探讨孕妇妊娠晚期不同类型贫血患者相关指标差异

目的：分析不同类型贫血孕妇妊娠晚期相关指标的差异，分析原因和应对方法。方法以2011年3月-2012年3月间定期在该院产检的200例孕妇为对象，α地贫55例（甲组），β地贫40例（乙组），HBG在100~110 g/L的46例（丙组）， HBG≥110 g/L的59例（丁组），检测所有患者的血红蛋白、血清维生素B12、血清铁蛋白、血清叶酸，对各项指标进行统计学分析。结果甲乙两组分别有16.4%和72.5%的患者表现为贫血，且甲组HGB高于乙组，差异有统计学意义（P〈0.05）。 SF比较各组间数据差异有统计学意义（P〈0.05）。结论轻型地中海贫血不会增加晚期妊娠妇女的铁负荷，β地中海贫血低HGB水平多于α地中海贫血区，这些孕妇应当高度重视铁的补充。

Investigation of the Differences in Relative Indicators Between Different Types of Anemia in Women During Late Pregnancy

Objective To analyze the differences in relative factors between different types of anemia in women during late preg-nancy, and analyze the causes and countermeasures. Methods 200 cases of pregnant women underwent regular antenatal examina-tion in our hospital from March 2011 to March 2012 were selected as the subjects, including 55 cases with alpha thalassaemia （group A）, 40 cases with beta thalassemia （group B）, 46 cases with HBG between 100 g/L-110g/L （group C）, and 59 cases with HBG≥110g/L （group D）. Hemoglobin, serum vitamin B12, serum ferritin and serum folic acid of all the patients were detected. And the indexes were analyzed statistically. Results 16.4% of the patients in group A and 72.5% of the patients in group B had anemia, and the HGB of group A was higher than that of group B, the difference was statistically significant （P〈0.05）. The differ-ence in the data of SF between the groups was statistically significant （P〈0.05）. Conclusion Minor thalassemia does not increase the iron load of women in late pregnancy, low level of HGB beta thalassemia trait than alpha thalassaemia area, and these women should attach great importance to the iron supplement.