补铁治疗在妊娠贫血患者治疗中的必要性及铁蛋白的临床价值.docxVIP

榊光台疗在妊!嗣疇者治庁中的必要性及頰白的临 附直 2018-03-27 12:00:30中国现代医生2018年3期 康燕邵婷 ［摘要］戸的探討铁剂在妊娠贫血治疗屮的必耍性及铁蛋白在补铁治疗中的意义。方法选取 2016年1?12月我院产检分娩的患者共423例，其中早孕期(177例)、中孕期(60例)、晚孕期 (186),收集三阶段的铁蛋口、血红蛋口 (hemoglobin, HGB)的数据资料并分析其差异性，按 HGB是否110g/L分为晚孕期贫血组与非贫血组，分析两组间HGB、铁蛋白的差异及晚孕期及晚孕 期贫血组中HGB与铁蛋白之间的相关性，追踪孕晚期贫血患者临床并发症的发生率。结果早与中 孕期，中与晚孕期及晚孕期贫血组及非贫血组血红蛋白水平差异有统计学意义(PvO.05),早孕期与 中孕期、孕晚期贫血组与非贫血组铁蛋白水平差异有统计学意义(PvO.05)；中孕期与晚孕期铁蛋白 水平差异无统计学意义(P0.05) o晚孕期铁蛋白与HGB有相关性(P0.05),但贫血组铁蛋白与 HGB无相关性(P0.05)。临床并发症：胎膜早破(0.95%)、妊高症(0.71%)、产褥期感染0 例、产后出血(0.47%)、新生儿窒息0例、胎儿宫内生长受限(0.47%),巨大儿(0.47%),均 未高出我院同时期此类并发症的发生率(*12.89%、5.61%、0.023%、1.14%. 1.5%、1.18%. 5.41%)。 结论奸娠贫血不容忽视，但并非每一个缺铁性贫血患者均需补铁治疗，补铁治疗需要个体化，联合 铁蛋口及HGB进行补铁治疗值得推荐。 ［关键词］铁蛋白；血红蛋白；相关性；妊娠期贫血；发生率 ［中图分类号］R714.25 ［文献标识码］B ［文章编号］1673-9701 (2018) 03-0067-03 The necessity of iron therapy in the treatment of patients with anemia during pregnancy and the clinical value of ferritin KANG 丫an SHAO Ting Department of Obstetrics and Gynecology, Suzhou Municipal Hospital, Suzhou 215000, China ［Abstract］ Objective To investigate the necessity of iron in the treatment of anemia in pregnancy and the significance of ferritin in iron therapy. Methods 423 patients who underwent pregnancy check-up and were delivered in our hospital from January to December 2016 were selected, in eluding 177 cases in the early preg nan cy, 60 cases in the middle preg nancy and 186 in the late preg nancy. The data of ferriti n, Hemoglobin (HGB) of three stages were collected and the differenee was analyzed. According to whether the HGB was 110 g/L or not, the patients were divided into late pregnancy anemia group and non-anemia group. The differences in HGB and ferritin between the two groups as well as the association between HGB and ferritin in late pregnancy group and late pregnancy anemia group were analyzed. The incidenee of clinical complications in patients with anemia in the late pregnancy was tracked. Results There was a significant differenee in hemoglobin between early pregnancy group and the