摘要
目的 本研究旨在分析红细胞压积(Hct)和红细胞分布宽度(RDW)与妊娠期高血压疾病的关系。方法 随机选取465例规律产检的孕妇进行回顾性研究分析,其中260例正常妊娠的女性作为对照组, 150例妊娠期高血压疾病孕妇作为妊娠期高血压组, 55例子痫前期孕妇作为子痫前期组。检测并比较三组孕妇的红细胞压积和红细胞分布宽度水平。结果 对照组、子痫前期组、妊娠期高血压组孕20周的血清红细胞分布宽度水平分别为(12.40±1.32)%、(14.43±1.76)%、(15.29±1.45)%,红细胞压积水平分别为(33.50±3.50)%、(34.20±3.04)%、(35.40±3.84)%;孕28周的血清红细胞分布宽度水平分别为(12.37±1.26)%、(14.55±1.56)%、(15.35±1.34)%,红细胞压积水平分别为(34.00±3.51)%、(36.00±3.21)%、(37.20±4.35)%。孕20、28周,子痫前期组、妊娠期高血压组的血清红细胞分布宽度、红细胞压积水平与对照组相比显著升高,且子痫前期组高于妊娠期高血压组,差异有统计学意义(P<0.05)。对照组、子痫前期组、妊娠期高血压组孕20、28周的红细胞分布宽度、红细胞压积水平组内比较,差异均无统计学意义(P>0.05)。结论 妊娠期高血压疾病、子痫前期孕妇的红细胞压积水平和红细胞分布宽度水平与正常妊娠妇女存在显著差异,可以作为妊娠期高血压疾病的辅助诊断指标,有助于早期进行疾病识别和干预。
Objective To analyze the correlation of hematocrit(Hct)and red blood cell distribution width(RDW)with gestational hypertension.Methods A total of 465 pregnant women who underwent regular prenatal examinations were randomly selected for retrospective analysis,of which 260 normal pregnant women served as the control group,150 pregnant women with gestational hypertension as the gestational hypertension group,and 55 pregnant women with preeclampsia as the preeclampsia group.The levels of hematocrit and red blood cell distribution width were measured and compared among the three groups.Results At 20 weeks of gestation,the red blood cell distribution width of the control group,the preeclampsia group and the gestational hypertension group were(12.40±1.32)%,(14.43±1.76)%and(15.29±1.45)%,and the hematocrit levels were(33.50±3.50)%,(34.20±3.04)%and(35.40±3.84)%.At 28 weeks of gestation,the red blood cell distribution width of the control group,the preeclampsia group and the gestational hypertension group were(12.37±1.26)%,(14.55±1.56)%and(15.35±1.34)%,and the hematocrit levels were(34.00±3.51)%,(36.00±3.21)%and(37.20±4.35)%.At 20 and 28 weeks of gestation,the red blood cell distribution width and hematocrit level of the preeclampsia group and the gestational hypertension group increased significantly compared with those of the control group,and the preeclampsia group was higher than the gestational hypertension group.The difference was statistically significant(P<0.05).At 20 and 28 weeks of gestation,there was no significant difference in red blood cell distribution width and hematocrit level among the control group,the preeclampsia group and the gestational hypertension group(P>0.05).Conclusion There are significant differences in hematocrit and red blood cell distribution width in pregnant women with gestational hypertension and preeclampsia compared with normal pregnant women.These results can serve as auxiliary diagnostic indicators of gestational hypertension and help early disease identification and intervention.
作者
王丽丽
WANG Li-li(Daxing District Integrated Traditional Chinese and Western Medicine Hospital,Beijing 100076,China)
出处
《中国实用医药》
2024年第8期56-59,共4页
China Practical Medicine
