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目的探讨血红蛋白(Hb)水平对子痫前期患者妊娠结局的影响。方法回顾105例子痫前期孕产妇的临床资料,分析Hb水平对妊娠结局的影响。结果贫血组44例,Hb为(95.9±13.9)g/L,非贫血组61例,Hb为(123.4±11.1)g/L。贫血组早产率低于非贫血组(27.3%vs.47.5%)(P<0.05),低体重儿发生率亦低于非贫血组(25.0%vs.49.2%)(P<0.05)。两组死胎或引产率(6.8%vs.13.1%)和新生儿窒息发生率(6.8%vs.4.9%)相仿(P>0.05)。结论贫血降低子痫前期患者妊娠不良结局的风险,可能对子痫前期孕产妇具有保护作用。
Objective To investigate the effect of hemoglobin (Hb) on pregnancy outcome in preeclampsia. Methods The clinical data of 105 pregnant women with preeclampsia were reviewed, and the effect of Hb level on pregnancy outcome was analyzed. Results There were 44 anemia patients with Hb of (95.9 ± 13.9) g / L, 61 non-anemia patients and (123.4 ± 11.1) g / L of Hb. The preterm birth rate of anemia group was lower than that of non-anemia group (27.3% vs.47.5%) (P <0.05). The incidence of low birth weight was also lower than that of non-anemia group (25.0% vs.49.2%) (P <0.05). The stillbirth or induction rate (6.8% vs.13.1%) in both groups was similar to that of neonatal asphyxia (6.8% vs.4.9%) (P> 0.05). Conclusion Anemia may reduce the risk of adverse pregnancy outcome in patients with preeclampsia and may have a protective effect on pregnant women with preeclampsia.