河南省安阳地区孕妇血清铁蛋白检测情况调查

Investigation on pregnant women serum ferritin detection in Anyang area of Henan province

目的:分析在我院进行孕检的孕妇铁储备情况,为加强围产期保健,保障母婴健康,提高出生人口素质提供理论依据。方法:2014年1-3月收治进行孕前检查的孕妇200例,其中48例贫血者作为贫血孕妇研究组,152例不贫血者作为正常孕妇对照组,另外收集60例健康育龄妇女体检者作为正常对照组,3组均无心、肝、肾、血液以及其他相关疾病。结果:贫血孕妇组、正常孕妇组血清铁蛋白水平比正常对照组低,差异有统计学意义(P<0.05)。正常孕妇组的平均红细胞血红蛋白含量(MCH)、平均红细胞体积(MCV)、平均红细胞血红蛋白浓度(MCHC)、红细胞体积分布宽度(RDW)与贫血孕妇组比较,差异有统计学意义(P<0.05),但与正常对照组比较,差异无统计学意义(P>0.05)。结论:孕妇体内铁储存量不足,孕中、晚期贫血以缺铁为主。因此重视加强孕早、中期孕妇铁剂的补充,对保证胎儿的营养与正常发育有着十分重要的意义。

Objective:To analyze the iron reserves in pregnant women who were taken examination in our hospital,in order to provide the theoretical basis for strengthening perinatal health care,protect maternal and child health,and improve the quality of the newborn population.Methods:200 pregnant women who taken pre inspection were selected from January to March of 2014,including 48 cases of anemia divided into the study group of anemia pregnant women,and other 152 pregnant without anemia were divided into the control group of normal pregnant women,in addation,60 healthy women of childbearing age subjects served as normal control group.All women in the three groups without heart,liver,kidney does not exist,blood and other related diseases.Results:The serum ferritin level in the anemia group and in the normal pregnant group both were lower than in the normal control group,and the difference were statistically significant(P<0.05).The differences in MCV,MCH,MCHC and RDW were statistically significant between the normal pregnant women group and the anemia group(P<0.05),but when compared with the normal control group,the difference had no statistically significant(P>0.05).Conclusion:The storage of iron deficiency in the pregnant women,in the second and third trimester stock shortage,the main type of anemia was iron deficiency.Therefore,strengthening the supplement of iron in early and mid pregnancy,play a very important meaning to ensure the nutrition and the normal development of the fetus.