早中期孕妇贫血及铁储存状况的分析

The analysis of anemia and iron storage among first and second trimester pregnant women

目的探讨早中期孕妇贫血发生情况与铁储存情况的关系,为临床提供妊娠贫血的实验室资料。方法测定孕早期和孕中期432名孕妇的贫血相关指标RBC、Hb、HCT、MCV、MCH、MCHC,同时检测血清铁蛋白(SF),血清可溶性转铁蛋白受体(STfR)。结果 163名早期孕妇患者贫血患病率为19.52%,269名中期孕妇贫血患病率为38.31%。孕早期组和孕中期组铁减少患病率分别为14.02%和32.18%。孕中期与孕早期组相比SF显著降低,STfR显著增高。结论孕中期妊娠贫血发生率及铁减少患病率显著高于孕早期组,差异均有统计学意义(P<0.05);与孕早期组相比,孕中期Hb、SF显著降低,STfR显著增高(P<0.05)。

Objective： To investigate the relationship between anemia and iron storage among first and second trimester pregnant women so as to provide laboratory data for clinical diagnose of pregnancy anemia.Methods： 432 first and second trimester pregnant women were collected to test related anemia data such as RBC,HB,HCT,MCV,MCH and MCHC.Also,Serum ferritin（SF） and Serum transferring receptor（STfR） were tested.Results： The prevalence rate（PR） of anemia was 19.52% among 163 first trimester pregnant women;the PR of anemia was 38.31% among 269 second trimester pregnant women.The PR of iron deficiency（ID） in first trimester pregnant group was 14.02%,the PR of ID in the second trimester pregnant group was 32.18%.Compared with the first trimester pregnant group,SF was remarkably decreased while STfR was significantly increased in the second trimester pregnant group.Conclusions： The PR of anemia and PR of ID in the second trimester pregnant group were significantly higher than those in the first trimester pregnant group.Both of these differences have statistical significance（P0.05）.Compared with the first trimester pregnant group,Hb and SF were significantly decreased while STfR was significantly increased in the second trimester pregnant group.