CAJ | 학술논문

目的：探讨孕妇进行早期营养指导对预防妊娠期贫血及母儿并发症发生的价值。方法将120例无合并症的孕妇给予合理营养指导，同时将孕28周开始给予琥珀酸亚铁片0.2 g/d直到分娩的孕妇作为观察组，将150例相同条件的孕妇不给予任何干预作为对照组。比较两组孕妇妊娠期贫血发生率，以及由贫血引起的妊娠期并发症的发病率。结果观察组与对照组的贫血发生率分别为9.2%和54.7%；两组妊娠期并发症发病率分别为7.5%和31.3%；两组孕妇产后出血发生率分别为1.7%和4.7%；两组新生儿死亡率分别为0%和1.33%；在新生儿急救的评价中，观察组高于对照组；以上各项差异均有统计学意义（ P<0.05）。结论孕妇进行合理营养指导和适量补充铁剂对减少妊娠期贫血有积极的作用，能够帮助孕妇顺利分娩，减少母儿并发症的发生。
목적：탐토잉부진행조기영양지도대예방임신기빈혈급모인병발증발생적개치。방법장120례무합병증적잉부급여합리영양지도，동시장잉28주개시급여호박산아철편0.2 g/d직도분면적잉부작위관찰조，장150례상동조건적잉부불급여임하간예작위대조조。비교량조잉부임신기빈혈발생솔，이급유빈혈인기적임신기병발증적발병솔。결과관찰조여대조조적빈혈발생솔분별위9.2%화54.7%；량조임신기병발증발병솔분별위7.5%화31.3%；량조잉부산후출혈발생솔분별위1.7%화4.7%；량조신생인사망솔분별위0%화1.33%；재신생인급구적평개중，관찰조고우대조조；이상각항차이균유통계학의의（ P<0.05）。결론잉부진행합리영양지도화괄량보충철제대감소임신기빈혈유적겁적작용，능구방조잉부순리분면，감소모인병발증적발생。
Objective To investigate the value of early nutritional guidance on preventing gestational anemia and gestational complications. Methods One hundred and twenty pregnant women without complications in observation group were given nutri-tional guidance,and ferrous succinate tablets 0. 2 g/d was given at the beginning of the 28 th week of gestation until delivery. One hundred and fifty pregnant women with the same condition in the control group were not given any intervention. The inci-dence of anemia in pregnancy and the incidence of complications during pregnancy caused by anemia was compared. Results The incidence of anemia was 9. 2%and 54. 7% in observation group and control group. The incidence of gestational complication was 7. 5%and 31. 3% respectively. The incidence of postpartum hemorrhage was 1. 7% and 4. 7% respectively. The incidence of neonatal mortality was 0%and 1. 33%. In the evaluation of neonatal emergency,that in the observation group was higher than that in the control group;The above differences were all statistically significant(P<0. 05). Conclusion Rea-sonable nutrition guidance and appropriate complement of iron agent have positive effect on the reduction of gestational anemia, which can help delivery of pregnant woman and reduce the complications.