临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
24期
2075-2077
,共3页
黄和明%谢世营%林楚楚%邢园园%马杰彦
黃和明%謝世營%林楚楚%邢園園%馬傑彥
황화명%사세영%림초초%형완완%마걸언
妊娠%贫血%血常规检验
妊娠%貧血%血常規檢驗
임신%빈혈%혈상규검험
Gestation%Anemia%Blood test
目的:探讨分析血液常规检查对妊娠期贫血患者的临床作用。方法选取2012年2月至2013年9月经妇产科治疗的138例妊娠期贫血患者,同时选取同期120例健康孕妇作为对照组,观察两组孕妇的血常规检验结果,对血红蛋白( Hb)、红细胞( RBC)、红细胞平均血红蛋白含量( MCH)、红细胞平均体积( MCV)、血细胞平均血红蛋白浓度(MCHC)和血细胞分布宽度(RDW)等检测指标开展统计分析。结果孕早期孕妇的小细胞性贫血发生率为76.32%,大细胞性贫血发生率为15.79%;孕中期的小细胞性贫血发生率为76.60%,大细胞性贫血发生率为14.89%;孕晚期的小细胞性贫血发生率为35.85%,大细胞性贫血发生率为60.38%。小细胞性贫血孕妇的RBC均值与健康孕妇相比较无明显差异,RDW均值高于健康孕妇,组间差异有统计学意义( P <0.05),Hb、MCV、MCH、MCHC的均值都低于健康孕妇,组间差异具有统计学意义( P <0.05)。大细胞性贫血孕妇,其MCHC均值与健康孕妇无统计学差异( P >0.05), RDW、MCV、MCH均值都高于健康孕妇,组间差异有统计学意义( P <0.05),Hb、RBC均值都低于健康孕妇,组间差异有统计学意义( P <0.05)。结论妊娠期发生贫血的几率较高,孕早期与孕中期主要为小细胞性贫血,孕晚期主要为大细胞性贫血,对孕妇定期开展Hb、RBC、MCH、MCV、MCHC、RDW等常规检查有重要意义,可尽早发现贫血程度,预防不良事件的发生。
目的:探討分析血液常規檢查對妊娠期貧血患者的臨床作用。方法選取2012年2月至2013年9月經婦產科治療的138例妊娠期貧血患者,同時選取同期120例健康孕婦作為對照組,觀察兩組孕婦的血常規檢驗結果,對血紅蛋白( Hb)、紅細胞( RBC)、紅細胞平均血紅蛋白含量( MCH)、紅細胞平均體積( MCV)、血細胞平均血紅蛋白濃度(MCHC)和血細胞分佈寬度(RDW)等檢測指標開展統計分析。結果孕早期孕婦的小細胞性貧血髮生率為76.32%,大細胞性貧血髮生率為15.79%;孕中期的小細胞性貧血髮生率為76.60%,大細胞性貧血髮生率為14.89%;孕晚期的小細胞性貧血髮生率為35.85%,大細胞性貧血髮生率為60.38%。小細胞性貧血孕婦的RBC均值與健康孕婦相比較無明顯差異,RDW均值高于健康孕婦,組間差異有統計學意義( P <0.05),Hb、MCV、MCH、MCHC的均值都低于健康孕婦,組間差異具有統計學意義( P <0.05)。大細胞性貧血孕婦,其MCHC均值與健康孕婦無統計學差異( P >0.05), RDW、MCV、MCH均值都高于健康孕婦,組間差異有統計學意義( P <0.05),Hb、RBC均值都低于健康孕婦,組間差異有統計學意義( P <0.05)。結論妊娠期髮生貧血的幾率較高,孕早期與孕中期主要為小細胞性貧血,孕晚期主要為大細胞性貧血,對孕婦定期開展Hb、RBC、MCH、MCV、MCHC、RDW等常規檢查有重要意義,可儘早髮現貧血程度,預防不良事件的髮生。
목적:탐토분석혈액상규검사대임신기빈혈환자적림상작용。방법선취2012년2월지2013년9월경부산과치료적138례임신기빈혈환자,동시선취동기120례건강잉부작위대조조,관찰량조잉부적혈상규검험결과,대혈홍단백( Hb)、홍세포( RBC)、홍세포평균혈홍단백함량( MCH)、홍세포평균체적( MCV)、혈세포평균혈홍단백농도(MCHC)화혈세포분포관도(RDW)등검측지표개전통계분석。결과잉조기잉부적소세포성빈혈발생솔위76.32%,대세포성빈혈발생솔위15.79%;잉중기적소세포성빈혈발생솔위76.60%,대세포성빈혈발생솔위14.89%;잉만기적소세포성빈혈발생솔위35.85%,대세포성빈혈발생솔위60.38%。소세포성빈혈잉부적RBC균치여건강잉부상비교무명현차이,RDW균치고우건강잉부,조간차이유통계학의의( P <0.05),Hb、MCV、MCH、MCHC적균치도저우건강잉부,조간차이구유통계학의의( P <0.05)。대세포성빈혈잉부,기MCHC균치여건강잉부무통계학차이( P >0.05), RDW、MCV、MCH균치도고우건강잉부,조간차이유통계학의의( P <0.05),Hb、RBC균치도저우건강잉부,조간차이유통계학의의( P <0.05)。결론임신기발생빈혈적궤솔교고,잉조기여잉중기주요위소세포성빈혈,잉만기주요위대세포성빈혈,대잉부정기개전Hb、RBC、MCH、MCV、MCHC、RDW등상규검사유중요의의,가진조발현빈혈정도,예방불량사건적발생。
Objective To investigate the clinical effect analysis of blood routine examination of patients with anemia in pregnant women. Methods One hundred and thirty-eight cases of anemia in pregnant women treated obstetrics and gynecology department in our hospital form February 2012 to September 2013 were included into this study. At the same time,120 healthy pregnant women were selected as a control group at the same period. Blood test results were observed in pregnant women. The indexes including HB,RBC,MCH,MCV,MCHC,RDW were sta-tistical analyzed to detect indicators. Results Trimester pregnant women,rate of small-cell anemia was 76. 32%,large cell anemia incidence 15. 79%. At the second trimester,small-cell anemia was 76. 60%,large cell anemia incidence 14. 89%. The third trimester of small cell lines anemia was 35. 85%,large cell anemia incidence 60. 38%. Pregnant women in the first trimester and second trimester are mostly small-cell ane-mia. With the development of pregnancy,the third trimester pregnant women are mostly large-cell anemia. Small-cell anemia in pregnant women with healthy pregnant women did not show significant difference in RBC mean number. RDW mean is higher than healthy pregnant women. The Hb,MCV,MCH,MCHC mean are lower than those of healthy pregnant women. Large-cell anemia in pregnant women,pregnant women and health of its MCHC did not show statistical difference. The RDW,MCV,MCH mean were higher than healthy pregnant women. The Hb,RBC are lower than the average healthy pregnant women. Conclusion Higher probability of occurrence was found in anemia during pregnancy. Trimester and second trimester is mainly small-cell anemia. Third trimester is mainly large-cell anemia. Pregnant women regularly carrying Hb,RBC, MCH,MCV,MCHC,RDW and other routine testing is important. The degree of anemia can be detected early to prevent the occurrence of adverse events.