现代妇产科进展
現代婦產科進展
현대부산과진전
CURRENT ADVANCES IN OBSTETRICS AND GYNECOLOGY
2001年
1期
37-39
,共3页
汪学佳%屈家祥%Teresipa Alene
汪學佳%屈傢祥%Teresipa Alene
왕학가%굴가상%Teresipa Alene
妊娠并发症%疟疾%铁剂%叶酸%治疗结果
妊娠併髮癥%瘧疾%鐵劑%葉痠%治療結果
임신병발증%학질%철제%협산%치료결과
目的：临床观察孕妇并发疟疾补 充铁剂、叶 酸的效果。方法：将158例孕妇并发疟疾者根据补充铁剂、叶酸前血红蛋 白水平分为空白对照组、预防组(两组血红蛋白皆≥90g/L)和治疗组(血红蛋白＜90g/L)。预 防组42例，治疗组50例，于孕20～24周开始口服硫酸亚铁、叶酸；空白对照组66例。3组分 别于服药前查血红蛋白与红细胞，观察期间每4周复查1次血红蛋白与红细胞直至分娩，并观 察临床结局。结果：预防组服药后血红蛋白与红细胞明显高于空白对照组 (P＜0.01)；治疗组服药后血红蛋白与红细胞明显高于服药前及对照组(P＜0.01)。结论：合理的抗疟治疗及补充铁剂、叶酸可有 效 地改善孕妇并发疟疾的贫血，减少孕妇并发疟疾发作次数及异常妊娠结局的发生率。
目的：臨床觀察孕婦併髮瘧疾補 充鐵劑、葉 痠的效果。方法：將158例孕婦併髮瘧疾者根據補充鐵劑、葉痠前血紅蛋 白水平分為空白對照組、預防組(兩組血紅蛋白皆≥90g/L)和治療組(血紅蛋白＜90g/L)。預 防組42例，治療組50例，于孕20～24週開始口服硫痠亞鐵、葉痠；空白對照組66例。3組分 彆于服藥前查血紅蛋白與紅細胞，觀察期間每4週複查1次血紅蛋白與紅細胞直至分娩，併觀 察臨床結跼。結果：預防組服藥後血紅蛋白與紅細胞明顯高于空白對照組 (P＜0.01)；治療組服藥後血紅蛋白與紅細胞明顯高于服藥前及對照組(P＜0.01)。結論：閤理的抗瘧治療及補充鐵劑、葉痠可有 效 地改善孕婦併髮瘧疾的貧血，減少孕婦併髮瘧疾髮作次數及異常妊娠結跼的髮生率。
목적：림상관찰잉부병발학질보 충철제、협 산적효과。방법：장158례잉부병발학질자근거보충철제、협산전혈홍단 백수평분위공백대조조、예방조(량조혈홍단백개≥90g/L)화치료조(혈홍단백＜90g/L)。예 방조42례，치료조50례，우잉20～24주개시구복류산아철、협산；공백대조조66례。3조분 별우복약전사혈홍단백여홍세포，관찰기간매4주복사1차혈홍단백여홍세포직지분면，병관 찰림상결국。결과：예방조복약후혈홍단백여홍세포명현고우공백대조조 (P＜0.01)；치료조복약후혈홍단백여홍세포명현고우복약전급대조조(P＜0.01)。결론：합리적항학치료급보충철제、협산가유 효 지개선잉부병발학질적빈혈，감소잉부병발학질발작차수급이상임신결국적발생솔。
Objective:To observe clinically on the effi cacy of ferralia and folic acid supplementation for pregnancy complicated malaria.Methods:158 patients with pregnancy complicated malaria according to th e hemoglobin(Hb) levels before treatment,divided into three groups:control(Hb≥ 90 g/L,n=66),preventive(Hb≥90g/L,n=42)and treatment (Hb＜9 0g/L,n=50) groups.In all three groups,women entered this study from 20～24w of gestational weeks.The preventive and treatment groups took ferrous sulfate 0.3g,folic acid 10mg and plus Vit C 0.2g,tid.The control group did no t need to take supplementation. Hb and RBC were measured one time before taken med icines and every 4 weeks during the observational period.Results:In the preventive group,the levels of Hb and RBC after treatment were signific antly higher than those of the control group(P＜0.01).In the treatme nt group,the levels of Hb and RBC after treatment were significantly higher than those before treatment and control groups(P＜0.01).The times of wom en suffered from malaria and the rates of abnormal on the pregnancy outcomes in the control group were significantly higher than those in the other two groups.Conclusion:Ferrous sulfate and folic acid are able to effectively i mprove anemia,and to decrease the times of pregnant women suffered from malaria and the rates of abnormal on the pregnancy outcomes.
