正常妊娠妇女临产及顺产后24h血常规检测参考区间相关研究  

Related study on reference intervals of blood routine detection at parturiency and 24 h after spontaneous labor in normal pregnant women

作　　者：邓青春[1] 潘英连 常青[1] 

机构地区：[1]第三军医大学西南医院妇产科,重庆400038

出　　处：《重庆医学》2016年第5期617-618,621,共3页Chongqing medicine

基　　金：重庆市科学技术协会资助项目(WX2015-005)

摘　　要：目的检测正常妊娠妇女顺产后24h血常规指标,并探讨其正常值参考区间。方法分别对妊娠妇女临产、顺产后24h内的白细胞(WBC)、红细胞(RBC)、血红蛋白(Hb)、血小板(PLT)、中性粒细胞(NE)和血细胞比容(HCT)进行测定及统计分析。结果正常妊娠妇女顺产后24h与临产比较,RBC、Hb、PLT及HCT均明显降低,WBC和NE则显著升高,差异均有统计学意义(P<0.05)。结论该血常规检测结果可为临床应用的参考依据,用于评估正常妊娠妇女的血象感染诊断,从而指导预防性抗生素的使用。Objective To detect the blood routine indicators at 24 hafter spontaneous labor in normal pregnant women and to investigate their normal reference intervals.Methods Blood samples were obtained at antepartum and within 24 hours of postpartum.The indicators including white blood cell（WBC）,red blood cell（RBC）,hemoglobin（Hb）,platelet（PLT）,neutrophil（NE）and hematocrit（HCT）were detected at parturiency and 24 hafter spontaneous delivery in 488 normal pregnant women.The detection results were performed the statistical analysis.Results Compared with parturiency,the values of RBC,Hb,PLT and HCT at24 hafter spontaneous labor were significantly declined（P〈0.05）,while WBC and NE values were significantly increased,the differences were statistically significant（P〈0.05）.Conclusion The blood routine detection results by this investigation and statistical analysis can serve as the reference basis for clinical application,which can be used for evaluating the diagnosis of hematological infection in normal pregnant women,thus guiding the preventive use of antibacterial drugs.

关 键 词：孕妇 自然分娩 血常规指标 参考区间 

分 类 号：R714.1[医药卫生—妇产科学]