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目的:分析不同孕期的妊娠妇女血常规检测结果，评估女性孕期健康水平。方法:选取2018年1月至2019年6月于玉环市人民医院妇产科产检及分娩的贫血产妇240例，根据不同孕期分为三组，即孕早期组80例、孕中期组80例及孕晚期组80例，并选取健康体检非妊娠女性80例作为对照组；比较不同组别女性血常规指标；统计不同妊娠期间小细胞贫血、大细胞性贫血发生率。结果:孕晚期组女性小细胞贫血发生率［3.75%（3/80）］明显低于孕早期组［26.25%（21/80）］、孕中期组［25.00%（20/80）］，大细胞性贫血发生率［22.50%（18/80）］高于孕早期组［1.25%（1/80）］、孕中期组［3.75%（3/80）］，差异均有统计学意义（χn 2=15.882、14.675、17.260、12.333，均n P<0.05）。与对照组比较，孕早期组、孕中期组、孕晚期组妊娠女性外周血红细胞（RBC）、血红蛋白（Hb）、红细胞比容（HCT）均明显降低（n t=8.579、16.781、13.964、10.154、15.891、15.512，均n P<0.05）；孕中期妊娠女性RBC、Hb、HCT水平均降低最低值（均n P<0.05）。与对照组比较，孕早期组、孕中期组、孕晚期组白细胞计数（WBC）、中性粒细胞百分比（N%）水平增加，血小板计数（PLT）降低（n t=23.085、24.187、27.941、15.722、22.153、13.277、31.517、32.901、32.227，均n P<0.05）；孕中期组WBC、N%水平增加程度高于孕早期、孕晚期，孕晚期组PLT水平均低于孕早期组、孕中期组（均n P<0.05）。n 结论:监测血常规指标，可评估女性孕期健康水平，及时调整营养方案，可减少不良妊娠结局的发生。“,”Objective:To analyze routine blood test results of pregnant women at different periods of pregnancy and evaluate the health status of pregnant women.Methods:A total of 240 pregnant women with anemia who underwent antenatal care or delivery in Department of Obstetrics and Gynecology, The People's Hospital of Yuhuan from January 2018 to June 2019 were included in this study. They were divided into three groups according to different periods of pregnancy with 80 women in each group: first trimester, second trimester, and third trimester. Additional 80 non-pregnant women who concurrently received health examination were included as controls. Routine blood test results were compared among groups. The incidence of microcytic anemia and macrocytic anemia at different periods of pregnancy was determined.Results:The incidence of microcytic anemia in the third trimester group [3.75% (3/80)] was significantly lower than that in the first trimester group [26.25% (21/80)] and the second trimester group [25.00% (20/80),n χ2 = 15.882, 14.675, both n P < 0.05]. The incidence of macrocytic anemia in the third trimester group [22.50% (18/80)] was significantly higher than that in the first trimester group [1.25% (1/80)] and the second trimester group [3.75% (3/80), n χ2 = 17.260, 12.333, both n P < 0.05]. Red blood cell count and hemoglobin and hematocrit levels in the peripheral blood of pregnant women in the first, second and third trimester groups were significantly lower compared with the control group ( n t = 8.579, 16.781, 13.964, 10.154, 15.891 and 15.512, all n P < 0.05). Red blood cell count, hemoglobin and hematocrit levels in the second trimester group were significantly lower than those in the other three groups (all n P < 0.05). In the first, second and third trimester groups, white blood cell count and percentage of neutrophils were increased, and platelet count was decreased ( n t = 23.085, 24.187, 27.941, 15.722, 22.153, 13.277, 31.517, 32.901, 32.227, all n P < 0.05) compared with the control group. The increases in white blood cell count and percentage of neutrophils in the second trimester group were significantly greater than those in the first and third trimester groups, and platelet count in the third trimester group was significantly lower than that in the first and second trimester groups (all n P < 0.05).n Conclusion:Monitoring routine blood indexes can help assess the health status of pregnant women. Adjusting nutrition program in time can decrease the incidence of adverse pregnancy outcomes.