Value of MCV, MCH Screening Pregnancy with Light Mediterranean Anemia

YE Shu-fang

doi:10.3969/j.issn.1004-5775.2015.06.015

Abstract：Objective To explore the value of average red blood cell volume (MCV), average red blood cell hemoglobin (MCH) screening pregnancy with light Mediterranean anemia .Methods Selecting 560 pregnant women from February , 2012 to March, 2014 in Maternity Department in the hospital in antenatal examination as the research object , through the detection of patients with red blood cell count (RBC), hemoglobin (Hb) concentration, red blood cell distribution width (RDW), MCV, MCH, hemoglobin electrophoresis, screening patients with anemia , and using poorest genetic to diagnose poor patients .According to the results of screening , they were divided into normal group (380 cases), not to lean group (124 cases) and poor (56 cases).Comparative analysis of three sets of red blood cell parameters was done , and screening sensitivity , specific and diagnostic coincidence rates were calculated .Results RBC not to lean group was obviously less than the normal group and poverty group , and there was statistical significance ( P<0.05 ) , and poor Hb group and not to lean group was obviously less than control group , with statistical significance ( P<0.05 ) , RDW normal group was obviously less than to the poor group and the poor with statistical significance ( P<0.05 ) , and the values of MCV , MCH lean group were obviously lower than lean group and normal group, with statistical significance (P<0.05).With poor genetic diagnosis results as the gold standard , the MCV, MCH screening sensitivity was 91.07% and 90.32%, and positive coincidence rate was 91.07%.Conclusion MCV, MCH screening pregnancy with light degree of Mediterranean anemia has high sensitivity , specific and positive coincidence rate , the check is simple and e-conomical , and can be used as screening pregnancy with important screening light Mediterranean anemia .