妊娠期缺铁性贫血干预时机对妊娠结局的影响

摘要

目的:探讨妊娠期缺铁性贫血干预时机对妊娠结局的影响.方法:随机选取2016年1月至2016年12月在本院产前检查、确诊并在本医院分娩的妊娠期铁缺乏及贫血孕妇215例,妊娠28周前开始进行补铁治疗者为研究组106例,妊娠28周后开始进行补铁治疗者为对照组109例,对两组的妊娠结局进行比较.结果:研究组胎儿窘迫、早产、低出生体质量儿、妊高症、胎膜早破、宫内感染的发生率分别为14.2％(15/106),4.7％(5/106),0.00％(0/106),14.2％(15/106),24.5％(26/106),6.6％(7/106),对照组胎儿窘迫、早产、低出生体质量儿、妊高症、胎膜早破、宫内感染的发生率分别为9.2％(10/109),4.6％(5/109),0.49％(2/109),9.2％(10/ 109),23.9％(26/109),8.3％(9/109);研究组剖宫产率、器械助产率、产后出血发生率为34％(36/106),10.4％(11/106),9.4％(10/ 106),对照组剖宫产率、器械助产率、产后出血发生率为33％(36/109),10.1％(11/109),9.2％(10/109),两组胎儿窘迫、早产、低出生体质量儿、胎膜早破、妊娠期高血压疾病、宫内感染、产后出血的发生率及剖宫产率、阴道助产率之间差异无统计学意义(P＞0.05).结论:妊娠期轻度贫血的干预时机与母婴预后无明显相关.%Objective: To study the effect of iron deficiency anemia(IDA)intervention time on pregnancy outcome. Methods: We randomly selected 215 cases of pregnant women with iron deficiency(ID)and iron deficiency anemia(IDA)in our hospital from January 2016 to December 2016, 106 patients had been treated with iron supplements before the pregnancy 28 weeks(study group), 109 patients had been treated with iron supplements after 28 weeks of gestation(control group). Compare the pregnancy outcomes of the two groups. Results: The incidence of fetal distress, preterm birth, low neonatal birth weight, gestational hypertension disease, premature rupture of membranes(PROM), intrauterine infection in the study group was 14. 2％(15/106), 4. 7％ (5/106), 0. 00％ (0/106), 14. 2％ (15/106), 24. 5％ (26/106), 6. 6％ (7/106). In the control group, the incidence of fetal distress, preterm birth, low neonatal birth weight, gestational hypertension disease, PROM, intrauterine infection was 9. 2％ (10/109), 4. 6％ (5/109), 0. 49％ (2/109), 9. 2％ (10/109), 23. 9％ (26/109), 8. 3％ (9/109). The incidence of cesarean section, forceps and?head suction for delivery, postpartum hemorrhage in the study group was 34％ (36/106), 10. 4％ (11/106), 9. 4％(10/106). The incidence of cesarean section rate, forceps and head suction for delivery, postpartum hemorrhage in the control group was 33％ (36/109), 10. 1％ (11/109), 9. 2％ (10/109). There was no statistical significance( P＞0. 05)difference between the two groups in maternal and infant complications and pregnancy outcomes. Conclusion: The timing of intervention of mild anemia in pregnancy was not significantly related to the prognosis of maternal and infant.