论文部分内容阅读
目的:了解大连市西岗区孕妇缺铁性贫血的患病情况及相关因素,提出相应干预措施,降低孕产妇、围产儿死亡率及降低出生缺陷的发生率。方法:对5年中建立“孕产妇保健手册”的西岗区孕妇进行贫血调查,采静脉血检测血色素,并由专人负责登记、统计及采取相应干预措施。结果:共筛查孕妇6 858例,发生高危贫血515例,其发生率为7.5%;生理性贫血890例,发生率为12.98%;对早期、中期妊娠贫血进行铁剂治疗227例,用药2个月治愈221例,治愈率达97.36%;生理性贫血890例,其中补充铁剂一个疗程628例,未用药262例,一个月复查血色素发生高危贫血前者2例,后者182例,发生率分别为0.32%、69.47%。结论:发现孕妇贫血发生率较高,并随孕周增加发生率增高;以轻度贫血为主;治疗效果与贫血的程度相关;早期发现、早期治疗、定期复查及预防性补充铁剂,可降低孕妇贫血的发生率,提高其治愈率。
Objective: To understand the prevalence and related factors of iron deficiency anemia among pregnant women in Xigang district, Dalian, and to put forward corresponding interventions to reduce the maternal and perinatal mortality and reduce the incidence of birth defects. Methods: The anemia of pregnant women in Xigang district who established the “Maternal Health Handbook” in 5 years was investigated. Hemoglobin was collected by venous blood and registered by experts. Statistics were taken and corresponding interventions were taken. Results: A total of 6 858 pregnant women were enrolled in this study. 515 cases of high-risk anemia were found, the incidence rate was 7.5%; 890 cases of physiological anemia were found, the incidence rate was 12.98%; 227 cases were treated with iron therapy in early and middle stage of pregnancy anemia, 221 cases were cured in one month, the cure rate was 97.36%; 890 cases of physiological anemia, including a course of iron supplementation 628 cases, 262 cases without medication, one month review of hemochromatosis in the former two cases of high risk anemia, the latter 182 cases, the incidence Respectively, 0.32%, 69.47%. Conclusion: It is found that the incidence of anemia in pregnant women is high, and the incidence of anemia increases with gestational weeks; mild anemia is the mainstay; the therapeutic effect is related to the degree of anemia; early detection, early treatment, regular review and preventive iron supplementation Reduce the incidence of anemia in pregnant women, improve its cure rate.