血常规检测在妊娠期贫血孕妇中的临床应用效果研究

Clinical application effects of blood routine test in pregnant women with anemia during pregnancy

目的研究血常规检测在妊娠期贫血孕妇中的临床应用效果。方法选取60例妊娠期贫血孕妇为研究组,另选取同期健康孕妇30例为常规组。两组孕妇均行血常规检测。分析研究组不同孕期孕妇的贫血情况;比较常规组和小细胞性贫血组、常规组和大细胞性贫血组孕妇的血常规检测结果[红细胞(RBC)、血红蛋白(Hb)、平均红细胞体积(MCV)、平均红细胞血红蛋白含量(MCH)、平均红细胞血红蛋白浓度(MCHC)、红细胞分布宽度(RDW)]。结果 60例妊娠期贫血孕妇中,小细胞性贫血28例,大细胞性贫血25例,其他贫血症状7例。常规组孕妇的RBC、Hb、MCV、MCH、MCHC、RDW分别为(4.55±0.61)×10^(12)/L、(132.01±10.68)g/L、(86.35±4.15)fl、(27.29±1.91)pg、(343.02±12.87)g/L、(13.54±1.12)%,小细胞性贫血组孕妇的RBC、Hb、MCV、MCH、MCHC、RDW分别为(4.22±0.37)×10^(12)/L、(93.48±6.32)g/L、(74.88±3.90)fl、(24.41±1.42)pg、(291.03±10.28)g/L、(21.42±4.35)%,大细胞性贫血组孕妇的RBC、Hb、MCV、MCH、MCHC、RDW分别为(3.18±0.42)×10^(12)/L、(94.57±6.21)g/L、(109.02±3.43)fl、(32.77±0.87)pg、(338.01±12.29)g/L、(17.27±3.93)%。小细胞性贫血组孕妇的RBC、Hb、MCV、MCH、MCHC水平均低于常规组,RDW水平高于常规组,差异有统计学意义(P<0.05)。大细胞性贫血组孕妇的RBC、Hb水平低于常规组,MCV、MCH、RDW水平高于常规组,差异有统计学意义(P<0.05);两组孕妇的MCHC水平比较,差异无统计学意义(P>0.05)。结论妊娠期孕妇进行定期血常规检测是非常有必要的,能够及时、有效的发现其是否存在贫血问题,进而为母婴的生命健康奠定坚实基础,建议推广。

Objective To investigate the clinical application effects of blood routine test in women with anemia during pregnancy.Methods 60 pregnant women with anemia during pregnancy were selected as the study group,and another 30 healthy pregnant women in the same period were selected as the routine group.Blood routine test was performed in both groups.The anemia of pregnant women in different pregnancy periods of the study group was analyzed.Blood routine test[red blood cell (RBC),hemoglobin (Hb),mean corpuscular volume (MCV),mean corpuscular hemoglobin content (MCH),mean corpuscular hemoglobin concentration (MCHC),and red blood cell distribution width (RDW)]results of pregnant women were compared between the routine group and the microcytic anemia group,and between the routine group and the macrocytic anemia group.Results Among the 60pregnant women with anemia during pregnancy,there were 28 cases of microcytic anemia,25 cases of macrocytic anemia and 7 cases of other anemia symptoms.The routine group had RBC of (4.55±0.61)×10^(12)/L,Hb of(93.48±6.32) g/L,MCV of (74.88±3.90) fl,MCH of (24.41±1.42) pg,MCHC of (343.02±12.87) g/L and RDW of (13.54±1.12)%.The microcytic anemia group had BC of (4.22±0.37)×10^(12)/L,Hb of (132.01±10.68) g/L,MCV of (86.35±4.15) fl,MCH of (27.29±1.91) pg,MCHC of (291.03±10.28) g/L and RDW of (21.42±4.35)%.The macrocytic anemia group had RBC of (4.55±0.61)×10^(12)/L,Hb of (93.48±6.32) g/L,MCV of (74.88±3.90) fl,MCH of (24.41±1.42) pg,MCHC of (343.02±12.87) g/L and RDW of (13.54±1.12)%.The microcytic anemia group had BC of (3.18±0.42)×10^(12)/L,Hb of (94.57±6.21) g/L,MCV of (109.02±3.43) fl,MCH of (32.77±0.87) pg,MCHC of (338.01±12.29) g/L and RDW of (17.27±3.93)%.The levels of RBC,Hb,MCV,MCH and MCHC of the microcytic anemia group were lower than those of the routine group,and the level of RDW of the microcytic anemia group was higher than that of the routine group,and the differences were statistically significant(P<0.05).The levels of RBC and Hb of the macrocytic anemia group were lower than those of the routine group,and the levels of MCV,MCH and RDW of the macrocytic anemia group were higher than those of the routine group;and the differences were statistically significant (P<0.05);and the difference in MCHC level between the two groups was not statistically significant (P>0.05).Conclusion It is very necessary for pregnant women to have regular blood routine test,which can timely and effectively indicate whether there is anemia,so that a solid foundation is formed for the life and health of mothers and infants.Thus,it is worth promoting.