摘要
目的观察贫血诊断与鉴别诊断中应用血液检验的临床效果。方法对该院在2019年6月-2020年6月收治的80例需要进行血液检验的贫血患者的临床资料进行回顾性分析,根据其贫血类型的不同将其分为对照组和研究组,其中对照组共计40例患者,均为地中海贫血;研究组共计40例患者,均为缺铁性贫血,比较两组患者的血液检验结果(包括红细胞平均体积、红细胞体积分布宽度、红细胞平均血红蛋白浓度、红细胞平均血红蛋白量),同时观察两组患者的检验诊断效果。结果对照组红细胞平均体积(67.93±3.68)fl、红细胞体积分布宽度(16.02±2.75)%显著小于研究组(74.60±3.09)fl、(22.03±2.96)%,红细胞平均血红蛋白浓度(314.88±14.07)g/L、红细胞平均血红蛋白量(24.15±3.14)pg显著高于研究组(290.03±13.72)g/L、(21.96±2.41)pg,差异有统计学意义(t=8.779、9.408、7.997、3.483,P<0.05);对照组灵敏度(95.00%)、符合率(80.00%)、特异性(65.00%)与研究组97.50%、85.00%、67.50%,组间比较差异无统计学意义(P>0.05)。结论将血液检验应用到贫血诊断与鉴别诊断中,可以取得良好的检验诊断效果,诊断符合率高,可以对地中海贫血和缺铁性贫血做出有效鉴别。
Objective To observe the clinical effects of blood tests in the diagnosis and differential diagnosis of anemia.Methods A retrospective analysis of the clinical data of 80 patients with anemia who needed blood tests in the hospital from June 2019 to June 2020,and divided them into a control group and a study group according to their different types of anemia,Among them,there were a total of 40 patients in the control group,all of which were thalassemia,and a total of 40 patients in the study group,all of which were iron deficiency anemia.The blood test results of the two groups of patients(including the average red blood cell volume,the distribution width of the red blood cell volume,and the average red blood cell hemoglobin Concentration,average amount of red blood cell hemoglobin),while observed the diagnostic effect of the two groups of patients.Results The average red blood cell volume of the control group(67.93±3.68)fl,red blood cell volume distribution width(16.02±2.75)%was significantly smaller than the study group(74.60±3.09)fl,(22.03±2.96)%,the average red blood cell hemoglobin concentration(314.88±14.07)g/L,the average amount of red blood cell hemoglobin(24.15±3.14)pg was significantly higher than the study group(290.03±13.72)g/L,(21.96±2.41)pg,the difference was statistically significant(t=8.779,9.408,7.997,3.483,P<0.05);the sensitivity(95.00%),coincidence rate(80.00%),specificity(65.00%)of the control group and the study group were 97.50%,85.00%,67.50%,there was no significant difference between the groups(P>0.05).Conclusion The application of blood test to the diagnosis and differential diagnosis of anemia can achieve good diagnostic results with a high diagnostic coincidence rate.It can effectively distinguish thalassemia and iron deficiency anemia.
作者
姜维
JIANG Wei(Department of Laboratory Medicine,Zhaoyuan People's Hospital,Zhaoyuan,Shandong Province,265400 China)
出处
《世界复合医学》
2021年第7期71-73,共3页
World Journal of Complex Medicine
关键词
血液检验
贫血诊断
鉴别诊断
诊断效果
地中海贫血
缺铁性贫血
Blood test
Anemia diagnosis
Differential diagnosis
Diagnostic effect
Thalassemia
Iron deficiency anemia
