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评估病毒性肝炎诊断时采用血常规和生化检验项目的临床价值 被引量:7

Evaluation of the Clinical Value of Blood Routine and Biochemical Tests in the Diagnosis of Viral Hepatitis
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摘要 目的研究病毒性肝炎诊断过程中血常规检查和生化检验的临床价值。方法将2016年7月—2018年7月在该院接受治疗的60例病毒性肝炎作为实验组,同期在该院进行健康体检的60名健康人员作为对照组,两组人员均进行血常规检查和生化检验,比较两组各项指标的结果。结果实验组血小板(102.14±60.55)×10~9/L、白细胞计数(5.06±1.54)×10~9/L和中性粒细胞(54.37±11.66)%均低于对照组[分别为(174.18±73.22)×10~9/L、(7.27±1.66)×10~9/L、(67.66±12.33)%],淋巴细胞值(39.57±7.23)%高于对照组(30.26±6.12)%,组间比较差异有统计学意义(t=5.873,P=0.000;t=7.560,P=0.000;t=6.066,P=0.000;t=7.613,P=0.000);实验组谷丙转氨酶(112.04±56.34)U/L、总胆红素水平(25.66±8.24)μmol/L高于对照组[(30.41±18.55)U/L、(14.21±6.03)μmol/L],血清白蛋白/球蛋白比例(1.05±0.11)和白蛋白水平(40.26±2.02)g/L低于低于对照组[(1.69±0.26)、(46.57±5.68)g/L],组间差异有统计学意义(t=10.660、8.681、17.560、8.108,P<0.05)。结论通过血常规检查和生化检验能够有效掌握病毒肝炎患者自身的血细胞功能和生化指标,为患者的预后和治疗提供有效的依据,医学价值比较高。 Objective To study the clinical value of routine blood test and biochemical test in the diagnosis of viral hepatitis.Methods Sixty cases of viral hepatitis treated in the hospital from July 2016 to July 2018 were used as the experimental group.60 healthy peo-ple who underwent physical examination in our hospital as the control group at the same time,both groups performed blood routine check and biochemical tests,compare the results of the two groups of indicators.Results Platelets(102.14±60.55)×10~9/L,white blood cell count(5.06±1.54)×10~9/L and neutrophils(54.37±11.66)%were lower in the experimental group than in the control group(174.18±73.22)×10~9/L,(7.27±1.66)×10~9/L,(67.66±12.33)%,the lymphocyte value(39.57±7.23)%was higher than that of the control group(30.26±6.12)%,and the comparison between the groups formed statistical value(t=5.873,P=0.000;t=7.560,P=0.000;t=6.066,P=0.000;t=7.613,P=0.000);The alanine aminotransferase(112.04±56.34)U/L and total bilirubin levels in the experimental group were(25.66±8.24)μmol/L higher than the control group[(30.41±18.55)U/L,(14.21±6.03)μmol/L].The serum albumin/globulin ratio(1.05±0.11)and albumin level(40.26±2.02)g/L were lower than those in the control group[(1.69±0.26),(46.57±5.68)g/L],The difference was statistically significant between groups(t=10.660,8.681,17.560,8.108,P<0.05).Conclusion Blood routine examination and biochemical test can effectively grasp the blood cell function and biochemical index of patients with viral hepatitis,and provide an effective ba-sis for the prognosis and treatment of patients,and the medical value is relatively high.
作者 吴艳鹏 李永明 WU Yan-peng;LI Yong-ming(Department of Clinical Laboratory,Qingdao Mental Health Center,Qingdao,Shandong Province,266034 China)
出处 《世界复合医学》 2020年第1期11-13,共3页 World Journal of Complex Medicine
关键词 病毒性肝炎 血常规 生化检验 Viral hepatitis Blood routine Biochemical test
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