摘要
目的分析MCV、RDW及MCHC为依据的血液检验诊断与鉴别贫血的临床价值。方法将甘肃省平凉市华亭市第二人民医院2018年1月-2021年6月接收治疗的行常规血检的患者786例作为本次研究对象,按照患者病情的不同分为缺铁性贫血组、恶性贫血组以及健康组,分析三组患者MCV、RDW及MCHC水平变化,并分析在缺铁性贫血组以及恶性贫血组患者治疗后,三组患者MCV、RDW及MCHC水平变化。结果相较于健康组患者,缺铁性贫血组、恶性贫血组MCHC水平明显更低,MCV、RDW明显更高,恶性贫血组患者MCHC水平低于缺铁性贫血组,MCV、RDW水平高于缺铁性贫血组者,对比统计学差异明显(P<0.05);在两组患者治疗1个月后,缺铁性贫血组患者与健康组患者MCV、RDW及MCHC水平对比并差异无统计学意义(P<0.05),恶性贫血组患者MCHC水平明显更低于两组,MCV、RDW水平明显更高,对比统计学差异明显(P<0.05)。结论利用MCV、RDW及MCHC水平检测可帮助临床医师对患者血液检验以及贫血鉴别,且在患者治疗后能够通过MCV、RDW及MCHC变化观察判断患者疾病治疗疗效,可广泛应用于临床。
Objective To analyze the clinical value of blood tests based on MCV,RDW and MCHC in the diagnosis and differentiation of anemia.Methods Seven hundred and eighty-six patients who underwent routine blood tests who were treated in our hospital from January 2018 to June 2021 were selected as the subjects of this study,according to the patients divided into iron deficiency anemia,pernicious anemia group with healthy group,analysis of the three groups of patients the MCV,RDW and MCHC level changes,and analysis on the patients with iron deficiency anemia and pernicious anemia group after treatment,The levels of MCV,RDW and MCHC in three groups were changed.Results Compared with the healthy group,the levels of MCHC in the iron deficiency anemia group and pernicious anemia group were significantly lower,while the levels of MCV and RDW were significantly higher.The levels of MCHC in the pernicious anemia group were lower than those in the iron deficiency anemia group,while the levels of MCV and RDW were higher than those in the iron deficiency anemia group,with statistically significant differences(P<0.05).After 1 month of treatment,there were no significant differences in MCV,RDW and MCHC levels between iron-deficiency anemia group and healthy group(P<0.05),while MCHC levels in pernicious anemia group were significantly lower than those in the two groups,and MCV and RDW levels were significantly higher,with statistically significant differences(P<0.05).Conclusion The use of MCV,RDW and MCHC level detection can help clinicians to blood test and identify patients with anemia,and after treatment,patients can observe and judge the treatment effect of disease through the change of MCV,RDW and MCHC,which can be widely used in clinical practice.
作者
马统雄
MA Tong-xiong(The Second People’s Hospital of Huating,Huating,Gansu 744100)
出处
《智慧健康》
2021年第32期16-18,共3页
Smart Healthcare
