血液检验在贫血鉴别诊断中的应用

详细信息    查看全文 | 推荐本文 |

英文篇名：Application of Blood Test in Differential Diagnosis of Anemia 作者：张佩花 英文作者：ZHANG Pei-hua;Department of Clinical Laboratory,Gaomi People's Hospital; 关键词：血液检验 ; 贫血 ; 临床诊断 ; 血液指标 ; 对比分析 英文关键词：Blood test;;Anemia;;Clinical diagnosis;;Blood index;;Comparative analysis 中文刊名：HZZZ 英文刊名：China & Foreign Medical Treatment 机构：山东省高密市人民医院检验科; 出版日期：2019-04-11 出版单位：中外医疗 年：2019 期：v.38 语种：中文; 页：HZZZ201911065 页数：3 CN：11 ISSN：11-5625/R 分类号：199-201

摘要

目的分析贫血鉴别诊断中血液检验的临床应用价值。方法方便选择于2017年10月—2018年10月期间在该院接受体检并检验出贫血的患者49例作为研究对象,归为观察组,同期体检结果为正常的人群选择47例为对照组,两组对象分别接受血液检验,对比两组对象的红细胞分布宽度-变异系数(RDW-CV)、红细胞平均血红蛋白浓度(MCHC)、血红蛋白(Hb)、红细胞平均血红蛋白量(MCH)、红细胞体积分布宽度(RDW)以及红细胞(RBC)水平。结果观察组患者的RBC为(5.57±0.36)T/L,RDW-CV为(17.05±1.37)%,MCHC为(325.05±5.46)g/L,Hb为(89.25±4.35)g/L,MCH为(68.11±3.11)fl,RDW为(16.37±2.87)%;对照组患者的RBC为(4.05±0.15)T/L,RDW-CV为(12.10±1.68)%,MCHC为(336.35±6.11)g/L,Hb为(165.35±1.06)g/L,MCH为(93.25±3.31)fl,RDW为(12.91±0.96)%;两组数据进行比较,组间差异均有统计学意义(t=26.719 5,15.654 4,9.454 2,116.524 9,37.947 5,7.838 1,P<0.05)。结论血液检验可以有效鉴别患者是否存在贫血情况,临床应用价值相对较好,值得临床普及使用。
        Objective To analyze the clinical application value of blood test in the differential diagnosis of anemia. Methods Convenient select a total of 49 patients who underwent physical examination and anemia in our hospital from October2017 to October 2018 were enrolled in the observation group. 47 patients in the same period were selected as the control group. The subjects were subjected to blood tests, and the red blood cell distribution width-coefficient of variation(RDWCV), red blood cell mean hemoglobin concentration(MCHC), hemoglobin(Hb), red blood cell mean hemoglobin(MCH), and red blood cell volume distribution width(RDW) and red blood cell(RBC) levels were compared between the two groups.Results The RBC of the observation group was(5.57±0.36) T/L, RDW-CV was(17.05±1.37)%, MCHC was(325.05±5.46) g/L, Hb was(89.25±4.35) g/L, MCH(68.11±3.11) fl, RDW was(16.37±2.87)%; RBC was(4.05±0.15) T/L, RDW-CV was(12.10±1.68)%, and MCHC was(336.35±6.11)g/L, Hb was(165.35±1.06) g/L, MCH was(93.25±3.31) fl, and RDW was(12.91 ±0.96)%. The data of the two groups were compared. There were significant statistics between the two groups(t =26.719 5, 15.654 4, 9.454 2, 116.524 9,37.947 5, 7.838 1, P<0.05). Conclusion Blood test can effectively identify patients with anemia, and the clinical application value is relatively good, which is worthy of clinical use.

引文

[1]王文新,陈红芸.探讨综合性血液检验在贫血鉴别诊断中的应用效果与价值[J].中国医药指南,2016,14(33):89.
    [2]李凯雁.血液检验在贫血鉴别诊断中的应用价值分析[J]中国医药指南,2016,14(21):151-152.
    [3]王富利.针对血液检验在贫血鉴别诊断中的应用探讨[J]世界最新医学信息文摘,2016,16(44):119.
    [4]王爽.血液检验在贫血诊断与鉴别诊断中的应用价值分析[J]中国卫生标准管理,2017,31(2):119-120.
    [5]Wu M,Li YG,Nie DN,et al.Clinical Significance of the Bone Marrow Morphological Differences in the Differential Diagnosis of Megaloblastic Anemia and Refractory Anemia[J]Zhongguo Shi Yan Xue Ye Xue Za Zhi,2016,24(3):801-805.
    [6]李宏.探讨血液检验在贫血鉴别诊断中的临床意义[J].世界最新医学信息文摘,2016,16(42):165-166.
    [7]王燕敏.血液检验在贫血诊断与鉴别诊断中的价值分析[J]中医临床研究,2016,8(13):130-131.
    [8]向小云.血液检验在贫血鉴别诊断中的临床意义探讨[J]中国卫生标准管理,2016,7(19):144-145.
    [9]Lin X,Chen W,Fu Q,et al.Application of fluorescent in situ hybridization in primary diagnosis of aplastic anemia by morphology[J].Zhonghua yi xue yi chuan xue za zhi=Zhonghua yixue yichuanxue zazhi=Chinese journal of medical genetics,2016,33(1):5.
    [10]罗百文.浅析血液检验仪在诊断和鉴别诊断贫血中的应用价值[J].当代医药论丛,2016,14(10):23-24.
    [11]靳伟东.血液检验在贫血的诊断与鉴别诊断中的应用分析[J].中国医药指南,2016,14(12):140.
    [12]陈雪芳.血液检验在贫血诊断与鉴别诊断中的临床应用价值研究[J].医药前沿,2016,6(15):196-197.
    [13]陈开军.血液检验在贫血诊断与鉴别诊断中的价值探讨[J]世界最新医学信息文摘,2016,16(24):138-139.
    [14]孙丽娟.临床贫血鉴别诊断中血液检验应用的价值[J].临床医药文献电子杂志,2016,3(50):9917.