本文選題：少數(shù)民族 + 缺鐵性貧血　； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討新疆昌吉少數(shù)民族（回族與哈薩克族）孕婦和漢族孕婦妊娠期缺鐵性貧血（iron deficiency anemia，IDA）發(fā)病和貧血程度的危險(xiǎn)因素，及其對(duì)妊娠結(jié)局的影響。為制定適宜當(dāng)?shù)卦挟a(chǎn)婦的圍產(chǎn)期保健指南提供臨床依據(jù)。方法：本研究采用回顧性分析、病例對(duì)照研究設(shè)計(jì)。選擇2012年7月至2013年6月在昌吉州人民醫(yī)院產(chǎn)科住院分娩，確診為妊娠期缺鐵性貧血的孕婦300例（回族100例、哈薩克族100例、漢族100例）作為病例組，隨機(jī)選擇同期住院分娩的健康孕婦300例（回族100例、哈薩克族100例、漢族100例）作為對(duì)照組，探討各因素對(duì)回族、哈薩克族和漢族妊娠期缺鐵性貧血發(fā)病的影響，再分別比較回族、哈薩克族、漢族病例組與對(duì)照組母兒的結(jié)局，分析妊娠期缺鐵性貧血對(duì)母兒結(jié)局的影響。結(jié)果：1.經(jīng)過(guò)各民族貧血程度的單因素分析篩選出差異有統(tǒng)計(jì)學(xué)意義的研究因素，再進(jìn)行相關(guān)性分析結(jié)果表明：回族IDA孕婦的產(chǎn)次、流產(chǎn)次數(shù)，哈薩克族、漢族IDA孕婦的產(chǎn)次，與其貧血程度呈正相關(guān)；回族、哈薩克族、漢族IDA孕婦的產(chǎn)前保健、居住區(qū)域、文化程度、經(jīng)濟(jì)獨(dú)立能力與其貧血程度呈負(fù)相關(guān)。2.多因素逐步logistic回歸分析顯示：居住區(qū)域及文化程度是回族、哈薩克族IDA孕婦貧血程度的獨(dú)立危險(xiǎn)因素，文化程度是漢族IDA孕婦貧血程度的獨(dú)立危險(xiǎn)因素。3.用卡方檢驗(yàn)分別比較回族、哈薩克族與漢族病例組與對(duì)照組的妊娠并發(fā)癥及分娩結(jié)局，發(fā)現(xiàn)回族、哈薩克族IDA孕產(chǎn)婦子癇前期、胎膜早破、羊水污染、產(chǎn)褥感染的發(fā)生率增加，產(chǎn)后出血量增加，新生兒出生Apgar評(píng)分降低，差別有統(tǒng)計(jì)學(xué)意義（均P0.05）；漢族IDA孕產(chǎn)婦羊水污染、產(chǎn)褥感染發(fā)生率增加，新生兒出生體重降低，差別有統(tǒng)計(jì)學(xué)意義（均P0.05）。結(jié)論：1.居住區(qū)域和文化程度是回族及哈薩克族孕婦IDA貧血程度的危險(xiǎn)因素，文化程度是漢族孕婦IDA貧血程度的危險(xiǎn)因素。2.回族、哈薩克族IDA孕婦的子癇前期、胎膜早破、羊水污染、產(chǎn)褥感染發(fā)生率增加，產(chǎn)后出血量增加，，新生兒出生Apgar評(píng)分降低，漢族IDA孕婦的羊水污染、產(chǎn)褥感染發(fā)生率增加，新生兒出生體重降低。針對(duì)高危人群、危險(xiǎn)因素積極采取預(yù)防、干預(yù)及控制措施，降低孕產(chǎn)婦貧血的發(fā)生有重要意義。
[Abstract]:Objective: to investigate the risk factors of iron deficiency anemia (IDA) and its influence on pregnancy outcome of pregnant women in Changji minority (Hui and Kazak) and Han women in Xinjiang. To provide clinical basis for the development of perinatal health care guidelines suitable for local pregnant and lying-in women. Methods: retrospective analysis and case-control study were used in this study. From July 2012 to June 2013, 300 pregnant women (100 Hui, 100 Kazak and 100 Han) who were diagnosed as iron deficiency anemia during pregnancy were selected as the case group. 300 healthy pregnant women (100 Hui, 100 Kazakh, 100 Han) were randomly selected as control group. The effects of various factors on the incidence of iron deficiency anemia during pregnancy were investigated. The maternal and fetal outcomes of Hui, Kazak and Han nationality were compared with those of control group, and the effects of iron deficiency anemia during pregnancy on maternal and fetal outcomes were analyzed. The result is 1: 1. According to the single factor analysis of anemia degree of different nationalities, the difference was statistically significant. The results of correlation analysis showed that: the number of births, the number of miscarriages, the births of IDA pregnant women of Kazak and Han nationalities, the number of births of IDA pregnant women of Hui nationality, Han nationality, Kazak nationality and Han nationality, The antenatal care, living area, education level and economic independence ability of pregnant women of Hui, Kazak and Han nationality were negatively correlated with anemia degree. Multivariate stepwise logistic regression analysis showed that the living area and education level were independent risk factors of anemia among pregnant women of Hui nationality and Kazak nationality, and education level was the independent risk factor of anemia degree of pregnant women of Han nationality. The pregnancy complications and delivery outcome of Hui, Kazak and Han nationality were compared by chi-square test. The results showed that the incidence of preeclampsia, premature rupture of membranes, amniotic fluid pollution and puerperal infection in Hui and Kazakh women were increased. The amount of postpartum hemorrhage increased, the Apgar score of newborn decreased, the difference was statistically significant (all P 0.05), and the incidence of maternal amniotic fluid and puerperal infection in Han nationality was increased, and the birth weight of newborn was decreased (all P 0.05). Conclusion 1. The living area and education level were the risk factors of IDA anemia of Hui and Kazak pregnant women, and the education level was the risk factor of IDA anemia degree of Han nationality pregnant women. The preeclampsia, premature rupture of membranes, amniotic fluid contamination, increased incidence of puerperal infection, increased postpartum bleeding, decreased Apgar score at birth, and increased incidence of puerperal infection in pregnant women of Han nationality. Newborns lose weight at birth. It is important to take prevention, intervention and control measures to reduce the incidence of anemia in pregnant and parturient women.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R714.254

