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1、榊光台疗在妊!嗣疇者治庁中的必要性及頰白的临附直2018-03-2712:00:30中国现代医生2018年3期康燕邵婷［摘要］戸的探討铁剂在妊娠贫血治疗屮的必耍性及铁蛋白在补铁治疗中的意义。方法选取2016年1〜12月我院产检分娩的患者共423例，其中早孕期(177例)、中孕期(60例)、晚孕期(186),收集三阶段的铁蛋口、血红蛋口(hemoglobin,HGB)的数据资料并分析其差异性，按HGB是否<110g/L分为晚孕期贫血组与非贫血组，分析两组间HGB、铁蛋白的差异及晚孕期及晚孕期贫血组中HGB与铁蛋白
2、之间的相关性，追踪孕晚期贫血患者临床并发症的发生率。结果早与中孕期，中与晚孕期及晚孕期贫血组及非贫血组血红蛋白水平差异有统计学意义(PvO.05),早孕期与中孕期、孕晚期贫血组与非贫血组铁蛋白水平差异有统计学意义(PvO.05)；中孕期与晚孕期铁蛋白水平差异无统计学意义(P>0.05)o晚孕期铁蛋白与HGB有相关性(P<0.05),但贫血组铁蛋白与HGB无相关性(P>0.05)。临床并发症：胎膜早破(0.95%)、妊高症(0.71%)、产褥期感染0例、产后出血(0.47%)、新生儿窒息0例、胎儿宫内生长受限(0
3、.47%),巨大儿(0.47%),均未高出我院同时期此类并发症的发生率(*12.89%、5.61%、0.023%、1.14%.1.5%、1.18%.5.41%)。结论奸娠贫血不容忽视，但并非每一个缺铁性贫血患者均需补铁治疗，补铁治疗需要个体化，联合铁蛋口及HGB进行补铁治疗值得推荐。［关键词］铁蛋白；血红蛋白；相关性；妊娠期贫血；发生率［中图分类号］R714.25［文献标识码］B［文章编号］1673-9701(2018)03-0067-03Thenecessityofirontherapyinthetreatm
4、entofpatientswithanemiaduringpregnancyandtheclinicalvalueofferritinKANG丫anSHAOTingDepartmentofObstetricsandGynecology,SuzhouMunicipalHospital,Suzhou215000,China［Abstract］ObjectiveToinvestigatethenecessityofironinthetreatmentofanemiainpregnancyandthesignifica
5、nceofferritininirontherapy.Methods423patientswhounderwentpregnancycheck-upandweredeliveredinourhospitalfromJanuarytoDecember2016wereselected,ineluding177casesintheearlypregnancy,60casesinthemiddlepregnancyand186inthelatepregnancy.Thedataofferritin,Hemoglobin
6、(HGB)ofthreestageswerecollectedandthediffereneewasanalyzed.AccordingtowhethertheHGBwas<110g/Lornot,thepatientsweredividedintolatepregnancyanemiagroupandnon-anemiagroup.ThedifferencesinHGBandferritinbetweenthetwogroupsaswellastheassociationbetweenHGBandferrit
7、ininlatepregnancygroupandlatepregnancyanemiagroupwereanalyzed.Theincideneeofclinicalcomplicationsinpatientswithanemiainthelatepregnancywastracked.ResultsTherewasasignificantdiffereneeinhemoglobinbetweenearlypregnancygroupandthemiddlepregnancygroup,betweenmid
8、dlegroupandlatepregnancygroup,andbetweenlatepregnancyanemiagroupandnon-anemiagroup(P<0.05).Therewasasignificantdiffereneeinferritinbetweenearlypregnancygroupandthemiddlepregnancygroup,betweenlat
