论文部分内容阅读
目的:了解妊娠晚期妇女血红蛋白水平及贫血现状,分析影响孕晚期血红蛋白水平的相关因素,为更好地开展孕期保健服务提供理论依据。方法:选取2011年1月~2012年7月在合肥市某妇幼保健院住院分娩的孕妇1 309名,其中贫血组504名,非贫血组805名。利用回顾性调查分析方法获取孕妇孕期详细的保健记录并追踪新生儿出生结局资料。结果:贫血组轻度贫血307例(23.5%),中重度贫血197例(15.0%)。单因素分析结果显示,职业为农民、产次>1次、妊娠早期有早孕反应者贫血患病比例相对较高,差异有统计学意义(P<0.05)。贫血组孕前体重低于非贫血组,两组比较,差异有统计学意义(P<0.05)。多因素分析结果表明,蔬菜、肉类为贫血的保护因素,早孕反应为危险因素(P<0.05)。结论:早孕反应可能会增加孕期贫血患病的风险,属于贫血的危险因素;蔬菜、肉类为贫血的保护因素。应加强孕妇孕期贫血的筛查与管理,减少孕期贫血的发生。
OBJECTIVE: To understand the hemoglobin level and the anemia status of women in the third trimester of pregnancy and to analyze the related factors that influence the hemoglobin level in the third trimester of pregnancy, so as to provide a theoretical basis for better carrying out the health care during pregnancy. Methods: A total of 1,309 pregnant women were hospitalized in a Maternal and Child Health Hospital of Hefei from January 2011 to July 2012, including 504 anemia patients and 805 non-anemia patients. Use of retrospective survey analysis to obtain detailed health records of pregnant women during pregnancy and to track newborn birth outcomes. Results: There were 307 mild anemia patients (23.5%) and 197 moderate or severe anemia patients (15.0%). The results of univariate analysis showed that the occupations were peasants, the number of births was> 1, and the prevalence of anemia in early pregnancy was significantly higher (P <0.05). The body weight of anemia group before pregnancy was lower than that of non-anemia group, the difference was statistically significant (P <0.05). Multivariate analysis showed that vegetables and meat were the protective factors of anemia and early pregnancy reaction was risk factors (P <0.05). Conclusion: Early pregnancy reaction may increase the risk of anemia during pregnancy, which is a risk factor for anemia. Vegetables and meat are the protective factors of anemia. Pregnancy should be strengthened screening and management of anemia during pregnancy to reduce the incidence of anemia during pregnancy.