李嘉玲

[摘要] 目的 调查云浮市城乡妊娠期妇女的贫血状况，分析影响贫血的相关因素。 方法 随机抽取2013年6月～2014年12月来云浮市妇幼保健院妇产科进行定期产前检查和分娩的病例资料完整的妊娠期妇女3716例，比较城区和农村妇女妊娠早、中、晚期的贫血患病率，分析贫血患病率的相关因素。 结果 城区妊娠早期妇女贫血患病率为3.14%，妊娠中期妇女贫血患病率为19.25%，妊娠晚期妇女贫血患病率为24.64%，均分别低于农村妊娠早、中、晚期妇女贫血患病率的11.63%、32.97%、37.76%，差异有统计学意义（P<0.05）。Logistic多因素回归分析显示，年龄、文化程度、家庭月收入等与妊娠期贫血患病率有相关性（P<0.05）。 结论 妊娠期贫血发病因素复杂，应加强孕期健康知识宣教，减少孕期贫血的发生。

[关键词] 妊娠期；贫血；患病率

[中图分类号] R714.25 [文献标识码] A [文章编号] 1674-4721（2015）07（a）-0180-03

Related factors analysis on anemia of pregnant women in urban and rural areas in Yunfu city

LI Jia-ling

Department of Obstetrics and Gynecology，Maternal and Child Care Service Centre of Yunfu City in Guangdong Province，Yunfu 527300，China

[Abstract] Objective To investigate the related factors analysis on anemia of pregnant women in urban and rural areas in Yunfu city. Methods 3716 cases of pregnant women in our hospital from June 2013 to December 2014 to take with regular prenatal care were randomly selected.The prevalence of anemia of early，middle and late pregnancy between urban and rural women was cmpared，the factors of anemia prevalence was analyzed. Results In urban women，the prevalence of anemia of early pregnancy was 3.14%，that of middle pregnancy was 19.25%，that of late pregnancy was 24.64%，lower than that of rural women（11.63%，32.97%，37.76%） respectively，with statistical difference （P<0.05）.Logistic regression analysis of age，education level，family income was correlated with the prevalence of anemia in pregnancy（P<0.05）. Conclusion The related factors of anemia in pregnancy is complicate，should strengthen the pregnancy health literacy education，reduce the incidence of anemia during pregnancy.

[Key words] Pregnancy；Anemia；Prevalence

目前，妊娠期妇女贫血已经成为我国严重的公共卫生问题，极大地制约了我国人口的出生质量，影响妊娠期妇女的身体健康。由于不同地区妊娠期妇女贫血差别较大，只有对本地区的调查研究才真正具有理论意义和实际应用价值[1]。经过CNKI、VIP等数据库查询，云浮地区尚未有关于妊娠期妇女贫血的调查研究报道[2]。因此，在云浮市开展妊娠期妇女的贫血调查，有效掌握本市城区和农村妊娠期妇女的贫血患病情况及其相关因素，为妊娠期妇女贫血筛查与管理提供指导，对减少妊娠期妇女贫血的发生，尽可能避免出现母婴不良结局，提高围生期保健服务有重要意义，以确保母婴安康，提高本市出生人口素质[3-4]。本研究了解云浮市城区和农村妊娠期妇女的贫血状况，对比分析影响贫血的相关因素，以提出针对性干预措施，促进本地区优生优育政策的推广。……