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 姚小衛(wèi);;燒傷大鼠血清促紅細(xì)胞生成素水平變化與燒傷、貧血程度的相關(guān)性[J];中國(guó)現(xiàn)代藥物應(yīng)用;2009年22期

2 張義瓊;朱易萍;周晨燕;高舉;符仁義;袁粒星;;兒童缺鐵性貧血發(fā)病和貧血程度的危險(xiǎn)因素分析[J];四川大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2010年01期

3 林國(guó)輝;陶雋;葉瑞雄;;嬰幼兒60例營(yíng)養(yǎng)性缺鐵性貧血臨床分析[J];疾病監(jiān)測(cè)與控制;2012年06期

4 陳書(shū)芬,朱亞珍,樓季莊,孫君江;CRF患者Epo水平與貧血程度的觀察[J];放射免疫學(xué)雜志;1999年02期

5 梁卉;張磊;劉華林;劉杰;劉瑞海;;人巨細(xì)胞病毒感染與嬰幼兒貧血的關(guān)系及治療策略[J];實(shí)用兒科臨床雜志;2010年22期

6 陳偉崗;;小兒營(yíng)養(yǎng)性缺鐵性貧血132例臨床分析[J];當(dāng)代醫(yī)學(xué);2013年02期

7 楊果杰;缺鐵性貧血意外地多[J];日本醫(yī)學(xué)介紹;1985年05期

8 ;[J];;年期

9 ;[J];;年期

10 ;[J];;年期

相關(guān)碩士學(xué)位論文 前2條

1 雷慶齡;兒童營(yíng)養(yǎng)性缺鐵性貧血的臨床分析[D];重慶醫(yī)科大學(xué);2013年

2 馮晶晶;昌吉少數(shù)民族妊娠期缺鐵性貧血發(fā)病及貧血程度的危險(xiǎn)因素及母嬰結(jié)局探究[D];新疆醫(yī)科大學(xué);2014年

本文編號(hào)：2001453