摘要
目的探讨缺铁性贫血(IDA)和慢性病贫血(ACD)的实验室鉴别诊断,提高诊断水平。方法测定以上两种贫血患者标本的红细胞参数:平均血红蛋白含量(Hb)、平均红细胞体积(MCV)、平均血红蛋白含量(MCH)、平均红细胞血红蛋白浓度(MCHC)、铁代谢指标铁蛋白(SF)、转铁蛋白(TRF),并对结果进行统计学分析。结果 IDA组与ACD组比较,IDA组Hb、MCV、MCH、MCHC、SF均明显降低,但TRF增高,差异具有统计学意义(P<0.05)。结论红细胞参数及铁代谢指标结合检测可以作为IDA与ACD的鉴别诊断简便有价值的指标。
Objective To explore the laboratory differential diagnosis of iron-deficiency anemia（IDA） and anemia of chronic disease（ACD）,in order to improve the diagnostic level.Methods The following red blood cell parameters of the above 2 kinds of anemia patients＇ specimens were detected：Hb,MCV,MCH,MCHC,iron metabolism indexes of ferritin（SF） and transferrin（TRF）,and the results were statistically analyzed.Results Compared with the ACD group,Hb,MCV,MCH,MCHC,SF of the IDA group decreased significantly,but TRF increased.The difference was statistically significant（P〈0.05）.Conclusion The combined detection of red blood cell parameters and iron metabolism index can be the simple and valuable indexes for the differential diagnosis of IDA and ACD.
出处
《检验医学与临床》
CAS
2013年第4期419-420,共2页
Laboratory Medicine and Clinic
关键词
红细胞参数
铁蛋白
缺铁性贫血
慢性病贫血
red cell parameters
ferritin
iron deficiency anemia
anemia of chronic disease
