摘要

　　目的探讨临产孕妇凝血四项及全血细胞的变化及临床意义。方法采用SysmexCA-530自动血凝仪及XT-2000i全自动血细胞分析仪对617例临产孕妇和100例健康非妊娠妇女进行凝血四项及全血细胞检测。结果临产孕妇门、APl盯低于健康对照组（P〈0．05），FBG明显高于健康对照组（P〈0．01），TT与健康对照组接近（p〉0．05）；RBC、HGB及MCV低于健康对照组（P〈0．05），RDW高于健康对照组（P〈0．05）；WBC明显高于健康对照组，且以中性粒细胞为主（P〈0．01）；PLT与健康对照组接近（P〉0．05）。结论临产孕妇血液处于高凝状态并且常伴有小细胞低色素性贫血。临产孕妇进行凝血四项及血常规检测，对妊娠贫血、妊娠期高血压和血栓性疾病的诊断具有重要价值，通过及时有效的干预治疗，降低威胁孕妇和胎儿生命安全的风险。

　　Objective To explore the change of blood routine and blood coagulation four and their clinical significance in parturient women. Methods 617 cases of parturient women and 100 cases of healthy nonpreguant women are detected with Japan Sysmex CA - 530 automated blood coagulation analyzer and XT - 2000i automatic blood cell analyzer for detection of blood routine and blood coagulation four. Results In parturient women PT, APTT is lower （p 〈 0.05 ）, FBG is significantly higher（p 〈 0. 01 ） than the control group, TI＂ is closed to the healthy con- trol group （p 〉0. 05） ; RBC, HGB and MCV is lower （p 〈0. 05）, RDW is higher（p 〈0.01） than the healthy con- trol group; WBC is significantly higher than the control group （p 〈 0.01 ） and is mainly neutrophils ; PLT is closed to the healthy control group （p 〉 0. 05）. Conclusion the parturient women＇s blood is in a hypercoagulable state and with microcytic hypochromic. Therefore, the blood routine and blood coagulation four are detected in parturient women have important value in the diagnosis of pregnancy anemia, pregnancy hypertension and thrombotic disease, which would reduce the risk of threat to the pregnant women and fetus through timely and effective intervention treatment.

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