论文部分内容阅读
目的了解宝鸡市孕产妇贫血状况,比较不同分娩方式、不同特征对孕产妇贫血状况的影响,为临床提供科学依据。方法选取2016年1-12月在宝鸡市中医医院妇产科进行产前检查、分娩的孕产妇为研究对象,检查并分析分娩前后、不同分娩方式孕产妇血常规指标变化情况,比较不同特征孕产妇贫血率。结果 677例孕产妇中顺产380例,剖宫产例297例,分娩前血常规至分娩后3 d血常规指标比较差异有统计学意义(P<0.05),顺产产妇和剖宫产产妇血常规比较,除HCT分娩后降低(P<0.05),其余指标差异无统计学意义(P>0.05);全市孕产妇孕早期贫血率为17.21%,孕中期贫血率为36.25%,妊娠晚期贫血率为51.55%,产妇分娩后3 d贫血率为84.93%(其中轻度贫血24.82%,中度贫血58.35%,重度贫血1.77%),瘢痕子宫产妇术后3d贫血率为95.40%,高于其他剖宫产产妇(P<0.05)。结论宝鸡市孕产妇产前、产后血常规指标发生改变,顺产和剖宫产对血常规指标改变一致,全市孕产妇贫血率较高,且瘢痕子宫术后进一步加剧了孕产妇贫血状况,需要关注孕产妇贫血状况,进一步提高孕产妇孕前、孕期及产后的健康保健水平,降低孕产妇贫血发生率。
Objective To understand the status of maternal anemia in Baoji City and compare the effects of different modes of delivery and different characteristics on the status of maternal anemia so as to provide a scientific basis for clinical practice. Methods From January to December in 2016, the pregnant women of prenatal examination and childbirth in the department of Obstetrics and Gynecology of Baoji Hospital of Traditional Chinese Medicine were selected as research objects. The changes of blood routine indexes of maternal women before and after delivery were examined and analyzed. Maternal anemia rate. Results Among the 677 pregnant women, 380 cases of normal delivery and 297 cases of cesarean delivery, blood routine before delivery to 3 days after delivery showed significant difference (P <0.05), and the blood routine of cesarean section and cesarean section (P <0.05). There was no significant difference in other indicators except HCT after delivery (P> 0.05). The rate of anemia in early pregnancy was 17.21% and the rate of anemia in second trimester was 36.25%. The rate of anemia in late pregnancy was 51.55%. The rate of anemia after 3 days of delivery was 84.93% (mild anemia was 24.82%, moderate anemia was 58.35% and severe anemia was 1.77%). The rate of 3d anemia after scarring was 95.40% Maternal (P <0.05). Conclusion Prenatal and postnatal changes of blood routine indexes in Baoji are consistent with those of normal and cesarean sections. The changes of blood routine indexes in cesarean section and cesarean section are the same, and the anemia rate of maternity in the whole city is higher, and the post-scarring uterus further exacerbates the anemia of maternity. Maternal anemia, to further improve maternal pre-pregnancy, post-natal and post-natal health care level, reduce the incidence of maternal anemia.