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1、2405名孕产妇缺铁性贫血现状及相关因素调查分析高金丽沈丹杨志伟宁夏医科大学基础医学院病原生物学与免疫学系£夏区妇幼保健院新生儿疾病筛查科目的了解孕产妇缺铁性贫血发病率,寻找影响孕产妇缺铁性贫血的有关因素。方法釆用统一的方法进行调查问卷和血常规实验室检查,应用非条件Logistic冋归对贫血的影响因素进行分析。结果2405例被调查对象中汉族2115例(87.94%),回族265例(11.02%),其他少数民族25例(1.04%);贫血者(Hb<110g/L)630例,占26.20%。其中3040岁孕产妇贫血占25.89%(43
2、5/1680),回族孕产妇患病率18.87%(50/265),己婚者患病率26.05%(620/2380),银川市常住人口患病率26.63%(450/1680),农民、家庭主妇、暂无职业者患病率分别为:34.15%(140/410)、38.46%(150/390)、27.27%(120/440),为高发人群。孕产妇的怀孕年龄、民族对患病率发生有统计学意义。孕次、流产次数、孕期、膳食结构为孕产妇缺铁性贫血的危险因素,民族、婚姻状况、地域、产检次数、月经量、避孕节育措施知识了解为其保护性因素。结论孕产妇缺铁性贫血患病率偏高,其年龄
3、、婚姻状况、产检次数、民族、职业、孕次、孕期、膳食结构等对孕产妇贫血患病率有一定影响关系,进行有关的健康宣教可以减少其风险。关键词:孕产妇;缺铁性贫血(IDA);贫血患病率;影响因素;基金:宁夏妇幼保健协会科研项目(201302)SurveyandAnalysisofCurrentStatusandRelatedFactorsofIronDeficiencyAnemiain2405MaternalsGaoJinliShenDanYangZhiweiDepartmentofPathogenicBiologyandImmunolo
4、gy,SchoolofBasicMedicineofNingxiaMedicalUniversity;NeonatalDiseaseScreeningDepartment,MaternalandChildHealthCareHospitalofNingxia;Abstract:ObjectiveTounderstandtheprevalenceofmaternalirondeficiencyanemiaandfindouttherelevantfactors.MethodsAunifiedmethodwasusedtocond
5、uctquestionnairesandroutinebloodtests,andtheinfluencingfactorsofanemiawereanalyzedbyunconditionalLogisticregression.ResultsAmongthe2405subjects,2115(87.94%)wereHan,265(11.02%)wereHuiand25(1.04%)werefromotherethnicminorities.630caseswereinanemia(Hb<110g/1),accounting
6、for26.20%.Thematernalagccl30-40yearsoldaccountedfor25.89%(435/1680),theHuimaternalwas18.87%(50/265)andmarriedmaternalwas26.05%(620/2380).TheresidentofYinchuanwas26.63%(450/1680).Thepeasants,housewivesandnon-workingpeoplewere34.15%(140/410),38.46%(150/390)and27.27%(1
7、20/440),respectively.Theywereinthehighincidence.Thepregnancyagesandethnicbackgroundforprevalencerateswerestatisticallysignificant.Thenumberofpregnancy,abortion,pregnancystagesanddietarystructurewereriskfactorsformaternalirondeficiencyanemia.Theethnicbackground,marit
8、alstatus,region,antenatalcare,menstrualflowandcontraceptivemeasureswereprotectivefactors.ConclusionTheprevalencerateofmaternalirondeficien