摘要
目的:探讨血常规检测在鉴别成人轻型β-地中海贫血和缺铁性贫血中的价值。方法:选择门诊与住院缺铁性贫血患者70例及轻型β-地中海贫血患者63例,健康成人100例,对所有对象进行血常规检测,对比其血常规检测项目差异。结果:轻型β-地中海贫血组RBC显著高于对照组(P<0.05),对照组又显著高于IDA组(P<0.05),IDA组患者Hb明显低于轻型β-地中海贫血组(P<0.05);对照组MCV和MCH明显高于IDA组及轻型β-地中海贫血组(P<0.01),IDA组RDW显著高于轻型β-地中海贫血组和对照组(P<0.01),轻型β-地中海贫血组RBC/MCV比值明显高于对照组和IDA组(P<0.01)。结论:RBC/MCV比值、RDW可作为成人轻型β-地中海贫血和缺铁性贫血的鉴别诊断要点。
Objective：To investigate the effect on differentiation between IDA and the light -thalassemia in routine hematological examination. Methods ： Routine hematological examination was performed on 70 patients with IDA, 63 patients with the light β - thalassemia and 100 health adult. Result： RBC of the light β -thalassemia group was significantly more than the control group and IDA group. RBC of the control group was more than the IDA group（P 〈0.05） ;Hb of IDA group was significantly lower than the light β - thalassemia group （ P 〈 0.05 ） ; MCV and MCH of the two anaemic groups were significantly lower than the control group, MCV of the two anaemic groups had no significantly difference（ P 〉 0.05 ） ; RDW of IDA group was significantly higher than the control group and the light β-thalassemia group. RBC/MCV rate of the light β - thalassemia group was significantly higher than IDA group and the control group. Conclusion：RBC/MCV rate and RDW are good indexes in differential diagnosis between IDA and the light β -thalassemia.
关键词
血常规
轻型β-地中海贫血
缺铁性贫血
鉴别诊断
Routine hematological examination
The light β -thalassemia
Iron deficiency anemia
Differential diagnosis
