孕妇缺铁性贫血的早期干预治疗对产妇及新生儿的影响.docVIP

精品论文 参考文献 孕妇缺铁性贫血的早期干预治疗对产妇及新生儿的影响 张妍曦（自贡市富顺县妇幼保健院 四川自贡 643200） 　　【摘要】目的 探讨孕妇缺铁性贫血的早期干预治疗对产妇分娩及新生儿的影响。方法 以2011年6月-2014年2月笔者医院门诊缺铁性贫血孕妇362例，随机分为实验组(n=182)和对照组(n=180)。实验组实施早期干预治疗，对照组未实施干预治疗。结果 实验组低体重儿发生率(1.1%)显著低于对照组(5.0%)(Plt;0.05)。实验组早产儿的发生率(1.6%)明显低于对照组(7.8%)(Plt;0.05)。实验组产妇剖宫产率、产后出血发生率、妊娠期高血压发生率均显著低于对照组(Plt;0.05)。结论 对缺铁性贫血的孕妇应采取有效的早期干预措施，以减少产妇分娩并发症和低体重儿、早产儿发生率。 　　【关键词】缺铁性贫血；干预；产妇；新生儿 　　【中图分类号】RA 【文献标识码】A 【文章编号】1672-5085（2013）42-0128-02 　　Impact of early intervention treatment of pregnant women with iron deficiency anemia on parturient and newborn 　　Zhang Yan-xi(Fushun County Maternal and Child Health Hospital, Zigong, Sichuan, 643200) 　　【Abstract】Objective Early intervention therapy of iron deficiency anemia in pregnant women on parturient and newborn was discussed. Methods From June 2011 to February 2014, 362 cases of outpatient pregnant women with iron deficiency anemia were randomly divided into experimental group (n =182) and control group (n =180). Early intervention therapy was implemented in the experimental group, and the control group did not implement intervention. Results The incidence of low birth weight children (1.1%) In experimental group was significantly lower than the control group (5.0%)(Plt;0.05). The incidence of preterm children in the experimental group (1.6%) was significantly lower than the control group (7.8%)(Plt;0.05). Cesarean section rate, incidence of postpartum hemorrhage and pregnancy hypertension in the experimental group were significantly lower than the control group (Plt;0.05). Conclusion Effective early interventions should be taken for pregnant women with iron deficiency anemia to reduce the incidence of labor complication, low birth weight children and preterm children. 　　【Key words】 iron deficiency anemia; intervention；parturient；newborn 　　贫血是妊娠期最常见的一种并发症。妊娠期血容量增加，血液被稀释，若红细胞计数(RBC)lt;3.5times;1012/L、血红蛋白(Hb)lt;110g/L，血细胞比容(Hct)lt;0.3时，可诊断为贫血，以缺铁性贫血为主[1]。母体严重缺铁性贫血时，易造