孕期营养补充剂对孕妇贫血发生情况的影响

Effect of nutritional supplements during pregnancy on occurrence of anemia in pregnant women

目的分析孕期营养补充剂对孕妇贫血发生情况的影响。方法选取2020年5月至2021年5月我院收诊的80例孕妇,遵循随机原则将其分为管理①组和管理②组,各40例。管理①组行常规营养管理,管理②组在管理①组基础上给予孕期营养补充剂。比较两组的妊娠期贫血、产后出血及产后贫血发生情况,孕12、28、34周红细胞计数(RBC)、红细胞比容(Hct)、血红蛋白(Hb)、血清铁蛋白(SF)、叶酸、维生素B12水平,新生儿出生1 min Apgar评分。结果管理②组的妊娠期贫血、产后出血及产后贫血发生率低于管理①组,差异具有统计学意义(P<0.05)。孕12、28、34周,管理②组的RBC、Hct及Hb水平高于管理①组,差异具有统计学意义(P<0.05)。孕12、28、34周,管理②组的SF水平高于管理①组,差异具有统计学意义(P<0.05);孕12、28、34周,两组的叶酸、维生素B12水平比较,差异无统计学意义(P>0.05)。管理②组新生儿出生1 min Apgar评分为(9.58±0.22)分,高于管理①组的(8.67±0.11)分,差异具有统计学意义(P<0.05)。结论孕期营养补充剂有助于改善孕妇的营养状况,减少贫血,提高新生儿出生质量,具有一定的临床应用价值。

Objective To analyze the effect of nutritional supplements during pregnancy on occurrence of anemia in pregnant women.Methods A total of 80 pregnant women admitted in our hospital from May 2020 to May 2021 were selected and divided into management①group and management②group according to the principle of randomness,with 40 cases in each group.The management①group received routine nutrition management,while the management②group received nutritional supplements during pregnancy on the basis of the management①group.The occurrences of pregnancy anemia,postpartum hemorrhage and postpartum anemia,red blood cell count(RBC),hematocrit(Hct),hemoglobin(Hb),serum ferritin(SF),folic acid and vitamin B12 levels at 12,28 and 34 weeks of gestation,and Apgar score at 1 min of birth were compared between the two groups.Results The incidences of pregnancy anemia,postpartum hemorrhage and postpartum anemia in the management②group were lower than those in the management①group,and the differences were statistically significant(P<0.05).At 12,28 and 34 weeks of gestation,the RBC,Hct and Hb level in the management②group were higher than those in the management①group,and the differences were statistically significant(P<0.05).At 12,28 and 34 weeks of gestation,the SF level in the management②group was higher than that in the management①group,and the difference was statistically significant(P<0.05);at 12,28 and 34 weeks of gestation,there were no significant differences in folic acid and vitamin B12 levels between the two groups(P>0.05).The Apgar score at 1 min of birth in the management②group was(9.58±0.22),which was higher than(8.67±0.11)in the management①group,and the difference was statistically significant(P<0.05).Conclusion Nutritional supplements during pregnancy can help ameliorate the nutritional status of pregnant women,reduce the anemia,and improve the birth quality of newborns,which has certain clinical application value.