妊娠贫血患者进行血常规检验的临床价值分析(1)
【摘要】 目的 针对妊娠期贫血患者实施血常规检验， 对其临床价值进行分析。方法 选取1050例妊娠期贫血患者作为研究组， 选取同期进行检查的1020例正常妊娠孕妇作为对照组。两组均实施血常规检验， 对比两组平均红细胞体积、平均红细胞血红蛋白含量、血红蛋白、红细胞计数以及红细胞平均血红蛋白浓度。结果 研究组平均红细胞体积(69.22±11.40)fl显著小于对照组的(85.16±10.07)fl， 平均红细胞血红蛋白含量(23.34±2.60)pg、血红蛋白(98.10±16.24)g/L、红细胞计数(3.12±0.30)×1012/L均显著低于对照组的(28.15±1.96)pg、(123.44±18.10)g/L、(4.20±0.65)×1012/L， 差异具有统计学意义(P<0.05);研究组红细胞平均血红蛋白浓度(290.10±10.57)g/L明显低于对照组的(330.16±14.13)g/L， 差异具有统计学意义(t=73.178， P=0.000<0.05)。结论 对疑为妊娠期贫血的患者可以进行血常规检查， 有利于鉴别其是否出现妊娠期贫血， 采取针对性的治疗措施。
【关键词】 妊娠期;贫血;血常规检验;血红蛋白;红细胞计数;红细胞
DOI：10.14163/j.cnki.11-5547/r.2019.29.012
【Abstract】 Objective To analyze the clinical value of blood routine test in pregnant women with anemia. Methods There were 1050 pregnancy anemia patients selected as research group， and concurrent 1020 normal pregnant women selected as control group. Blood routine tests were performed in both groups， and the mean erythrocyte volume， mean hemoglobin content， hemoglobin， red blood cell count and mean corpuscular hemoglobin concentration were compared between the two groups. Results The mean erythrocyte volume was (69.22±11.40) fl in the research group， and that was significantly smaller than (85.16±10.07) fl in the control group. The mean hemoglobin content (23.34±2.60) pg， hemoglobin (98.10±16.24) g/L， erythrocyte count (3.12±0.30)×1012/L in the research group were significantly lower than (28.15±1.96) pg， (123.44±18.10) g/L and (4.20±0.65)×1012/L in the control group， and their difference was statistically significant (P<0.05). The mean corpuscular hemoglobin concentration was (290.10±10.57) g/L in the research group， and that was obviously lower than (330.16±14.13) g/L in the control group， and the difference was statistically significant (t=73.178， P=0.000<0.05). Conclusion Blood routine can be tested in patients suspected of pregnancy anemia， which is conducive to identifying whether they have pregnancy anemia， so as to take targeted treatment measures.
【Key words】 Pregnancy; Anemia; Blood routine test; Hemoglobin; Erythrocyte count; Erythrocyte
妊娠期貧血在临床中又可以称为妊娠合并巨幼红细胞性贫血， 在妇产科中比较多见， 其发病原因涉及多个方面， 包括营养不良、叶酸缺乏等。在妊娠阶段除了出现贫血症状外还会存在头晕、气短等症状， 对于正常妊娠以及后期分娩都会造成较为严重的影响， 导致胎儿出现贫血以及窒息情况， 严重的会影响胎儿发育。相关研究表明， 存在妊娠期贫血的患者在血红细胞、红细胞计数、红细胞平均血红蛋白方面具有一定的差异[1]， 因此研究中针对于可能导致妊娠期产妇出现贫血的检查分析， 可以采取这些指标检验措施即血常规检验进行分析， 从而判断孕妇是否存在贫血， 实施早期预防治疗， 降低妊娠期贫血对孕妇以及胎儿的影响。本研究将血常规检验应用于妊娠期贫血的患者中， 分析其应用价值， 为妊娠期贫血孕妇的诊断及治疗提供参考依据， 具体报告如下。, 百拇医药(刘小丽)
【关键词】 妊娠期;贫血;血常规检验;血红蛋白;红细胞计数;红细胞
DOI：10.14163/j.cnki.11-5547/r.2019.29.012
【Abstract】 Objective To analyze the clinical value of blood routine test in pregnant women with anemia. Methods There were 1050 pregnancy anemia patients selected as research group， and concurrent 1020 normal pregnant women selected as control group. Blood routine tests were performed in both groups， and the mean erythrocyte volume， mean hemoglobin content， hemoglobin， red blood cell count and mean corpuscular hemoglobin concentration were compared between the two groups. Results The mean erythrocyte volume was (69.22±11.40) fl in the research group， and that was significantly smaller than (85.16±10.07) fl in the control group. The mean hemoglobin content (23.34±2.60) pg， hemoglobin (98.10±16.24) g/L， erythrocyte count (3.12±0.30)×1012/L in the research group were significantly lower than (28.15±1.96) pg， (123.44±18.10) g/L and (4.20±0.65)×1012/L in the control group， and their difference was statistically significant (P<0.05). The mean corpuscular hemoglobin concentration was (290.10±10.57) g/L in the research group， and that was obviously lower than (330.16±14.13) g/L in the control group， and the difference was statistically significant (t=73.178， P=0.000<0.05). Conclusion Blood routine can be tested in patients suspected of pregnancy anemia， which is conducive to identifying whether they have pregnancy anemia， so as to take targeted treatment measures.
【Key words】 Pregnancy; Anemia; Blood routine test; Hemoglobin; Erythrocyte count; Erythrocyte
妊娠期貧血在临床中又可以称为妊娠合并巨幼红细胞性贫血， 在妇产科中比较多见， 其发病原因涉及多个方面， 包括营养不良、叶酸缺乏等。在妊娠阶段除了出现贫血症状外还会存在头晕、气短等症状， 对于正常妊娠以及后期分娩都会造成较为严重的影响， 导致胎儿出现贫血以及窒息情况， 严重的会影响胎儿发育。相关研究表明， 存在妊娠期贫血的患者在血红细胞、红细胞计数、红细胞平均血红蛋白方面具有一定的差异[1]， 因此研究中针对于可能导致妊娠期产妇出现贫血的检查分析， 可以采取这些指标检验措施即血常规检验进行分析， 从而判断孕妇是否存在贫血， 实施早期预防治疗， 降低妊娠期贫血对孕妇以及胎儿的影响。本研究将血常规检验应用于妊娠期贫血的患者中， 分析其应用价值， 为妊娠期贫血孕妇的诊断及治疗提供参考依据， 具体报告如下。, 百拇医药(刘小丽)