贫血指标在妊娠期贫血孕妇诊断中的应用观察  

Observation on the application of anemia index in the diagnosis of pregnant women with anemia during pregnancy

作　　者：高原 Gao Yuan(Department of Laboratory,Jilin City Anorectal Hospital of Integrated Traditional and Western Medicine,Jjilin 132001,China)

机构地区：[1]吉林市中西医结合肛肠医院检验科,吉林吉林132001

出　　处：《实用妇科内分泌电子杂志》2024年第17期91-93,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究贫血指标在妊娠期贫血孕妇诊断中的应用价值。方法选取30例妊娠期贫血孕妇(缺铁组)与30例地中海贫血孕妇(地中海组),另选取30例健康体检孕妇作为对照组。所有受检者均进行血常规检验,比较三组受检者的贫血指标、缺铁组与地中海组的诊断效能。结果缺铁组、地中海组血红蛋白、平均红细胞体积、平均红细胞血红蛋白均低于对照组,红细胞分布宽度高于对照组(P<0.05)。缺铁组血红蛋白、红细胞分布宽度高于地中海组,平均红细胞体积、平均红细胞血红蛋白低于地中海组(P<0.05)。缺铁组与地中海组诊断准确率、敏感度与特异度比较,差异无统计学意义(P>0.05)。结论贫血指标对妊娠期贫血患者诊断具有一定价值,且可以鉴别缺铁性贫血与地中海贫血,值得临床推广。Objective To explore the application value of anemia index in the diagnosis of pregnant women with anemia during pregnancy.Methods 30 pregnant women with anemia during pregnancy(iron deficiency group)and 30 pregnant women with thalassemia(Mediterranean group)were selected,and 30 healthy pregnant women were selected as control group.Blood routine tests were performed on all subjects,and the diagnostic efficacy of the three groups was compared between the anemia indexes and the iron deficiency group and the Mediterranean group.Results The hemoglobin,mean erythrocyte volume and mean erythrocyte hemoglobin of iron deficiency group and Mediterranean group were lower than those of control group,and the distribution width of erythrocyte was higher than that of control group(P<0.05).The distribution width of hemoglobin and erythrocyte in iron deficiency group was higher than that in Mediterranean group,and the mean erythrocyte volume and mean erythrocyte hemoglobin were lower than that in Mediterranean group(P<0.05).There was no significant difference in diagnostic accuracy,sensitivity and specificity between the iron deficiency group and the Mediterranean group(P>0.05).Conclusion The index of anemia has certain value in the diagnosis of anemia in pregnancy,and can distinguish iron deficiency anemia from thalassemia,which is worthy of clinical promotion.

关 键 词：血常规 红细胞参数 缺铁性贫血 地中海贫血 

分 类 号：R714.254[医药卫生—妇产科学]