摘要
目的 探讨孕妇及婴儿贫血的防治方法。方法 将 313例孕期满 2 4周的孕妇分为 3组。对照组 :不服右旋糖苷铁 ;QD组 :每日服右旋糖苷铁一次 ;QW组 :每周服右旋糖苷铁一次。孕妇 6项观察指标为 :血红蛋白 (Hb)、血清铁蛋白 (SF)、游离红细胞原卟啉 (FEP)、红细胞容积分布宽度 (RDW)、平均红细胞容积 (MCV)和贫血患病率。这些指标在观察前和观察后各测一次。 2项婴儿观察指标为 :血红蛋白 (Hb)、贫血患病率。结果 孕妇观察前 6项指标 3组间比较 ,差异无显著性 ,但孕妇观察后 6项指标 3组间比较 ,差异有显著性 ,其中以QD组疗效最好。婴儿血红蛋白的均值以QD组最高。婴儿血红蛋白含量的主要影响因素为孕后期Hb含量和孕中期的MCV的含量。
Objective To approach a method for reducing the prevalence rates in pregnant women and infants.Methods 313 pregnant women with over 24 weeks pregnancy were divided into three groups:control group,not taking iron dextran;group QD,taking iron dextran once a day;group QW,taking iron dextran once a week.Six observation indices on the pregnant women are:hemoglobin(Hb),serum ferritin(SF),free erythrocyte protoporphyrin(FEP),red cell distribution width(RDW),mean corpuscular volum(MCV) and anemia prevalence rate.All the indices were measured once before and after observation respectively.Two observation indices on the infants are:hemoglobin(Hb) and anemia prevalence rate.Results The group's difference of the six indices before the observation over the three women groups is not significant.But the group's differenes of the six indices after the observation over the three women groups are significant.Of the three women's groups the group QD has the best curative effects.The group QD n the infant has the highest mean of Hb among the three groups.The main factors effecting on the infant Hb concentration are the pregnant women's Hb concentration after the observation and MCV concentration before the observation.Conclusion Taking iron dextran in middle and late pregnancy has significant effects on reducing the anemia prevalence rates in pregnant women and infants.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2002年第7期809-811,共3页
Chinese Journal of Public Health