妊娠期贫血原因调查与分析.docVIP

精品论文 参考文献 妊娠期贫血原因调查与分析 任秀英(四川省广元市第三人民医院妇产科 628001) 　　【摘要】目的:探讨妊娠期贫血原因。方法:收集我院2012年至2013年孕期保健的980例孕妇的孕13周前，13至28周，28周以后的临床资料，分为研究组和对照组，分析两组孕妇各期贫血发生率及原因，比较两组孕妇间年龄、地区、文化水平、生活习惯、及饮食情况、药物依从性之间的差异性。结果:妊娠期贫血发生率为26.5%，孕早期贫血发生率为4.6%，孕中期贫血发生率为35.4%，孕晚期贫血发生率为60%；其中轻度贫血发生率为77.3%，中度贫血发生率为19.6%，重度贫血发生率为3.1%；其中96.5%为缺铁性贫血，3.5%为巨幼红细胞性贫血及其他原因贫血。两组间年龄比较无明显差异，研究组城乡结合区及农村发生率高于对照组，研究组文化水平低于对照组，研究组偏食、担心长胖、生活不规律高于对照组，且药物依从性差。结论:妊娠期中晚期容易发生轻度缺铁性贫血，妊娠期进行合理的营养膳食指导，合理补充铁剂，能降低妊娠期贫血。 　　【关键词】妊娠 贫血 原因 　　【中图分类号】R714 【文献标识码】A 【文章编号】1672-5085（2014）23-0060-02 　　【Abstract】ObjectiveToexplore the causes of anaemia in pregnancy. Methods The clinical data of 13 weeks ago, 13 to 28 weeks and after 28 weeks of 980 cases of pregnant women in pregnancy care from 2012 to 2013 were collected .They were divided into the research group (anemia) and the control group (normal). The incidence of anemia and causes of every period were analyzed. The difference of two groups of pregnant women in the level of age, region, culture, lifestyle, diet and adherence of drug were compared. Results The incidence of anemia during pregnancy was 26.5%, the incidence of anemia in early pregnancy was 4.6%, the incidence of anemia in middle pregnancy was 35.4% and the incidence of anemia in late pregnancy was 60%. The incidence of the mild anemia was 77.3%, moderate anemia was19.6%, severe anemia was 3.1%.The anemia of iron deficiency was 96.5%, 3.5% was for giant young red blood cell anemia and other causes anemia. There was no difference between the two groups of age, but the incidence of anemia group combination zone between urban and rural areas and rural areas is higher than the control group, anemia group cultural level is lower than the control group, anemia group of partial eclipse, worry about getting fat and irregular life were higher than the control group, and medication adherence was worse. Conclusion: The mild irondeficiency anemia was likely to occur during mi