贫血孕产妇不良妊娠结局的多水平分析研究

王海英

【摘 要】目的：研究贫血孕产妇不良妊娠结局的多水平分析结果。方法：从本院中挑选实验对象64例，为2020年2月至2021年2月期间在院中诊疗的贫血孕产妇患者。分成常规组与实验组，前组为妊娠期贫血者、后组为生产后贫血者，对两组对象的不良妊娠结局风险因素进行统计分析。结果：常规组对象不良妊娠结局与收入水平、孕期吸烟、补充铁剂、职业相关（P<0.05）。实验组对象的不良妊娠结局和其产前BMI、职业、孕期饮茶、生产次数有相关性（P<0.05）。结论：孕产妇严重贫血者影响不良妊娠结局的危险因素包括个人情况因素和生活习惯因素，补充铁剂对于妊娠期贫血者有影响。

【关键词】贫血；不良妊娠结局；产妇；孕妇

Multilevel analysis of adverse pregnancy outcomes in anemic pregnant women

Wang Haiying

NinghaiChengguan hospital，Zhejiang Ningbo 315600，China

【Abstract】Objective： To study the results of multilevel analysis of adverse pregnancy outcomes of anemia pregnant women.Methods：A total of 64 patients with anemiapregnant were selected from our hospital from February 2020 to February 2021.They were divided into the routine group and the experimental group. The former group was anemia during pregnancy and the latter group was anemia after birth. The risk factors of adverse pregnancy outcomes were statisticallyanalyzed in the two groups.Results：the adverse pregnancy outcomes in the routine group were correlated with income level，smoking during pregnancy，iron supplementation and occupation（P<0.05）.The adverse pregnancy outcomes of the experimental group were correlated with their prenatal BMI，occupation， tea drinking during pregnancy and production times（P <0.05）. Conclusion：The risk factors of adverse pregnancy outcome in pregnant women with severe anemia include personal factors and lifestyle factors， and iron supplementation has an effect on pregnant women with anemia.

【Key？Words】Anemia； Adverse pregnancy outcomes； Maternal； A pregnant woman

貧血属于临床较为常见血液病的一种，代表患者体内的红细胞含量降低导致患者发生不适，因其临床发病机制不同影响的疾病形成性质不同，所造成的贫血症状也不同，故而临床在选择治疗方法上也不同。需要按照贫血类型考虑患者的实际贫血表现检查疾病性质，施以针对性治疗。而孕产妇贫血发生主要由于其在妊娠过程中体内激素、代谢情况、自身血容量等均有改变，为给婴儿提供营养因此自身养分供给不足，从而造成产后贫血或加重妊娠期贫血[1-2]。有研究显示，妊娠期孕妇贫血较为严重时很容易引起妊高症等疾病形成新生儿早产、流产等，产后贫血对于产妇的恢复而言也极为不利，所以要及时预警贫血症状的发生，从多角度维护产妇安全。

1 资料和方法

1.1 线性资料

实验时间段选取2020年2月至2021年2月期间至我院进行诊疗的孕产妇贫血对象共计64名，收集对象均为贫血症确诊患者，将其分为常规组与实验组，每组32例，而在组内对象按照是否发生不良妊娠结局将其分成每类16例。……