孕期营养干预对妊娠期缺铁性贫血效果评价分析

摘要

目的:探讨孕期营养干预对妊娠期缺铁性贫血孕妇及母婴结局的影响.方法:将160例妊娠期缺铁性贫血患者随机分为对照组和观察组,每组各80例;对照组给予常规健康教育和治疗,观察组给予营养专科门诊营养指导干预;比较两组患者干预后的红细胞计数(RBC)、血红蛋白(HGB)、新生儿体重情况、并发症等指标.结果:干预后,观察组RBC、HGB水平均明显高于对照组(P＜0.01);观察组低体重儿、巨大儿发生率分别为5.0％、6.3％,分别低于对照组的17.5％、21.3％(P＜0.05);观察组的妊娠期高血压疾病、早产、产后大出血等并发症发生率分别为7.5％、3.8％及2.5％,均低于对照组的22.5％、12.5％及11.3％(P＜0.05).结论:妊娠期缺铁性贫血患者实施营养指导干预后,可明显纠正妊娠期贫血状况,降低低体重儿和巨大儿的发生率,预防妊娠期并发症的发生.%Objective:To explore the effect of nutrition intervention during pregnancy to iron deficiency anemia patients on pregnant women and maternal and child outcomes.Methods:160 cases of pregnant women with iron deficiency anemia were randomly divided into control group and observation group,80 cases respectively.The control group was given conventional health education and treatment,and the observation group was supplied nutrition guidance and intervention in nutrition clinic.The indexes of RBC,HGB,weight of newborns and complications were compared between the two groups after intervention.Results:After intervention,the levels of RBC and HGB in the observation group were much higher than the control group(P ＜ 0.01).The incidence rates of low birthweight infant and giant baby in the observation group were respectively 5.0％ and 6.3％,lower than the control group(17.5％ and 21.3％,P ＜0.05).The incidence rates of complications such as hypertensive disorder complicating pregnancy,premature birth and postpartum hemorrhage in the observation group were respectively 7.5％,3.8％ and 2.5％,all lower than the control group(22.5％,12.5％ and 11.3％,P ＜0.05).Conclusion:Pregnant women with iron deficiency anemia carrying out nutrition guidance and intervention could obviously correct anemia status in pregnancy,cut down incidence rates of low birthweight infant and giant baby,and prevent the incidence of pregnancy complications.