血清铁蛋白与血红蛋白测定在妊娠妇女缺铁性贫血中的临床应用.docxVIP

血清铁蛋白与血红蛋白测定在妊娠妇女缺铁性贫血中的临床应用 张彬 苏建蓉（通信作者） （绵阳市屮心医院检验科四川绵阳621000） 【摘要】口的：探讨妊娠妇女血清铁蛋口水平在妊娠早、屮、晚期缺铁性贫 血中的临床应用价值。方法：选取2014年1月至12月我院产科门诊建卡的孕妇 290例，监测孕妇妊娠早期（6-12周）、屮期（20?26周）、晚期（35-38周）的血清 铁蛋口及血红蛋口水平，并对检测结果进行分析。结果：经方差分析显示，血清 铁蛋白与血红蛋白水平在早孕、屮孕、晚孕三期屮均有统计学意义（P=0.000）；血 清铁蛋H缺乏与血红蛋白缺乏发生率在不同孕周组Z间比较，差异亦有统计学意 义（P二0.000）。不同孕周组Z间进行两两比较发现，血清铁蛋口水平在早孕与屮孕、 早孕与晚孕、屮孕与晚孕Z间均存在显著性差异（P二0.000）；血红蛋白水平在早孕 与中孕、早孕与晚孕Z间存在显著性差异（P二0.000）,在屮孕与晚孕Z间差异无统 计学意义（P=0.160）o妊娠屮期血清铁蛋口水平正常组与缺乏组在妊娠中期的贫血 发生率比较，差异有统计学意义（x2=16.0,P=0.000）；妊娠屮期血清铁蛋片水平正 常组与缺乏组在妊娠晚期的贫血发生率比较，差异亦有统计学意义 （x2=13.7,P=0.000）o结论：血清铁蛋口水平与妊娠期贫血的发生存在较强的相关 性，监测孕妇血清铁蛋白水平，有利于指导临床及时补铁治疗，有效防治孕妇缺 铁性贫血的发生。 【关键词】铁蛋口；血红蛋口；妊娠妇女；缺铁性贫血 【中图分类号】R714 【文献标识码】A 【文章编 号】2095-1752 （2015） 03-0009-03 Serum ferriti n and hemoglobin determi nation of cli nical applicati on in iron deficiency anemia in pregnant women Zhang Bing,Su Jianrong. Mianyang central hospital in Sichuan provinee, Mianyang, 621000, China 【Abstract ]Objective Explore pregnant women serum ferritin level in the early, middle and late pregnancy of the clinical application value of iron deficiency anemia. Methods Choose between January 2014 and December 290 cases of pregnant women, obstetric outpatient JianKa in our monitoring of pregnant women (6 to 12 weeks) in early pregnancy, medium-term (20 to 26 weeks) late (35 to 38 weeks), serum ferritin and hemoglobin levels, and the testing results were analyzed? Results Serum ferritin and hemoglobin levels during pregnancy, pregnancy and late pregnancy in the three periods have statistical significanee (P = 0.000); Incidenee of serum ferritin lack of hemoglobin and the lack of comparison between different gestational age groups, the differenee had statistical sign讦icance (P = 0.000). The middle of a pregnancy serum ferritin levels were normal group compared with the lack of group, the incidenee of anemia in late pregnancy, differences are statistically sign讦icant (x2 = 13.7, P = 13.7). Conclusions Serum ferritin level and the occurrenee of anemia during preg