摘要
目的探讨孕妇缺铁状态及其对新生儿的影响 .方法对 187名孕妇血液和产时脐血的 5项铁参数进行跟踪 ,其中 77名分为补铁组和对照组 .结果 (1)随着孕周的增加 ,孕妇的SI、TS、SF下降 ,TIBC上升 ,Hb先下降后上升 ,t检验各项铁参数有显著性差异 (p <0 .0 5 ) ;(2 )孕妇缺铁越早 ,其脐血Hb、SI、TS、SF越低 ,TIBC越高 ,孕 2 0～ 2 6W与临产比较SI和SF均差异显著 (p <0 .0 5和p <0 .0 1) ,脐血SI和SF与母血SF正相关 (r=0 .31,p <0 .0 1和r=0 .18,p<0 .0 5 ) ;(3)补铁组脐血的Hb、SI、TS、SF比对照组高 ,TIBC比对照组低 ,两组SI、SF差异显著 (SI:p <0 .0 5 ;SF :p <0 .0 1) .结论孕妇缺铁性贫血发生率高 ,新生儿铁贮备降低 ,必须进行补铁治疗 .
Objective To investigate the effect of the iron-deficiency of Gravida on neonate.Methods The five iron parameters were determined in 187 gravidas blood and their cord blood. Among them 77 gravida were further divided into ferrotherapy group and control group.Results (1) With the increase of pregnant duration, SI, TS and SF dropped in gravida blood, TIBC went up, and Hb dropped before rise. The five parameters were significantly different in three charateristic time(p<0.05); (2) The earlier iron-deficiency of gravida, the lower Hb, SI, TS and SF in cord blood, and the higher TIBC. SI and SF were significantly different compared 20 to 26w with parturiency(p<0.01). SI and SF in the cord blood had a significant positive correlation with SF in gravida blood (r=0.31,p<0.01 and r=0.18,p<0.05 respectively). (3)Hb,SI, TS and SF of cord blood in ferrotherapy group were higher than those in control group, and TIBC was lower than this. SI,SF of cord blood were significantly different (SI:p<0.05;SF:p< 0.01 ).Conclusions The incidence of hypoferric anemia of gravida was very high.The iron storage of neonate is low. Ferrotherapy was indispensable and feasible.
出处
《现代临床医学生物工程学杂志》
2000年第2期24-25,共2页
Journal of Modern Clinical Medical Bioengineering
