【摘要】：目的:分析研究妊娠期母體高濃度血紅蛋白與妊娠結(jié)局的相關(guān)性。方法:在2013年12月至2015年12月兩年間來恩施土家族苗族自治州中心醫(yī)院和湖北省婦幼保健院進行分娩的孕婦中,選取妊娠期在28周以上的單胎妊娠孕婦1374例。按照孕婦體內(nèi)血紅蛋白濃度的差異分為四組:血紅蛋白濃度在75%以上者作為1組,50%~75%之間為2組,3組25%~50%,4組濃度在25%以下。統(tǒng)計分析血紅蛋白濃度差異與妊娠結(jié)果的相關(guān)性。結(jié)果:通過對1374例研究對象記錄的分析,四組孕婦孕早期血紅蛋白濃度與妊娠結(jié)局無相關(guān)性(P0.05)。孕中晚期四組研究對象妊娠結(jié)局差異明顯(P0.05),1、2組妊娠結(jié)局出現(xiàn)了更多不良情況。孕中期四組血紅蛋白濃度分別為138g/L以上、130~138 g/L、123~129 g/L、123 g/L以下。孕晚期四組血紅蛋白濃度分別為135 g/L以上、127~134 g/L、119~126 g/L以上、119 g/L以下。孕中期血液粘度4.50與≥4.50兩組間無顯著差異(P0.05)。與正常妊娠相比,孕晚期高血液粘度所造成的不良妊娠結(jié)局顯而易見(P0.05)。結(jié)論:妊娠期母體內(nèi)高濃度血紅蛋白是造成不良妊娠結(jié)局的風(fēng)險因素,應(yīng)引起相關(guān)工作者與研究者的重視,及早記錄、及早舉措,保證母嬰遠(yuǎn)離病患。
[Abstract]:Objective: to study the relationship between maternal high concentration hemoglobin and pregnancy outcome. Methods: from December 2013 to December 2015, 1374 pregnant women with single pregnancy were selected from the central hospital of Enshi Tujia and Miao Autonomous Prefecture and Hubei Provincial Maternal and Child Health Hospital. According to the difference of hemoglobin concentration in pregnant women, they were divided into four groups: those with hemoglobin concentration above 75% were divided into two groups (50%) and three groups (25%). The correlation between the difference of hemoglobin concentration and pregnancy results was analyzed statistically. Results: the results showed that there was no correlation between hemoglobin concentration in early pregnancy and pregnancy outcome (P0.05). There were significant differences in pregnancy outcomes among the four groups (P0.05). In the second trimester, the hemoglobin concentrations in the four groups were 130g / L > 130g / L > 123,129g / L < 123g / L respectively. The hemoglobin concentrations of the four groups in the third trimester of pregnancy were 135g / L > 127g / L > 127g / L > 129g / L > 129g / L > 119g / L > 119g / L > 119g / L. There was no significant difference between the blood viscosity of 4.50 and 鈮，

本文編號：2196176