妊娠期铁缺乏与贫血

郎虓; 程蔚蔚

doi:10.3877/cma.j.issn.2095-3259.2022.04.003

中华产科急救电子杂志 >

2022 , Vol. 11 >Issue 04: 202 - 207

DOI: https://doi.org/10.3877/cma.j.issn.2095-3259.2022.04.003

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妊娠期铁缺乏与贫血

郎虓 ¹ ,
程蔚蔚 ^,¹^,^†

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^1.200030　上海交通大学医学院附属国际和平妇幼保健院产科

通信作者：程蔚蔚，Email：wwcheng29@163.com

Copy editor: 郎素慧

收稿日期: 2022-07-08

网络出版日期: 2023-02-16

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未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计，除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。本刊为电子期刊，以网刊形式出版。

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Iron deficiency and anemia in pregnancy

Xiao Lang ¹ ,
Weiwei Cheng ^,¹

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Received date: 2022-07-08

Online published: 2023-02-16

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No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission.

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摘要

贫血是妊娠期最常见的合并症，铁缺乏是妊娠期贫血最常见的病因。妊娠期间为了孕育和适应胎儿的生长，女性经历了重大的解剖和生理变化，这些变化在妊娠早期就开始影响机体的每一个器官系统。随着孕周的增长，孕妇血容量的增加超过血液成分的增加幅度，胎儿的生长发育对铁的需求急剧增加，当体内铁储存量或摄入量不能满足母体需要时，导致铁的相对或绝对缺乏，引起缺铁性贫血。妊娠期贫血增加产褥期感染、胎盘早剥、孕妇死亡、妊娠期高血压疾病、剖宫产、产后出血、胎儿生长受限和早产的风险，且与子代的认知、自闭症及精神异常等有关。本文将对孕期铁缺乏与贫血的病因、铁剂推荐和铁过载的危害进行论述。

关键词： 妊娠并发症，血液; 贫血，缺铁性; 妊娠结局

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郎虓 , 程蔚蔚 . 妊娠期铁缺乏与贫血[J]. 中华产科急救电子杂志, 2022 , 11(04) : 202 -207 . DOI: 10.3877/cma.j.issn.2095-3259.2022.04.003

Abstract

Anemia is the most common complication during pregnancy, and iron deficiency is the most common cause of anemia during pregnancy. In order to conceive and adapt to the growth of the fetus during pregnancy, women have experienced significant anatomical and physiological changes, which begin to affect every organ system of the body in the early pregnancy. The increase of blood volume of follow-up pregnant women exceeded the increase of blood components, and the demand for iron for fetal growth and development increased sharply. When the iron storage or intake in the body could not meet the needs of the mother, it would lead to relative or absolute iron deficiency, leading to iron deficiency anemia. Anemia during pregnancy increases the risk of puerperal infection, placental abruption, maternal death, hypertensive disease during pregnancy, cesarean section, postpartum hemorrhage, fetal growth restriction and premature delivery, and is related to the cognition, autism and mental disorders of the offspring. This article will discuss the related causes of iron deficiency, anemia during pregnancy, the recommendations of iron agents and the hazards of iron overload.

Key words： Pregnancy complications, hematologic; Anemia, iron deficiency; Pregnancy outcome

参考文献

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