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中国初级卫生保健:2018,32(9):43-44
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母亲孕期贫血对婴幼儿贫血和生长发育的影响分析
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中文摘要: 目的 探讨母亲孕期贫血对婴幼儿贫血和生长发育的影响。方法 采用回顾性问卷调查方法调查我院2016年6月—2017年6月期间135例母亲孕期贫血情况和新生儿出生结局,均为单胎,记录新生儿出生后6、12、24个月生长发育情况(身长、体重),检测婴幼儿血红蛋白以评价其贫血情况。结果 135例孕妇中,孕期贫血者18.52%,早产儿7例,占5.19%,阴道分娩率61.48%(83/135),巨大儿12例(8.89%),低出生体重者5例(3.70%)。随访期间,新生儿出生后6个月贫血发生率最高,占17.78%。随着新生儿月龄的增加,其贫血率不断下降。母亲贫血组新生儿出生身长和体重及分娩方式、孕龄与母亲非贫血组相比较,P>0.05。两组婴幼儿在出生后6、12、24个月时生长发育和贫血情况相比较,P>0.05。结论 母亲贫血对新生儿出生结局无明显影响作用,同时尚未发现母亲贫血与婴幼儿贫血间的直接性关联证据。尽管如此,临床仍需加强对母亲贫血的关注和纠正,以防直接或间接影响新生儿后续发育和成长。
Abstract:OBJECTIVE To investigate the effect of maternal anemia on anemia and growth in infants and young children. METHODS Questionnaires were used to investigate 135 cases of maternal anemia and neonatal birth outcomes in our hospital from June 2016 to June 2017. They were all singletons and recorded the growth and development of newborns at 6, 12, and 24 months after birth (length, Body weight). Hemoglobin was detected in infants to assess anaemia. RESULTS 135 pregnant women, 18.52% (25/135) were anemia during pregnancy, 7 (5.19%) premature infants, 61.48% (83/135) vaginal deliveries, 12 (8.89%) macrosomia, and low birth weight. Five patients (3.70%). During the follow-up period, the highest incidence of anemia was 6 months after birth, which was 11 cases (8.15%). As the neonatal age increases, the rate of anemia continues to decline. In the mother anemia group, the birth length and weight of the newborns and the mode of delivery, and the gestational age were compared with the mother non-anemia group, P>0.05. The growth and development of anemia in the infants of the two groups at 6, 12, and 24 months after birth were compared, P>0.05. CONCLUSION Maternal anemia had no significant effect on neonatal birth outcomes, and no evidence of direct association between maternal anemia and infant anaemia was found. In spite of this, there is still a need to strengthen the concern and correction of maternal anemia in order to prevent direct or indirect effects on the newborn's subsequent development and growth.
文章编号:3201809016     中图分类号:R1-9    文献标志码:
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胡 娅①,林利云②  
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