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目的:探讨妊娠合并贫血对妊娠结局的影响。 方法 :对 2 0 0 2年 6～ 12月我院住院分娩妊娠合并贫血病人 92例 (贫血组 )和同期住院分娩的 5 5例孕妇 (对照组 )的临床资料进行回顾性分析 ,对两组孕妇的产后出血率、平均孕周及新生儿早产发生率、平均出生体重分别进行比较分析。 结果 :贫血组产后出血、早产发生率明显高于对照组 (P均 <0 .0 5 ) ,且贫血严重程度与产后出血发生率增加关系密切 (P <0 .0 5 ,Pearson系数为 0 .39) ,与平均孕周的降低关系密切 (P <0 .0 5 ) ;两组新生儿平均出生体重差异无统计学意义 (P >0 .0 5 ) ,但严重贫血病例的新生儿平均出生体重与对照组比较差异有统计学意义 (P <0 .0 5 )。 结论 :妊娠合并贫血时各种并发症发生率明显增加 ,特别是重度贫血对孕产妇和新生儿有严重威胁。
Objective: To investigate the impact of pregnancy complicated with anemia on pregnancy outcome. Methods: The clinical data of 92 pregnant women with anemia of pregnancy and anemia in our hospital from June to December in 2002 were retrospectively analyzed. The clinical data of 55 pregnant women (control group) Postpartum hemorrhage rate of pregnant women, the average gestational age and the incidence of neonatal preterm birth, the average birth weight were compared. Results: The rate of postpartum hemorrhage and preterm delivery in anemia group was significantly higher than that in control group (all P <0.05). The severity of anemia was closely related to the increase of postpartum hemorrhage (P <0.05). 39), which was closely related to the reduction of mean gestational age (P <0.05). There was no significant difference in mean birth weight between the two groups (P> 0.05), but the average newborn infants born in severe anemia were born Body weight and the control group, the difference was statistically significant (P <0. 05). Conclusion: The incidence of complications in pregnancy with anemia increased significantly, especially severe anemia, which poses a serious threat to pregnant women and newborns.