摘要
为了探讨血清铁蛋白 ( SF)、平均红细胞体积 ( MCV)和平均红细胞血红蛋白量 ( MCH)检测在育龄妇女缺铁性贫血 ( IDA)诊断中的价值 ,对 1314例育龄妇女 (其中孕妇 86 9例 ,非孕妇 4 4 5例 )外周血 SF、 MCV、MCH进行检测 ,其中对 Hb<110 g/ L 的 15 7例孕妇、Hb<12 0 g/ L的 111例非妊娠妇女及 10 4 6例非 IDA对照组进行比较 ,并对 86 9例孕妇按孕周分为妊娠早期组 2 4 8例 ,中期组 345例和晚期组 2 76例进行比较。结果显示 :1与对照组比较 ,IDA孕妇组和 IDA非孕妇组的 SF、MCH、MCV均显著下降 ( P <0 .0 1)。2妊娠早期组、中期组及晚期组比较 ,SF随孕周增加而减少 ,均有显著性差异 ( P<0 .0 1) ;MCV、MCH未有显著性差异。认为 SF、MCV、MCH降低是 IDA的特征性改变 ,其检测有助于 IDA的鉴别诊断 ,定期监测妇女血清
Measuring SF,MCV and MCH of 1314 sampled procreating aged women (including 869 gestational and 445 non gestational women) and by their results 1314 cases were divided into IDA gestational group (157 women),IDA non gestational group (111 women) and non IDA group (1046 women) by gestational weeks 869 gestational women were divided into early gestational group (248 women),metaphase gestational group (345 women) and later gestational group (276 women) Comparing with those of non IDA group,the SF,the MCH and the MCV of IDA gestational group and IDA non gestational group are notably lower (P<0 01).Comparing among early gestational group,metaphase gestational group and later gestational group,their SF are notably different (P<0 01) and are reducing while the gestational weeks are increasing,but the MCV and the MCH don't make any obvious differences The reducing of SF,MCV and MCH is the characteristic change of the IDA So the measuring of SF,MCV and MCH is thought helpful in the distinguishing diagnoses of the IDA It's significant that the SF of the gestational women is measured termly
出处
《山东医药》
CAS
北大核心
2003年第16期15-16,共2页
Shandong Medical Journal
