妇产科医生对妊娠期补充维生素D认知情况及应用现状问卷调查

Questionnaire on knowledge and practice of Vitamin D in pregnancy among obstetrics and gynecology doctors

目的 了解妇产科医生对妊娠期维生素D缺乏认知情况及维生素D补充现状。方法 参考国内外相关文献自制问卷,在全国妇产科培训班期间,向妇产科医生分发问卷并现场收回,对医生关于妊娠期维生素D缺乏与补充等相关问题进行分层分析。结果 共269名妇产科医生完成了问卷回答。不同级别医院及职称差异不大,半数以上医生都已认识到妊娠妇女维生素D缺乏目前较普遍,但有一部分医生认为维生素D缺乏仅是偶尔出现或对此不太了解;多数医生对维生素D缺乏的原因及影响较为了解,仅有2.0%的医生对其原因及影响表示不了解;40.1%的受访者认为妊娠期均需补充维生素D,而52.0%认为在发现有维生素D缺乏时再给予补充;认为补充维生素D应从孕早期或孕中期开始者分别为45.4%及36.8%;42.4%受访者认为补充剂量应为400~600IU,在所有医生中占比例最大。结论 目前较多妇产科医生已开始关注妊娠期维生素D缺乏问题,但对维生素D补充认识不一,相关培训有待加强。

Objective To evaluate the overall situation of the knowledge of Vitamin D insufficiency and practice of vitamin D supplementation in pregnancy among obstetrics and gynecology doctors. Method Refer to the related literatures at home and abroad, the questionnaire was made. During the national obstetrics and gynecology professional trainings, the questionnaire was distributed and taken back at the same time. Then all the related questions about vitamin D insufficiency and supplementation were done statistical analysis. Result Totally 269 doctors completed the questionnaire. In the knowledge of vitamin D insufficient field, doctors from different level hospital or titles had little difference in the knowledge. More than half of doctors realized that vitamin D insufficiency problem was common, while a part of doctors thought the problem was occasional or did not know much. Most of doctors had the knowledge of the reason for and the impacts of vitamin D insufficiency,and about 2.0% were showed that they did not know much. In the practice of vitamin D supplementation field,40.1% of doctors selected all of women should have vitamin D supplementation in pregnancy,while 52.0% selected vitamin D supplementation was needed when vitamin D insufficiency occurred. 45.4% of doctors considered that vitamin D should be supplied from the first trimester of pregnancy and 36.8% from the second trimester of pregnancy. The majority of doctors（42.4% ） considered vitamin D should be supplied 400 - 600IU. Conclusion Currently most of obstetrics and gynecology doctors have begun to focus on the problem of vitamin D insufficiency. But they have different understanding of vitamin D supplementation. Related training and education should be strengthened.