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目的了解婴儿营养性缺铁性贫血(IDA)的现状,研究孕妇孕晚期贫血与婴儿期IDA的关系,为预防婴儿早期IDA的发生提供科学依据。方法选取2014年4月-2016年3月在仪征市妇幼保健所儿保科门诊定期健康体检的5~8月龄婴儿,测定血常规。回顾性分析孕妇孕晚期贫血情况,比较孕妇孕晚期贫血、服用铁剂治疗、治愈与否对婴儿早期IDA的影响。结果婴儿血红蛋白(Hb)为(111.75±10.918)g/L,贫血发生率41.79%,轻度贫血占92.86%;孕妇孕晚期Hb≥110 g/L组与Hb<110 g/L组婴儿Hb、孕妇贫血发生率分别为(112.73±10.759)g/L、38.75%和(107.91±10.750)g/L、53.66%(均P<0.05);治疗组与未治疗组婴儿Hb、孕妇贫血发生率分别为(108.76±11.895)g/L、48.78%和(107.07±9.543)g/L、58.54%(均P>0.05);治愈组与未治愈组婴儿Hb、贫血发生率分别为(114.88±9.951)g/L、19.05%和(104.86±9.672)g/L、80.00%(均P<0.05)。结论 5~8月龄婴儿IDA发生率处于较高水平,而孕后期贫血是婴儿早期发生IDA的重要影响因素,因此采取切实可行的措施预防母亲孕后期贫血,是减少婴儿IDA发生的关键。
Objective To understand the current status of nutritional iron deficiency anemia (IDA) in infants and study the relationship between pregnant women ’s third trimester pregnancy anemia and IDA in infancy to provide a scientific basis for preventing the occurrence of early IDA in infants. Methods From April 2014 to March 2016, blood samples were collected from 5 to 8 month-old infants in Yibin MCH clinic for regular physical examination. Retrospective analysis of pregnant women in the third trimester of pregnancy anemia, compared with the third trimester of pregnancy anemia, iron therapy, cure or not on the impact of early IDA in infants. Results The hemoglobin of infants was (111.75 ± 10.918) g / L, the incidence of anemia was 41.79%, mild anemia was 92.86%. The levels of Hb, The incidences of anemia in pregnant women were (112.73 ± 10.759) g / L, 38.75% and (107.91 ± 10.750) g / L, 53.66% (all P <0.05) (108.76 ± 11.895) g / L, 48.78% and (107.07 ± 9.543) g / L, 58.54% (all P> 0.05). The incidence of Hb and anemia in the cured and non-cured infants were (114.88 ± 9.951) g / L, 19.05% and (104.86 ± 9.672) g / L, 80.00% (all P <0.05). Conclusions The incidence of IDA in infants aged 5 ~ 8 months is at a high level. However, anemia in early pregnancy is an important influencing factor of IDA in infants. Therefore, it is the key to reduce the occurrence of IDA in infants with practical measures to prevent anemia during pregnancy.