患者作为研究对象,以随机抽样法分为对照组与观察组,各51例。对照组采用铁剂治疗,观察组在对照组基础上给予个体化饮食指导。比较两组患者血清铁蛋白水平(SF)、血清铁(SI)、红细胞计数(RBC)、血红蛋白(Hb)、平均红细胞血红蛋白含量(MCH)水平以及不良反应发生率。结果:治疗后,观察组SF、SI、RBC、Hb、MCH水平高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P=0.004)。结论:铁剂联合个性化饮食指导治疗妊娠期缺铁性贫血的效果较好,可改善患者铁代谢水平及红细胞参数,减少药物不良反应。Objective:To explore the effect of iron agent combined with individualized dietary guidance in the treatment of iron deficiency anemia during pregnancy.Methods:A total of 102 patients with iron deficiency anemia during pregnancy who were treated in Beijing Shunyi District Maternal and Child Health Hospital from January 2022 to May 2023 were selected as the study subjects.They were divided into control group and observation group by random sampling method,with 51 cases in each group.The control group was treated with iron agent,and the observation group was given individualized dietary guidance on the basis of the control group.The serum ferritin level(SF),serum iron(SI),red blood cell count(RBC),hemoglobin(Hb),mean corpuscular hemoglobin(MCH)levels and the incidence of adverse reactions were compared between the two groups.Results:After treatment,the levels of SF,SI,RBC,Hb and MCH in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.004).Conclusion:The iron agent combined with individualized dietary guidance is effective in the treatment of iron deficiency anemia during pregnancy,and can improve the level of iron metabolism and red blood cell parameters,and reduce the incidence of adverse drug reactions.

关 键 词：妊娠期缺铁性贫血 铁剂 个体化饮食指导 不良反应 

分 类 号：R714.254[医药卫生—妇产科学]