不同分娩方式对孕产妇贫血状况的影响分析

王青，刘燕，扈玉婷

（陕西省宝鸡市中医医院产科，陕西 宝鸡，721000）

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摘要：

目的 了解不同分娩方式对孕产妇贫血状况的影响，为临床治疗提供科学依据。方法 选择2016年1—12月在我院妇产科进行产前检查、分娩的孕产妇677例，分析不同孕产妇分娩前、后血常规指标变化情况，并比较分析不同分娩方式对孕产妇贫血状况的影响。结果 677例孕产妇平均年龄为（28.75±4.06）岁，其中顺产380例，剖宫产297例；677例孕产妇分娩后 的RBC、Hb、MCT、MCV水平明显低于分娩前（P<0.05）；孕产妇孕早期贫血率为17.21%，孕中期贫血率为36.25%，孕晚期贫血率为51.55%，产妇分娩后3 d 贫血率为84.93%；剖宫产孕产妇在孕晚期（分娩前）和分娩后的贫血率与顺产孕产妇比较，差异不明显（P>0.05），且瘢痕子宫产妇分娩后的贫血率明显高于其他剖宫产产妇（P<0.05）。结论 分娩过程易导致孕产妇发生贫血，剖宫产是导致孕产妇易发生贫血的主要因素，并且瘢痕子宫术后进一步加剧了孕产妇贫血状况。

关键词：分娩方式；孕产妇；贫血

中图分类号：R714.4文献标志码：A文章编号：2096-1413(2017)24-0005-03

Effect analysis of different labor modes on the anemia of pregnant women
WANG Qing, LIU Yan, HU Yu-ting
(Department of Obstetrics, Baoji Hospital of Traditional Chinese Medicine, Baoji 721000, China)

ABSTRACT: Objective To analyze the effect of different labor modes on the anemia of pregnant women, so as to provide scientific basis for clinical treatment. Methods Six hundred and seventy -seven cases of pregnant women who were examined and delivevied in obstetrics department of our hospital from January 2016 to December 2016 were selected. The changes of blood routine indexes before and after parturition were analyzed in different pregnant women, and the different modes of delivery on maternal anemia effect were compared and analyzed. Results The average age of the 677 cases of pregnant women were (28.75±4.06) years old, and 380 cases had spontaneous labor, 297 cases had cesarean section. The levels of RBC, Hb, MCT and MCV in 677 pregnant women were significantly lower than those before delivery (P<0.05). The anemia rates of pregnant women in early pregnancy was 17.21%, the anemia rate in the second trimester was 36.25%, the anemia rate in the late pregnancy was 51.55%, and the anemia rate of 3 d after delivery was 84.93%. The anemia rates of pregnant women with cesarean section in late pregnancy (before delivery) and after delivery were not significantly different with those in pregnant women with spontaneous labor (P>0.05). The anemia rate of pregnant women with cicatricial uterus was higher than that of other pregnant women cesarean section (P<0.05). Conclusion It is easy to cause anemia in pregnant women during childbirth. Cesarean section is the main factor leading anemia of pregnant women, and the operation of cicatricial uterus can further aggravate the anemia of the pregnant women.
KEYWORDS: labor modes; pregnant women; anemia

参考文献：
[1] 康楚云,高燕秋,宋莉.生育政策调整前后产妇分娩方式的比较研究[J].中国妇幼保健,2016,31(2):362-365.
[2] 孟云琴,羊淑宇.高龄孕产妇分娩方式对分娩结局的影响[J].海南医学,2016,27(22):3783-3784.
[3] 王欢欢,唐雯,朱军,等.中国西部三省孕产妇贫血流行现状及影响因素[J].中国妇幼保健,2016,31(10):2019-2022.
[4] 潘迎,武明辉,谢挣,等.北京市孕产妇贫血患病率分析[J].中国妇幼保健,2007,2(10):1364-1366.
[5] 王潇滟,苏穗青,窦丽霞,等.589例HIV感染孕产妇贫血现状调查分析[J].中国妇幼保健,2016,31(12):2524-2527.
[6] 赵丽云,于冬梅,刘爱东,等.2006年中国儿童与孕产妇营养健康状况调查结果分析北京市孕产妇贫血患病率分析[J].卫生研究,2008,37(1):65-67.
[7] 汤旭钢,魏新,李宏艳.宁夏孕产妇贫血患病状况基础调查情况分析[J].宁夏医学杂志,2005,27(7):490-491.
[8] 高秀菊,郭丽君,张红玉.妊娠晚期贫血与产后出血量的相关性分析[J].中国妇幼保健,2010,25(19):2661.
[9] 李晓红,尚秀霞.首次不同剖宫产方式对产妇术后腹腔、腹壁粘连性和再次剖宫产的影响[J].临床医学研究与实践,2016,1(2):44-45.
[10] 赵丽君,邹大中.高龄孕产妇与适龄孕产妇围生期血液学检验指标变化及妊娠结局比较[J].解放军医药杂志,2016,28(5):105-108.
[11] 贾书方,李静,杨春华.瘢痕子宫产妇二次剖宫产并发症发生情况及与非瘢痕子宫剖宫产的对照研究[J].中国妇幼保健,2016,31(1):65-66.