正常孕产妇血红蛋白、铁蛋白的动态观察

DYNAMIC OBSERVATION OF THE HEMOGLOBIN AND FERRITEN LEVELS IN NORMAI GRAVIDA AND PUERPERA

本文观察100例正常妊娠妇女血容量的变化.妊娠 24～26周、32～34周、产后1～3天的血红蛋白(Hb)均值分别为116g/L、1039/L、1089/L,血清铁蛋白(Ft)均值分别为28.63ug/L、22.58ug/L、48.65ug/L.与正常非妊娠妇女组比较,Hb值在32～34周时明显低于非妊娠正常妇女,其间差异具有显著性(P<0.05),Ft值在妊娠24～26周、32～34周较正常非妊娠妇女下降明显,差异具有显著性(P<0.05).提示Ft的利用先于红细胞容量的增加,故在妊娠中期初测定Hb和Ft比在妊娠中期后甚至妊娠晚期测定更好,可及早发现贮铁欠缺者和贫血,并可及早预防和治疗.

This paper observed the change of blood volume in 100 case of normal gravida and puerpera.The mean contents of Hemoglobin (HB) were 116g/L, 103g/L,108g/L The mean contents of Ferriten (Ft) were 28.6ug/L, 22.58ug/L,48.65ug/L at the 24～26 weeks.32～34 weeks pregnancy period and the1～3day postpartum, as compared with normal non-pregnancy women, the contents of Hb was significantly lower in normal puerpera during the 32～34 week pregnancy period (p<0.05) the content of Ft was significantly lower in normal puerpera during the 24～26 weeks and 32～34 weeks pregnancy period (p<0.05) .These data suggest the utilization of Ft was ahead of the increase in red cell volume.The determinations of Hb and Ft in the middle pregnancy were much better than that in the terminal pregnancy. The iron deficiency and anemia may be detected by this method, the therapy and pre ventive measures may be applied.