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目的:探讨血清铁(Fe)、铁蛋白(SF)、可溶性转铁蛋白受体(sTfR)及促红细胞生成素(EPO)等4项联合检测对妊娠期贫血的诊断价值。方法:选择不同妊娠期妇女150例及健康对照非妊娠妇女50例,分别测定血清Fe、SF、sTfR及EPO水平并进行比较。结果:早孕组SF和EPO,以及中孕组及晚孕组各项指标与对照组比较,均差异显著或非常显著(P<0.05,P<0.01);中孕组及晚孕组各项指标异常例数与早孕组比较,均差异非常显著(P<0.01)。结论:血清铁等4项联合检测对妊娠期妇女贫血的早期诊断具有重要参考价值。
Objective: To investigate the diagnostic value of four combined tests of serum iron (Fe), ferritin (SF), soluble transferrin receptor (sTfR) and erythropoietin (EPO) in gestational anemia. Methods: 150 women of different gestational age and 50 healthy non-pregnant women were selected. Serum levels of Fe, SF, sTfR and EPO were measured and compared. Results: The indexes of SF and EPO in early pregnancy group and those in middle pregnancy group and late pregnancy group were significantly different from those in control group (P <0.05, P <0.01). The indexes of middle pregnancy group and late pregnancy group The number of abnormal cases compared with the early pregnancy group, the difference was significant (P <0.01). Conclusion: Serum iron and other 4 combined tests have important reference value for the early diagnosis of anemia in pregnant women.