沈阳地区妊娠妇女贫血的流行病学调查

Epidemiological investigation on anemia in pregnant women in Shenyang city

目的:调查了解沈阳地区孕妇妊娠合并贫血的现状及影响因素。方法:选择沈阳地区于沈阳市妇女儿童保健中心就诊的孕妇3 200名,对其贫血状况进行回顾性分析。结果:孕妇贫血总患病率为21.63%,孕早、中、晚期患病率之间差异有统计学意义(P<0.01)。孕期职业、学历、经济状况、地区分布的不同其妊娠合并贫血的患病率也不同,差异有统计学意义(P<0.01)。结论:孕期贫血是一个非常严重的公共卫生问题,应定期于孕中期及晚期复查血常规,加强孕期保健宣教工作,科学指导孕期饮食、提高孕妇认识水平,于妊娠期4个月起常规补充铁剂,于孕晚期复查血常规,做到早期诊断,早期治疗。

Objective： To investigate and understand the current situation and influencing factors of anemia in pregnant women in Shenyang city. Methods： A total of 3 200 pregnant women from the hospital were selected, and the status of anemia was analyzed retrospectively. Results： The total incidence of anemia in pregnant women was 21.63%, there was statistically significant difference in the incidence of anemia among the pregnant women during the first, second, and third trimesters of pregnancy （P 〈 0. 01 ） . There was statistically significant difference in the incidence of anemia among the pregnant women with different occupations, educational levels, economic situations, and distributions （P 〈0.01 ） . Conclusion： Anemia during gestational period is a very severe public health, blood routine test should be conducted regularly during the second and third trimesters pf pregnancy, gestational health propaganda and education should be enhanced, it is necessary to direct gestational diet scientifically, improve the cognitive level of pregnant women, supplement chalybeate conventionally on the fourth month during pregnant period, reexamine blood routine test during the third trimester of pregnancy, and achieve early diagnosis and early treatment.