中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
21期
4-5
,共2页
轻型地中海贫血%妊娠晚期%相关因素
輕型地中海貧血%妊娠晚期%相關因素
경형지중해빈혈%임신만기%상관인소
Minor thalassemia%Late trimester of pregnancy%Relevant factors
目的：分析不同类型贫血孕妇妊娠晚期相关指标的差异，分析原因和应对方法。方法以2011年3月-2012年3月间定期在该院产检的200例孕妇为对象，α地贫55例(甲组)，β地贫40例(乙组)，HBG在100~110 g/L的46例（丙组）， HBG≥110 g/L的59例（丁组），检测所有患者的血红蛋白、血清维生素B12、血清铁蛋白、血清叶酸，对各项指标进行统计学分析。结果甲乙两组分别有16.4%和72.5%的患者表现为贫血，且甲组HGB高于乙组，差异有统计学意义（P<0.05）。 SF比较各组间数据差异有统计学意义（P<0.05）。结论轻型地中海贫血不会增加晚期妊娠妇女的铁负荷，β地中海贫血低HGB水平多于α地中海贫血区，这些孕妇应当高度重视铁的补充。
目的：分析不同類型貧血孕婦妊娠晚期相關指標的差異，分析原因和應對方法。方法以2011年3月-2012年3月間定期在該院產檢的200例孕婦為對象，α地貧55例(甲組)，β地貧40例(乙組)，HBG在100~110 g/L的46例（丙組）， HBG≥110 g/L的59例（丁組），檢測所有患者的血紅蛋白、血清維生素B12、血清鐵蛋白、血清葉痠，對各項指標進行統計學分析。結果甲乙兩組分彆有16.4%和72.5%的患者錶現為貧血，且甲組HGB高于乙組，差異有統計學意義（P<0.05）。 SF比較各組間數據差異有統計學意義（P<0.05）。結論輕型地中海貧血不會增加晚期妊娠婦女的鐵負荷，β地中海貧血低HGB水平多于α地中海貧血區，這些孕婦應噹高度重視鐵的補充。
목적：분석불동류형빈혈잉부임신만기상관지표적차이，분석원인화응대방법。방법이2011년3월-2012년3월간정기재해원산검적200례잉부위대상，α지빈55례(갑조)，β지빈40례(을조)，HBG재100~110 g/L적46례（병조）， HBG≥110 g/L적59례（정조），검측소유환자적혈홍단백、혈청유생소B12、혈청철단백、혈청협산，대각항지표진행통계학분석。결과갑을량조분별유16.4%화72.5%적환자표현위빈혈，차갑조HGB고우을조，차이유통계학의의（P<0.05）。 SF비교각조간수거차이유통계학의의（P<0.05）。결론경형지중해빈혈불회증가만기임신부녀적철부하，β지중해빈혈저HGB수평다우α지중해빈혈구，저사잉부응당고도중시철적보충。
Objective To analyze the differences in relative factors between different types of anemia in women during late preg-nancy, and analyze the causes and countermeasures. Methods 200 cases of pregnant women underwent regular antenatal examina-tion in our hospital from March 2011 to March 2012 were selected as the subjects, including 55 cases with alpha thalassaemia (group A), 40 cases with beta thalassemia (group B), 46 cases with HBG between 100 g/L-110g/L (group C), and 59 cases with HBG≥110g/L (group D). Hemoglobin, serum vitamin B12, serum ferritin and serum folic acid of all the patients were detected. And the indexes were analyzed statistically. Results 16.4% of the patients in group A and 72.5% of the patients in group B had anemia, and the HGB of group A was higher than that of group B, the difference was statistically significant (P<0.05). The differ-ence in the data of SF between the groups was statistically significant (P<0.05). Conclusion Minor thalassemia does not increase the iron load of women in late pregnancy, low level of HGB beta thalassemia trait than alpha thalassaemia area, and these women should attach great importance to the iron supplement.
