王林

【摘 要】目的：对妊娠期贫血患者的血常规检验意义进行讨论。方法：选择本院在2019年8月至2020年8月收治的57例妊娠期贫血患者作为研究组，另选57例健康孕妇作为对照组，对两组孕妇血常规检验结果进行对比讨论。结果：研究组Hb、RBC、MCHC和MCV水平，显著低于对照组，MCH和RDW水平显著高于对照组，差异具有统计学意义（P<0.05）；孕早期和孕中期主要以小细胞性贫血症状为主，发病率为76.92%和79.31%，孕晚期主要发生大细胞性贫血，发病率为80.00%。孕早期和孕中期的大细胞性贫血和小细胞性贫血患病率，差异并无统计学意义（P>0.05）；孕晚期相较于孕早期和孕中期，大细胞性贫血和小细胞性贫血患病率差异具有统计学意义（P<0.05）。结论：妊娠期妇女有一定概率导致贫血，做好血常规检验，有助于及时发现贫血种类，确定贫血程度，针对性进行治疗，进而防止发生不良事件。

【关键词】妊娠期；贫血；血常规检验

A Study of Routine Blood Tests in Patients with Anemia during Pregnancy

Wang Lin

Weiyuan Hospital of Traditional Chinese Medicine， Sichuan Neijiang 642450，China

【Abstract】Objective：To discuss the significance of routine blood tests in patients with anemia during their pregnancy.Methods：There were 57 cases of pregnancy anemia patients admitted to our hospital from August 2019 to August 2020， and were selected as the research group， while another 57 healthy pregnant females were selected as the control group. The blood routine index test results of the two groups were compared and discussed. Results：The levels of Hb， RBC， MCHC， and MCV in the research group were significantly lower than those in the control group， and the levels of MCH and RDW were significantly higher than those in the control group， the difference was statistically significant（P<0.05）； Microcytic anemia is the main symptom for the first and second trimesters， with an incidence rate of 76.92% and 79.31%. The macrocytic anemia mainly occurs in the third trimester， with an incidence rate of 80.00%. There was no significant difference in the prevalence of both macrocytic anemia and microcytic anemia in the first and second trimesters（P>0.05）； Compared with the first and second trimesters， the prevalence rate of macrocytic anemia and microcytic anemia in the third trimester had a statistically significant difference（P<0.05）.Conclusion： Pregnant women have a certain probability of anemia， doing a good job of routine blood test will help to find the type of anemia in time， determine the degree of anemia， and thus targeted treatment can be conducted to prevent adverse events.

【Key？Words】Pregnancy； Anemia； Routine blood test

1.1 一般资料

选择本院在2019年8月至2020年8月收治的57例妊娠期贫血患者作为研究组，另选57例健康孕妇作为对照组，对两组孕妇血常规检验结果进行对比讨论。研究组，年龄22岁～36岁，平均年龄（28.64±2.69）岁，孕周10周～33周，平均孕周（18.36±3.25）周，孕早期13例，孕中期29例，孕晚期15例；对照组，年龄23岁～35岁，平均年龄（29.13±2.84）岁，孕周11周～31周，平均孕周（18.26±3.47）周，孕早期11例，孕中期29例，孕晚期17例。两组患者基线资料的对比，差异不具备统计学意义（P>0.05），可进行对比。

1.2 方法

对两组孕妇都做血常规检验，在检验之前，孕妇需保持超过8小时的空腹状态，在清晨抽取孕妇3mL静脉血，在无菌试管中保存，之后加入抗凝剂，混合均匀之后，利用全自动血液分析仪，进行血常规检验[1]。……