摘要
目的研究血液检验红细胞参数在贫血鉴别诊断中的重要意义。方法回顾分析该院2014年1月—2021年12月研究期间收治的820例患者的临床资料,进行红细胞参数意义研究,将患者分为Ⅰ组(轻度贫血,320例)、Ⅱ组(中度贫血,300例)、Ⅲ组(重度贫血,100例)、Ⅳ组(非贫血者,100例),同时将贫血患者分为甲组(缺铁性贫血,600例)与乙组(地中海贫血,120例)。研究指标为Ⅰ组、Ⅱ组、Ⅲ组、Ⅳ组红细胞参数、甲组与乙组红细胞参数。结果甲组Hb(101.32±5.12)g/L、MCV(71.32±0.21)fl、RBC(3.65±0.21)×10^(12)/L、RDW(19.54±0.12)pg、MCHC(270.36±10.03)g/L;乙组Hb(97.21±2.12)g/L、MCV(64.36±0.12)fl、RBC(4.08±0.12)×10^(12)/L、RDW(16.57±1.36)pg、MCHC(280.36±8.14)g/L,两组比较差异有统计学意义(t=8.642、351.633、21.724、52.620、10.264,P<0.05)。结论血液检验中可以通过红细胞参数判断患者是否贫血,并进行鉴别诊断,判断患者病情进展情况,对于贫血临床诊断及治疗具有重要意义。
Objective To study the significance of blood test red blood cell parameters in the differential diagnosis of anemia.Methods The clinical data of 820 patients admitted to the hospital from January 2014 to December 2021 were retrospectively analyzed,and the significance of red blood cell parameters was studied.The patients were divided into groupⅠ(mild anemia,320 cases),groupⅡ(moderate anemia,300 cases),groupⅢ(severe anemia,100 cases),and groupⅣ(non-anemia,100 cases).At the same time,the anemia patients were divided into group A(iron deficiency anemia,600 cases)and group B(thalassemia,120 cases).The research indexes were the erythrocyte parameters of groupsⅠ,Ⅱ,ⅢandⅣ,and the erythrocyte parameters of groups A and B.Results In group A,Hb(101.32±5.12)g/L,MCV(71.32±0.21)fl,RBC(3.65±0.21)×10^(12)/L,RDW(19.54±0.12)pg,MCHC(270.36±10.03)g/L;in group B,Hb(97.21±2.12)g/L,MCV(64.36±0.12)fl,RBC(4.08±0.12)×10^(12)/L,RDW(16.57±1.36)pg,MCHC(280.36±8.14)g/L,the difference was statistically significant between the two groups(t=8.642,351.633,21.724,52.620,10.264,P<0.05).Conclusion In blood test,red blood cell parameters can be used to determine whether the patient is anemia,and to make differential diagnosis to judge the progress of the patient's disease,which is of great significance for the clinical diagnosis and treatment of anemia.
作者
蒯秀琴
KUAI Xiuqin(Department of Laboratory Medicine,Zhangye People's Hospital Affiliated to Hexi University,Zhangye,Gansu Province,734000 China)
出处
《系统医学》
2022年第9期80-83,共4页
Systems Medicine
关键词
贫血患者
红细胞参数
诊断价值
Anemia patients
Red blood cell parameters
Diagnostic value
