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目的:通过血常规及铁参数检测,对妊娠早期和中期妇女贫血情况进行对比分析,旨在为临床治疗妊娠期贫血提供参考依据。方法:选择2015年1月至2017年1月期间在我院进行血常规检测及铁参数检测的早、中期妇女共480例,对比早、中期妊娠妇女的检测指标,统计分析妊娠早期和中期的贫血比例及缺铁性贫血的分布。结果:在所有480例研究对象中检查确诊为贫血症的有151例,占31.5%,其中180例孕早期妇女有34例患病,占18.9%,其中300例孕中期妇女有142例患病,占47.3%。在176例患有贫血症孕妇中,缺铁性贫血有162例,占92.0%,其中孕早期缺铁性贫血症有27例,占79.41%,孕中期有128例患缺铁性贫血症,占90.1%。妊娠中期贫血患者的红细胞(RBC)、血红蛋白(Hb)、红细胞压积(HCT)、平均红细胞压积(MCV)、平均红细胞血红蛋白含量(MCH)、平均红细胞血红蛋白浓度(MCHC)水平均低于妊娠早期患者,差异均具有统计学意义(P<0.05)。妊娠早期贫血患者血清铁蛋白(SF)水平要高于妊娠中期贫血患者,妊娠早期贫血患者可溶性转铁蛋白受体(sTf R)水平低于妊娠中期患者,均有显著差异,有统计学意义(P<0.05)。结论:妊娠期贫血以缺铁性贫血为主,孕中期妇女与孕早期妇女相比更易患贫血症,且贫血程度也更为严重,妊娠早期对孕妇进行血常规和铁参数的检测可以判断出贫血的类型,进行对症治疗。
OBJECTIVE: To compare and analyze the anemia of women in early and middle stages of pregnancy through the blood test and iron parameter test. The aim is to provide a reference for the clinical treatment of anemia in pregnancy. Methods: A total of 480 early and middle-term women were selected from our hospital for routine blood test and iron parameter test from January 2015 to January 2017. Compared with the detection indexes of early and middle-term pregnant women, The proportion of anemia and the distribution of iron deficiency anemia. RESULTS: Of the 480 study participants, 151 (31.5%) were diagnosed with anemia, of which 180 (18.9%) were pregnant in early pregnancy, and 142 , Accounting for 47.3%. In 176 pregnant women with anemia, 162 cases of iron deficiency anemia, accounting for 92.0%, of which 27 cases of early pregnancy iron deficiency anemia, accounting for 79.41%, the second trimester of 128 cases of iron deficiency anemia, Accounting for 90.1%. The levels of RBC, Hb, HCT, MCV, MCH and MCHC in the second trimester pregnancy were all lower than those in the third trimester pregnancy Early patients, the differences were statistically significant (P <0.05). Patients with early pregnancy anemia serum ferritin (SF) levels higher than those of second trimester anemia patients, early pregnancy anemia patients with soluble transferrin receptor (sTf R) levels lower than in mid-pregnancy, were significantly different, statistically significant ( P <0.05). Conclusion: The anemia in pregnancy is mainly iron-deficiency anemia. The second trimester women are more susceptible to anemia than the first trimester women, and the degree of anemia is more serious. The detection of blood and iron parameters in pregnant women in early pregnancy can be judged The type of anemia, symptomatic treatment.