妊娠合并贫血孕妇与不良妊娠结局的相关性分析

Correlation Analysis of Adverse Pregnancy Outcome and Pregnancy Complicated with Anemia in Pregnant Women

目的:分析妊娠伴有贫血孕妇与不良妊娠结局的相关性。方法:选取2017年1月-2018年2月益阳市妇幼保健院收治的600例妊娠伴有贫血孕妇设为试验组进行干预研究;同时间段选取600例正常孕妇设为对照组进行干预研究;就两组孕妇不良妊娠结局情况进行观察,分析妊娠伴有贫血与不良妊娠结局的相关性。结果:试验组不良妊娠结局发生率高于对照组,差异有统计学意义(P<0.05);试验组低体重儿以及产后出血发生率高于对照组,差异有统计学意义(P<0.05);试验组新生儿窒息发生率以及早产发生率同对照组比较,差异无统计学意义(P>0.05)。自变量定为不良妊娠结局,因变量定为妊娠伴有贫血;将不良妊娠结局以及妊娠结局分别赋值为1以及2,以Y=-0.591+2.238X二元Logistics回归方程进行分析发现,妊娠伴有贫血作为一种危险因素,会导致产妇表现出不良妊娠结局现象(OR>1,P<0.05)。结论:孕妇妊娠伴有贫血出现,会导致不良妊娠结局发生率显著增加,作为危险因素一种,会使产妇表现出产后出血、早产、低体重儿以及新生儿窒息等不良母婴结局发生率增加,对此需要采取有效措施给予对应干预。

Objective:To analyze the correlation between adverse pregnancy outcome and pregnancy complicated with anemia in pregnant women.Methods:From January 2017 to February 2018,600 pregnant women with anemia admitted to Yiyang Maternal and Child Health Hospital were selected as the experimental group for intervention study;In the same period,600 normal preg⁃nant women were selected as the control group for intervention study.The adverse pregnancy outcome of pregnant women was ob⁃served in the two groups,and the correlation between pregnancy complicated with anemia and adverse pregnancy outcome was an⁃alyzed.Results:The incidence of adverse pregnancy outcome in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of low birth weight infants and postpartum hemorrhage in the experimental group was higher than that in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of neonatal asphyxia and premature birth between the experimental group and the control group(P>0.05).The independent variable was adverse pregnancy outcome,and the dependent variable was preg⁃nancy complicated with anemia.Adversity pregnancy outcome and pregnancy outcome were assigned as 1 and 2,respectively.Analysis of the binary Logistics regression equation using Y=-0.591+2.238x showed that pregnancy complicated with anemia as a risk factor would lead to adverse pregnancy outcome in pregnant women(OR>1,P<0.05).Conclusion:The occurrence of ane⁃mia in pregnant women will lead to a significant increase in the incidence of adverse pregnancy outcome.As a risk factor,it will in⁃crease the incidence of adverse maternal and child outcomes such as postpartum hemorrhage,premature delivery,low birth weight infants and neonatal asphyxia.Therefore,effective measures should be taken to give corresponding intervention.