【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。更多还原

【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.更多还原