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本文对262例妊娠合并低蛋白血症的原因进行了统计学分析。结果显示,妊娠合并低蛋白血症在孕妇中的发生率为63%,在一定范围内(血清总蛋白值为64.08±5.69g/L)属妊娠期生理变化。其发生率不受孕妇的年龄、文化程度、孕次的影响。但低蛋白血症者产褥感染、死胎、妊高征的发病率显著升高(P<0.05)。患妊高征及贫血者低蛋白血症值较妊娠时生理性低蛋白血症值显著降低(P<0.05),提示妊高征及贫血是引起妊娠期病理性低蛋白血症的主要原因。血清总蛋白值≤59g/L 时考虑为病理性低蛋白血症。低蛋白血症与死胎关系值得进一步探讨。
In this paper, 262 cases of pregnancy with hypoproteinemia were analyzed statistically. The results showed that pregnancy with hypoproteinemia in pregnant women in the incidence of 63%, within a certain range (total serum protein value of 64.08 ± 5.69g / L) is a physiological change during pregnancy. The incidence is not affected by the age of pregnant women, education, pregnancy times. However, the incidences of puerperal infection, stillbirth and PIH were significantly higher in hypoproteinemia patients (P <0.05). Prevalence of PIH and hypoproteinemia in anemia patients was significantly lower than that in pregnancy (P <0.05), suggesting that PIH and anemia are the main causes of pathological hypoproteinemia during pregnancy. Serum total protein value ≤ 59g / L considered as pathological hypoproteinemia. The relationship between hypoproteinemia and stillbirth is worth further exploration.