妊娠妇女不同时期的血清铁和维生素B12指标引导治疗及对妊娠结局的影响

Serum iron(Fe)and vitamin B12 indicators of pregnant women in different periods to guide treatment and its effect on pregnancy outcome

目的:探讨妊娠妇女不同时期血清铁和维生素B12指标水平引导治疗及对妊娠结局的影响。方法:2017年2月-2019年2月收治妊娠妇女102例,均行血清铁和维生素B12检测,依据检测结果给予引导治疗,观察不同时期妊娠妇女的妊娠结局。结果:缺铁性贫血孕妇血清铁及维生素B12指标水平均显著低于健康孕妇;孕晚期缺铁性贫血孕妇剖宫产率、羊水异常率、早产率、胎儿宫内窘迫率均显著高于孕中期和孕早期,差异均有统计学意义(P<0.05)。结论:妊娠妇女尽早开展血清铁和维生素B12指标水平检测可尽早发现缺铁性贫血,为治疗提供可靠依据,利于预后。

Objective:To investigate the effects of serum iron(Fe)and vitamin B12 indicators of pregnant women in different periods to guide treatment and its effect on pregnancy outcome.Methods:From February 2017 to February 2019,102 pregnant women were selected,they were tested with serum iron(Fe)and vitamin B12.Based on the test results,the guidance treatment was given to observe the pregnancy outcomes of pregnant women in different periods.Results:The serum iron and vitamin B12 indicators of pregnant women with iron deficiency anemia were significantly lower than those of healthy pregnant women.The rate of cesarean section,abnormal rate of amniotic fluid,premature birth rate and intrauterine distress in pregnant women with iron deficiency anemia during the third trimester were significantly higher than those in the second and first trimesters,the differences were statistically significant(P<0.05).Conclusion:Early detection of serum iron(Fe)and vitamin B12 indicators in pregnant women can detect iron deficiency anemia as soon as possible,provide a reliable basis for treatment,and facilitate prognosis.