孕早期监测血清铁蛋白预防孕期贫血疗效观察

Observation on the monitoring serum ferritin of early pregnancy in prevention of anemia during pregnancy

目的:探讨孕早期监测血清铁蛋白对孕期贫血的预防效果。方法:收治产前检查的妊娠8~9周的孕妇150例,随机分为对照组和观察组,各75例。对照组孕妇仅进行常规检查,观察组在对照组基础上加强对血清铁蛋白的孕早期监测。结果:治疗后,观察组孕妇Hb、RBC、MCV、血清铁、血清铁蛋白、总铁结合力以及蛋白饱和度均显著优于对照组(P<0.05);观察组孕妇贫血发生率低于对照组(P<0.05)。结论:对孕妇进行孕早期血清铁蛋白监测并根据监测结果进行铁剂补充,不仅可以降低妊娠期贫血的发生率,还可以最大程度地降低孕妇不良妊娠结局的发生率,改善孕妇的生活质量。

Objective:To investigate the preventive effect of serum ferritin monitoring on anemia during pregnancy.Methods:150pregnant women who were pregnant for8～9weeks were selected.They were randomly divided into the control group and the observation group,with75cases in each group.The pregnant women in the control group underwent routine examinations,and the observation group strengthen the early detection of serum ferritin based on routine examinations.Results:After the treatment,the level of Hb,RBC,MCV,maternal serum iron,serum ferritin,total iron binding capacity and protein saturation in the observation group were significantly better than in the control group(P<0.05),and the incidence of anemia in the observation group was lower than in the control group(P<0.05).Conclusion:Early pregnancy serum ferritin and iron supplementation on pregnant women monitoring according to the monitoring results can not only reduce the incidence of anemia during pregnancy,but also can reduce the incidence of adverse pregnancy outcomes,and improve maternal quality of life.