作　　者： (邓莲）;

机构地区： 龙岩人民医院,福建龙岩364000

出　　处： 《中外医学研究》 2017年第25期7-9,共3页

摘　　要： 目的:研究并探讨不同妊娠期贫血类型的血常规检验结果及分布特点。方法:于2015年10月-2016年10月选取1000例孕妇作为研究对象,对其进行血常规检验,根据血常规检验结果将孕妇分为妊娠期贫血孕妇、健康孕妇,分别设置为观察组、对照组,根据血红蛋白、红细胞平均体积对贫血孕妇进行划分,将其分为小细胞性贫血、大细胞性贫血,比较其与对照组的血常规检验指标,并比较两种贫血孕妇的孕周情况。结果:1000例孕妇中共检出215例妊娠期贫血孕妇,包括123例小细胞性贫血、92例大细胞性贫血。两种贫血孕妇血红蛋白浓度均明显低于对照组,差异均有统计学意义(P<0.05),红细胞分布宽度均明显高于对照组,差异均有统计学意义(P<0.05),红细胞计数与对照组相比差异无统计学意义(P>0.05),而在红细胞平均体积、红细胞平均血红蛋白含量方面,小细胞性贫血孕妇明显低于对照组,大细胞性贫血孕妇明显高于对照组,差异有统计学意义(P<0.05)。大细胞性贫血孕妇孕周明显晚于小细胞性贫血孕妇,差异有统计学意义(P<0.05),小细胞性贫血多发生于孕早中期,而大细胞性贫血多发生于孕晚期,差异有统计学意义(P<0.05)。结论:对妊娠期孕妇开展血常规检验,可对其贫血情况予以准确反映,还可区别其贫血类型,有利于为妊娠期贫血的治疗提供科学指导。 Objective： To study and explore ＂the characteristics of blood test resuhs of different types o.f anemia during pregnancy and distribution. Method： From October 2015 to October 2016, a total of 1000 cases of pregnant women were selected as the research object.According to the blood test results they were divided into maternal anemia during pregnancy in pregnant women（observation group）, healthy pregnant women （control group）, and according to hemoglobin, mean corpuscular volume, they were divided into small cell anemia group, large cell anemia group.The blood test indicators between two groups were compared, and compared gestational weeks of the two kinds of anemic pregnant women.Result： 1000 cases of pregnant women wer＇e detected in 215 cases of anemia during pregnant, including 123 cases of small cell anemia, 92 cases of large cell anemia.Hemoglobin concentration of two kinds of anemic pregnant women were significantly lower than the control group（P〈0.05）, the red cell distribution width were significantly higher than the control group （P〈0.05）, no statistically significant difference existed compared with the control group of red blood cell count（P〉0.05）.In the mean corpuscular volume, mean corpuscular hemoglobin, small cell anemia pregnant women was significantly lower than the control group（P〈0.05）, large cell anemia pregnant women was significantly higher than the control group（P〈0.05）.Gestational weeks of large cell anemia in pregnant women was later than small cell anemia pregnant women（P〈0.05）, small cell anemia occurred in the early and middle pregnancy, and large cell anemia occurred in late pregnancy.Conclusion： For pregnant women, earring out the routine inspection, can accurately reflect the anemia, can also distinguish＇the type of anemia and provide scientific guidance for the treatment of anemia during pregnancy.

关 键 词： 妊娠期贫血 血常规检验 大细胞性贫血 小细胞性贫血