摘要
目的分析在贫血鉴别诊断工作中采用血液检验方法的临床效果与临床价值,为后续工作提供指导。方法该次研究中选择该院2017年1-6月所收治的51例缺铁性贫血患者作为观察组,并选择51名体检健康无贫血患者作为对照组。观察组与对照组在检验前1 d晚上8点以后禁食,保持空腹状态,在检验当日,观察组患者与对照组人群均空腹采集3 m L左右的静脉血液,分析比较其检测结果,检测指标包括红细胞计数(RBC)、平均红细胞容积(MCV)、红细胞体积宽度(RDW)、平均红细胞血红蛋白量(MCH)与血红蛋白(Hb)5项。结果该次研究结果表明,观察组RBC(3.8±0.4)×10^9/L、MCV (74.8±2.5)f L、MCH (20.3±3.8)pg、Hb (85.0±5.5)g/L低于对照组,RDW(23.3±2.0)%高于对照组,两组比较,差异有统计学意义(t=12.855、10.225、14.856、20.057,P<0.05;t=13.201、P<0.05),表明观察组与对照组的数据均差异有统计学意义(P<0.05),即血液检验的方式可以更好地结合患者的贫血症状区分贫血类型,以数据结果作为后续诊断与治疗的主要依据。结论贫血鉴别诊断过程中,通过血液检验可以起到重要的临床诊断效果,能够为疾病诊断提供关键参考,对治疗工作起到合理的指导作用。
Objective To analyze the clinical effect and clinical value of blood test in the differential diagnosis of anemia and provide guidance for the follow-up work. Methods A total of 51 patients with iron deficiency anemia admitted to our hospital from January to June 2017 were selected as the observation group, and 51 healthy patients without anemia were selected as the control group. The observation group and the control group were fasted after 8:00 pm on the1 st day before the test, and kept fasting. On the day of the test, the observation group and the control group were all collected 3 mL of venous blood on an empty stomach. The test results of the two groups were analyzed. The test indicators included red blood cell count(RBC), average red blood cell volume(MCV), red blood cell volume width(RDW),the average amount of red blood cell hemoglobin(MCH) and hemoglobin(Hb). Results The results of this study showed that the RBC(3.8±0.4)×10^9/L, MCV(74.8±2.5)fL, MCH(20.3±3.8) pg, Hb(85.0±5.5)g/L of the observation group were lower than those of the control group;and RDW of the observation group(23.3±2.0)% was higher than that of the control group. The difference between the two groups was statistically significant(t=12.855, 10.225, 14.856, 20.057, P<0.05;t=13.201, P<0.05). It indicated that there was statistically significant difference between the observation group and the control group(P<0.05), that was, the blood test method could better analyze the anemia symptoms of patients to distinguish the type of anemia, and the data results were the main basis for subsequent diagnosis and treatment. Conclusion In the process of differential diagnosis of anemia, blood test plays an important role in clinical diagnosis, which provides a key reference for the diagnosis of disease, and plays a reasonable guiding role in the treatment.
作者
刘庆彪
LIU Qing-biao(Department of Laboratory, Haijiya Hospital, Shan County, Shandong Province,274300 China)
出处
《系统医学》
2019年第15期40-42,共3页
Systems Medicine
关键词
贫血鉴别诊断
血液检验
临床效果探析
Anemia differential diagnosis
Blood tests
Clinical effect analysis
