摘要
目的探讨血液检验在贫血鉴别诊断中的临床意义。方法：选取2012年3月-2013年6月我院接收的80例地中海和缺铁性贫血患者,随机分成地中海组和缺铁性组,每组各40例。另选取40例健康成人为对照组,三组患者均进行血液检验,观察比较三组患者血液检验结果的各项指标。结果地中海组Hb、RBC、RBC/MCV均明显高于缺铁性组（P〈0.05）,缺铁性组中RDW明显高于地中海组和对照组（P〈0.05）,而对照组Hb、MCH、MCV均明显高于其他两组（P〈0.05）;地中海组贫血患者的灵敏度95.0%、特异性67.5%、符合率77.5%;缺铁性组为97.5%、70.0%、80.0%。结论血液检验中各项指标对贫血的诊断具有灵敏度高、特异性强的特点,对贫血的诊断和鉴别具有重要意义,值得推广应用。
Objective To explore the clinical significance of blood tests in the differential diagnosis of anemia. Methods 80 cases of patients with mediterranean anemia and iron deficiency anemia admitted in our hospital from March 2012 to June 2013 were selected for the study, they were divided into mediterranean groups and iron deficiency anemia group, with 40 cases in each group. Another 40 cases of healthy adults were selected as the control group,three groups of patients were given blood tests, the results of the indicators of blood tests of three groups of patients were observed and compared. Results Hb, RBC,RBC/MCV of mediterranean group were significantly higher than those of iron deficiency group（P〈0.05）, iron deficiency RDW group was significantly higher than mediterranean group and control group（P〈0.05）, while Hb, MCH, MCV of the control group was significantly higher than the other two groups（P〈0.05）; The sensitivity ofmediterranean anemia group was 95.0%, the specificity was 67.5%,compliance rate was 77.5%;iron deficiency anemia group were 97.5%、70.0%、80.0%. Conclusion The blood test in the diagnosis of various indicators of anemia is with high sensitivity and specificity characteristics, it has important implications for the diagnosis and identification of anemia. It is worthy of popularization and application.
出处
《现代诊断与治疗》
CAS
2014年第7期1447-1449,共3页
Modern Diagnosis and Treatment
关键词
贫血
鉴别诊断
血液检验
Anemia
Differential diagnosis
Blood test
