Szerafin László, Jakó János
Jósa András Oktatókórház Nonprofit Kft. Hematológiai Osztály, Nyíregyháza, Szent István u. 68. 4400.
Orv Hetil. 2010 Aug 15;151(33):1347-52. doi: 10.1556/OH.2010.28887.
Nowadays anemia is the most common disease of internal medicine during pregnancy. It could cause harmful consequences both to mother and to child.
authors examined connection between the blood count data (hemoglobin, red cell mean corpuscular volume), the ferritin level and the pregnancy age, the mothers' age, schooling, the number of earlier pregnancies, abortions and miscarriages frequency of women who gave birth in 2008 at Szabolcs-Szatmár-Bereg County, Hungary.
Authors analyzed the records of health visitors in 2008 year in their county.
rate of anemia's occurrence in the first trimester was 2.54%, 0.71% in the second and 1.87% in the third trimester, and it was significantly frequented among the youthful (10.30%), the low schooled (5.55%), and the multipara women (2.56%). There was no difference in the rate of abortions; however, miscarriages were more frequent among pregnant women with anemia (7.14% vs. 5.46%). Low mean red cell corpuscular volume values were more frequent in all groups (6.06-22.88%) then the number of pregnant women with anemia. This fact refers to decreased iron stores in most cases. Ferritin level determination was made in 2.42% of cases only, but among these pathological low values was found in 93.1%.
Authors draw attention to the careful nursing of youthful, low schooled and multipara pregnant women, majority of them suffer from iron deficiency. They call attention to the right analysis of blood count, the start of correct iron supplementation in early pregnancy and the need of correction of iron stores before conception, too. Authors also give recommendations to this work on the basis of references.
如今,贫血是孕期最常见的内科疾病。它会对母亲和孩子都造成有害影响。
作者研究了2008年在匈牙利绍博尔奇-萨特马尔-贝赖格州分娩的妇女的血细胞计数数据(血红蛋白、红细胞平均体积)、铁蛋白水平与妊娠年龄、母亲年龄、受教育程度、既往妊娠次数、流产和堕胎频率之间的关系。
作者分析了2008年该县健康访视员的记录。
贫血在孕早期的发生率为2.54%,孕中期为0.71%,孕晚期为1.87%,在年轻女性(10.30%)、低学历女性(5.55%)和经产妇(2.56%)中发生率显著较高。堕胎率没有差异;然而,贫血孕妇的流产更为频繁(7.14%对5.46%)。所有组中红细胞平均体积低值的发生率(6.06 - 22.88%)均高于贫血孕妇的数量。这一事实表明大多数情况下铁储备减少。仅2.42%的病例进行了铁蛋白水平测定,但其中93.1%发现病理性低值。
作者提请注意对年轻、低学历和经产妇孕妇的精心护理,她们中的大多数患有缺铁性贫血。他们呼吁正确分析血细胞计数,在孕早期开始正确的铁补充,以及在受孕前纠正铁储备的必要性。作者还根据参考文献对这项工作提出了建议。