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目的了解新疆哈萨克族孕妇妊娠晚期缺铁性贫血(IDA)的患病率与相关妊娠结局,从而有目的地预防孕妇缺铁性贫血的发生,取得良好的母婴结局。方法回顾性分析2014年1-12月吉木萨尔县哈萨克族191例孕妇的病例资料,分析缺铁性贫血的发生率、严重程度及妊娠结局。结果 191例哈萨克族孕妇贫血的发生率为52.88%,中度以上贫血占34.03%;101例贫血孕妇中98例查血清铁蛋白,均不同程度地低于正常值水平;孕妇缺铁性贫血患者较之血红蛋白正常孕妇,产后出血、早产、低出生体质量儿的发生率明显升高(P<0.05),胎儿窘迫、新生儿窒息的发生率略有升高(P>0.05);哈萨克族孕妇缺铁性贫血患者与血红蛋白正常孕妇的剖宫产率比较,差异无统计学意义(P>0.05)。结论吉木萨尔县哈萨克族孕妇IDA发生率高,不良妊娠结局的发生率也随之升高。
Objective To understand the prevalence of pregnancy-related iron deficiency anemia (IDA) in pregnant women in Xinjiang Kazak during pregnancy and the related pregnancy outcomes, so as to prevent the occurrence of iron-deficiency anemia in pregnant women and achieve good maternal-infant outcomes. Methods The data of 191 pregnant women from Kazakh in Jimsar County from January to December 2014 were retrospectively analyzed. The incidence, severity and pregnancy outcome of iron deficiency anemia were analyzed. Results The incidence of anemia in 191 pregnant women was 52.88%, while that of moderate to severe anemia was 34.03%. The serum ferritin was detected in 98 of 101 pregnant women with anemia, all of which were lower than the normal level to varying degrees. In pregnant women with iron deficiency anemia Compared with normal pregnant women with hemoglobin, the incidence of postpartum hemorrhage, premature birth and low birth weight children was significantly increased (P <0.05), fetal distress and neonatal asphyxia slightly increased (P> 0.05); Kazakh pregnant women There was no significant difference in cesarean section rate between patients with iron deficiency anemia and normal hemoglobin (P> 0.05). Conclusion The incidence of IDA in Kazakh pregnant women in Jimsar County is high, and the incidence of adverse pregnancy outcomes also increases.