孕晚期妇女贫血对妊娠结局的影响及贫血因素分析

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1、孕晚期妇女贫血对妊娠结局的影响及贫血因素分析孕晚期妇女贫血对妊娠结局的影响及贫血因素分析①?调查研究？杨芳马爱国②③梁惠②张秀珍②聊城职业技术学院医学系(山东聊城)252000中国图书分类号R714.254文献标识码B文章编号loO144ll(20o8)02-0217-03【摘要】目的:了解孕妇的贫血患病现状及其影响因素，探讨贫血对妊娠结局的影响•方法:对5308名孕产妇的年龄，文化程度，居住地,血红蛋白(Hb)及妊娠结局进行回顾性调查分析.结果:孕晚期妇女的贫血患病率为59.5%.贫血组的新生儿平均体重明显降低(P<0.01).贫血组与非贫血

2、组的LBW发生率无明显差异,但中度贫血组LBw发生率明显高于非贫血组•贫血组手术性分娩率明显高于非贫血组•孕妇的贫血率为农村高于城市;不同文化程度组的贫血患病率明显不同•结论:我国孕晩期妇女有近60%患有贫血，与不良妊娠结局有关;居住地,教育水平对孕妇的贫血患病率有影响.【关键词】孕妇贫血妊娠结局影响因素EffectofanemiaonpregnantoutcomeandtheriskfactorsofanernialnthethirdtrnnesterYANGng,MAAi一Guo,LlANGHui,eta1.MedicineDepartment,

3、VocationalandTechnicalCollegeofLiaocheng,Li-aocheng25200o,Shandong.China[Abstract]Objective:TodescribetheprevalenceofanemiainpregnantChinesewomenandassociationwithpregnancyoutcomesanddeterminetheriskfactorsofanemia.Methods:5308pregnantwomenaged20~39yearsoldinthethirdtrimesterat

4、laborwererecrui・tedfrom5centersincludingthreeruralareasandtwocitiesinChina.Hb<11Os/LWasconsideredasanemiaandHb<1OOs/Lassevereanemia.Lowbiahweight(LBW)Wasdefinedas<2500gandpreteirndeliveryasapregnancyduringof<37wk・Thedataoftheresidentplace,professional,educationandlivin

5、glevelsWascollected.Results:Theprevalenceofanemiawas59.5%inthethirdtrimester.Corn?paredwithnon—anemiagroup.averagebirthweightofbabiesinanemiagroupWassignificantlydecreased(P<0.01).ThepercentageofLBWWassignificandydifferentbetweenseverelyanemic(6.35%)andnon一anemicwomen(4.58%)

6、,butthedifferencebetweenanemicandnon一anemicwomenwasnotsignificant.TherateofimpaireddeliveryWas46.00%inanemiaand4o.99%innon一anemiagroup(P<0.01).Prevalenceofanemiainruralareas(65.2%)Washigherthanthatincities(49.8%).Theprevalenceofanemiashowedthatratesof52.51%,58.02%,60.77%were

7、foundinasequenceofcollege,secondaryandprimaryeducation,whichhadasignificantdiffer-encerespectively(P<0.05).Conclusion:AhighprevalenceofanemiaisobservedinpregnantwomenjustbeforedeliverywhichisasSO?ciatedwithpoorpregnancyoutcome.Factorsassociatedwithanemiaduringpregnancyarethe

8、residentplace,educationalstatus.[Keywords]Pregnancywom