妊娠期血红蛋白浓度与妊娠结局相关性分析

发布时间：2018-08-21 19:46

【摘要】：目的:分析研究妊娠期母体高浓度血红蛋白与妊娠结局的相关性。方法:在2013年12月至2015年12月两年间来恩施土家族苗族自治州中心医院和湖北省妇幼保健院进行分娩的孕妇中,选取妊娠期在28周以上的单胎妊娠孕妇1374例。按照孕妇体内血红蛋白浓度的差异分为四组:血红蛋白浓度在75%以上者作为1组,50%~75%之间为2组,3组25%~50%,4组浓度在25%以下。统计分析血红蛋白浓度差异与妊娠结果的相关性。结果:通过对1374例研究对象记录的分析,四组孕妇孕早期血红蛋白浓度与妊娠结局无相关性(P0.05)。孕中晚期四组研究对象妊娠结局差异明显(P0.05),1、2组妊娠结局出现了更多不良情况。孕中期四组血红蛋白浓度分别为138g/L以上、130~138 g/L、123~129 g/L、123 g/L以下。孕晚期四组血红蛋白浓度分别为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与≥4.50两组间无显著差异(P0.05)。与正常妊娠相比,孕晚期高血液粘度所造成的不良妊娠结局显而易见(P0.05)。结论:妊娠期母体内高浓度血红蛋白是造成不良妊娠结局的风险因素,应引起相关工作者与研究者的重视,及早记录、及早举措,保证母婴远离病患。
[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，

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