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2001—2011年全国驻军医院妊娠期贫血的调查研究?

孔方方   

  1. 解放军医院464妇产科
  • 收稿日期:2012-03-19 修回日期:2012-07-19 出版日期:2012-10-15 发布日期:2012-10-15
  • 通讯作者: 孔方方

The investigation and study of anemia during pregnancy among nationwide station hospital from 2001 to 2011

  • Received:2012-03-19 Revised:2012-07-19 Published:2012-10-15 Online:2012-10-15

摘要: 摘要 目的:了解2001—2011年度全国驻军医院收治的妊娠期贫血患者的患病率及其相关因素。方法:回顾性分析通过中国人民解放军总后勤部信息技术中心病例查询系统得到的2000年10月—2011年9月收治的妊娠期贫血患者的临床资料26 339例,其中确诊为妊娠期贫血患者共7 986例。分析不同年龄结构、孕期及贫血类型的患病情况,并探讨其相关因素。结果:轻、中、重度贫血在妊娠期贫血中分别占56.17%、43.70%和0.13%。31~40岁孕妇贫血患病率高于21~25和26~30岁两个年龄组,前者中度贫血比例较高,后两组以轻度贫血为主。2001—2011年间孕妇妊娠期贫血患病率在2001—2006年度呈逐年增加,2006—2009年度维持在较高水平,2009年度以后开始下降。孕晚期贫血患病率明显高于孕早期和孕中期;孕早期和孕中期以中度贫血为主,而孕晚期以轻度贫血为主;各期均以缺铁性贫血为主。结论:应加强产科医生孕期营养与饮食指导的知识技能培训,同时加强高危孕妇围产期保健,合理调整饮食结构,从孕中期开始常规补充多种维生素和微量元素特别是铁剂,以预防和减少贫血的发生。

关键词: 妊娠并发症, 贫血, 贫血, 缺铁性, 患病率, 健康教育, 回顾性研究, 妊娠

Abstract: Objective:To understand the annual nationwide station hospital patients with gestational anemia prevalence rate and related factors from 2001 to 2011. Methods: A retrospective analysis of the clinical data of anemia during pregnancy for the patients who were treated from October 2000 to September 2011 collected by the Chinese people's Liberation Army General Logistics Department information and technology center case inquiry system ,there were 26339 cases in total and 7986 of them were diagnosed as anemia during pregnancy. The illness circumstances analysis of different age structure, stage of pregnancy and anaemia type, examination of its related factors. Results: The prevalence rate of mild, moderate and severe anemia in gestational period was 56.17%, 43.7 and 0.13%, respectively. The incidence of anemia in the 31-40 age groups was higher than 21-25 and 26-30 age groups. The former group was moderate anemia in majority and the other two groups was mainly mild anemia. The prevalence rate of anemia during pregnancy was increased during 2001-2006, maintained at high levels during 2006-2009, and decreased after 2009. The incidence of anemia was higher in third trimester than that in first and second trimester; moderate anemia was in majority in first and second trimester, while there is mainly mild anemia in third trimester. The anemia during all stage was mostly iron deficiency anemia. Conclusion: We should strengthen the knowledge and skill training for obstetrician in pregnancy nutrition and diet guidance,while enhance the high-risk pregnant perinatal care, reasonablely adjust dietary structure, routinely complement multivitamins and trace elements from the beginning of the second trimester, especially iron, to prevent and reduce the occurrence of anemia.

Key words: pregnancy complicationsanemia anemia, iron-deficiency prevalence health educationretrospective studiespregn, 妊娠