摘要
目的探讨血常规检测在贫血鉴别诊断中的应用效果。方法选择2019年1月—2021年1月聊城市东昌府人民医院收治的200例贫血患者作为贫血组,根据贫血类型再分为缺铁性贫血组和巨幼细胞性贫血组,每组各100例;另外选择同期50名健康体检者作为健康对照组。所有受检者均接受血常规检测〔包括红细胞分布宽度(RDW)、平均红细胞血红蛋白浓度(MCHC)、平均红细胞血红蛋白量(MCH)、平均红细胞体积(MCV)、血红蛋白(Hb)、红细胞计数(RBC)〕,分析并比较各组上述指标的差异。结果贫血组的RDW水平明显高于健康对照组(0.176±0.004比0.132±0.005,P<0.05),而MCHC、MCH、MCV、Hb和RBC水平均明显低于健康对照组〔MCHC(g/L):312.14±10.60比346.52±10.51,MCH(pg):19.52±2.51比30.45±2.19,MCV(fL):65.06±8.78比90.25±6.46,Hb(g/L):82.44±6.98比131.23±4.57,RBC(×10^(12)/L):3.30±0.22比4.56±0.43,均P<0.05〕。巨幼细胞性贫血组的RDW、MCHC、MCV和RBC水平均明显高于缺铁性贫血组〔RDW:0.181±0.008比0.164±0.009,MCHC(g/L):328.78±12.30比283.12±15.02,MCV(fL):65.32±3.56比63.14±3.25,RBC(×10^(12)/L):4.17±0.36比3.01±0.41,均P<0.05〕,而巨幼细胞性贫血组的MCH和Hb水平均明显低于缺铁性贫血组〔MCH(pg):18.02±3.06比19.75±2.51,Hb(g/L):74.62±15.47比84.58±13.65,均P<0.05〕。结论血常规检测在贫血的鉴别诊断中有较好的应用效果,能更好为疾病的确诊以及治疗方案的制定提供参考依据。
Objective To investigate the application effect of blood routine test in the differential diagnosis of anemia.Methods 200 anemia patients admitted in Liaocheng Dongchangfu People's Hospital from January 2019 to January 2021 were selected as anemia group,and divided into iron deficiency anemia group and megaloblastic anemia group,with 100 cases in each group;other 50 healthy subjects were selected as healthy control group.All of them received blood routine test[including red blood cell distribution width(RDW),mean corpuscular hemoglobin concentration(MCHC),mean corpuscular hemoglobin(MCH),mean corpuscular volume(MCV),hemoglobin(Hb)and red blood cell count(RBC)],and the differences of above indexes in each group were analyzed and compared.Results The RDW level in anemia group was significantly higher than that in healthy control group(0.176±0.004 vs.0.132±0.005,P<0.05),and the levels of MCHC,MCH,MCV,Hb and RBC were significantly lower than those in healthy control group[MCHC(g/L):312.14±10.60 vs.346.52±10.51,MCH(pg):19.52±2.51 vs.30.45±2.19,MCV(fL):65.06±8.78 vs.90.25±6.46,Hb(g/L):82.44±6.98 vs.131.23±4.57,RBC(×10^(12)/L):3.30±0.22 vs.4.56±0.43,all P<0.05].The levels of RDW,MCHC,MCV and RBC in megaloblastic anemia group were significantly higher than those in iron deficiency anemia group[RDW:0.181±0.008 vs.0.164±0.009,MCHC(g/L):328.78±12.30 vs.283.12±15.02,MCV(fL):65.32±3.56 vs.63.14±3.25,RBC(×10^(12)/L):4.17±0.36 vs.3.01±0.41,all P<0.05],and the levels of MCH and Hb in megaloblastic anemia group were significantly lower than those in iron deficiency anemia group[MCH(pg):18.02±3.06 vs.19.75±2.51,Hb(g/L):74.62±15.47 vs.84.58±13.65,both P<0.05].Conclusion Blood routine test has a good application effect in the differential diagnosis of anemia,which can better provide reference for the diagnosis of disease and the formulation of treatment plan.
作者
董玉俊
Dong Yujun(Clinical Laboratory,Liaocheng Dongchangfu People's Hospital,Liaocheng 252000,Shandong,China)
出处
《实用检验医师杂志》
2021年第2期74-76,共3页
Chinese Journal of Clinical Pathologist
关键词
血常规检测
贫血
鉴别诊断
Blood routine test
Anemia
Differential diagnosis
作者简介
通信作者:董玉俊,Email:dyj201809@163.com。
