国际妇产科学杂志
國際婦產科學雜誌
국제부산과학잡지
JOURNAL OF INTERNATIONAL OBSTETRICS AND GYNECOLOGY
2014年
3期
274-276
,共3页
妊娠并发症,血液%贫血,缺铁性%产后出血%胎儿生长迟缓
妊娠併髮癥,血液%貧血,缺鐵性%產後齣血%胎兒生長遲緩
임신병발증,혈액%빈혈,결철성%산후출혈%태인생장지완
Pregnancy complications,hematologic%Anemia,iron-deficiency%Postpartum hemorrhage%Fetal growth retardation
目的：探讨妊娠晚期缺铁性贫血对产妇和新生儿的影响，提出相应预防措施。方法：按照2013年《妇产科学》第8版对妊娠期缺铁性贫血诊断的最新分类，回顾性分析421例妊娠晚期缺铁性贫血患者（其中轻度贫血组368例，重度贫血组53例）和同期入院的正常产妇（对照组500例）。对比分析3组研究对象的产后出血率、剖宫产率、产钳助产率、羊水过少发生率、羊水污染率、胎儿窘迫率、新生儿窒息率、低体质量儿出生率。结果：重度贫血组产后出血率、剖宫产率、羊水污染率、胎儿窘迫率、新生儿窒息发生率，低体质量儿出生率高于轻度贫血组和对照组（均P＜0.05）。轻度贫血组羊水污染发生率，胎儿窘迫率，低体质量儿出生率高于对照组（均P＜0.05）。3组患者产钳助产率和羊水过少发生率差异无统计学意义（均P＞0.05）。结论：妊娠期缺铁性贫血对产科妊娠结局有不良影响，应加强妊娠期贫血的防治。
目的：探討妊娠晚期缺鐵性貧血對產婦和新生兒的影響，提齣相應預防措施。方法：按照2013年《婦產科學》第8版對妊娠期缺鐵性貧血診斷的最新分類，迴顧性分析421例妊娠晚期缺鐵性貧血患者（其中輕度貧血組368例，重度貧血組53例）和同期入院的正常產婦（對照組500例）。對比分析3組研究對象的產後齣血率、剖宮產率、產鉗助產率、羊水過少髮生率、羊水汙染率、胎兒窘迫率、新生兒窒息率、低體質量兒齣生率。結果：重度貧血組產後齣血率、剖宮產率、羊水汙染率、胎兒窘迫率、新生兒窒息髮生率，低體質量兒齣生率高于輕度貧血組和對照組（均P＜0.05）。輕度貧血組羊水汙染髮生率，胎兒窘迫率，低體質量兒齣生率高于對照組（均P＜0.05）。3組患者產鉗助產率和羊水過少髮生率差異無統計學意義（均P＞0.05）。結論：妊娠期缺鐵性貧血對產科妊娠結跼有不良影響，應加彊妊娠期貧血的防治。
목적：탐토임신만기결철성빈혈대산부화신생인적영향，제출상응예방조시。방법：안조2013년《부산과학》제8판대임신기결철성빈혈진단적최신분류，회고성분석421례임신만기결철성빈혈환자（기중경도빈혈조368례，중도빈혈조53례）화동기입원적정상산부（대조조500례）。대비분석3조연구대상적산후출혈솔、부궁산솔、산겸조산솔、양수과소발생솔、양수오염솔、태인군박솔、신생인질식솔、저체질량인출생솔。결과：중도빈혈조산후출혈솔、부궁산솔、양수오염솔、태인군박솔、신생인질식발생솔，저체질량인출생솔고우경도빈혈조화대조조（균P＜0.05）。경도빈혈조양수오염발생솔，태인군박솔，저체질량인출생솔고우대조조（균P＜0.05）。3조환자산겸조산솔화양수과소발생솔차이무통계학의의（균P＞0.05）。결론：임신기결철성빈혈대산과임신결국유불량영향，응가강임신기빈혈적방치。
Objective:To study the influence on pregnant women with iron deficiency anemia (IDA) and infants,and put forward the corresponding preventive measures. Methods:According to the diagnosis of anemia in the eighth edition of Obstetrics and Gynecology, retrospective analysis of 421 patients with iron deficiency anemia in late pregnancy [368 patients with moderate iron-deficiency anemia (IDA) and 53 patients with severe IDA] and 500 patients without IDA (control group). Analysis of three groups of rate of postpartum hemorrhage and cesarean section and obstetrical forceps delivery ,incidence of oligohydramnios and amniotic fluid pollution ,rate of fetal distress and neonatal asphyxia , low neonatal birth weight. Results:The rates of postpartum hemorrhage,cesarean section,amniotic fluid pollution,fetal distress,neonatal asphyxia and low neonatal birth weight in severe IDA group are higher than the rates in moderate IDA group and control group (P<0.05). The rates of amniotic fluid pollution,fetal distress,neonatal asphyxia and low neonatal birth weight in moderate IDA group are higher than the rates in control group (P<0.05). There is no statistically difference in rate of obstetrical forceps delivery and oligohydramnios in three groups (P>0.05). Conclusions:Pregnancy with iron deficiency anemia have an adverse effect on maternity pregnancy outcome,we should strengthen the prevention of anemia during pregnancy.
