摘要
目的研究血液检验指标对贫血的诊断鉴别价值。方法选取100例贫血患者作为观察组,另选取100例健康体检者作为对照组。两组均进行血液检验。对比观察组和对照组、不同类型贫血患者红细胞相关指标及不同程度贫血患者血清铁指标。结果观察组红细胞计数(RBC)(2.97±0.17)×10^(12)/L、血红蛋白(HGB)(81.58±2.24)g/L、平均红细胞体积(MCV)(69.68±2.07)fl、平均红细胞血红蛋白浓度(MCHC)(277.34±3.33)g/L、红细胞压积(HCT)(0.28±0.04)、平均红细胞血红蛋白量(MCH)(20.86±1.01)pg均低于对照组的(4.46±0.28)×10^(12)/L、(117.72±6.37)g/L、(83.62±2.14)fl、(326.08±9.22)g/L、(0.39±0.06)、(29.32±1.22)pg,红细胞体积分布宽度(RDW)(20.34±1.17)%高于对照组的(12.38±1.06)%,差异显著(P<0.05)。不同类型贫血患者RBC、HGB、MCV、MCHC、RDW、HCT、MCH对比差异显著(P<0.05);缺铁性贫血患者HGB、MCH较低:缺铁性贫血<再生障碍性贫血<溶血性贫血;再生障碍性贫血患者RBC、MCV、MCHC最低:再生障碍性贫血<缺铁性贫血<溶血性贫血;溶血性贫血RDW、HCT最低:溶血性贫血<再生障碍性贫血<缺铁性贫血。不同程度贫血患者血清铁蛋白、血清铁及血清转铁蛋白受体水平对比差异显著(P<0.05);轻、中、重度贫血患者血清铁蛋白和血清铁水平呈降低趋势,血清转铁蛋白受体呈升高趋势。结论血液检验指标可以作为诊断贫血的方法,并鉴别贫血类型,同时可判断疾病严重程度,从而制定治疗方案。
Objective To study the value of blood test indicators in diagnosis and differentiation of anemia.Methods 100 patients with anemia were selected as the observation group,and 100 healthy subjects were selected as the control group.Both groups underwent blood tests.Comparisons of the red blood cell related indicators between the observation group and the control group,as well as patients with different types of anemia,and the serum iron indicators in patients with different degrees of anemia.Results In the observation group,the red blood cell count(RBC)was(2.97±0.17)×10^(12)/L,the hemoglobin(HGB)was(81.58±2.24)g/L,the mean corpuscular volume(MCV)was(69.68±2.07)fl,the mean corpuscular hemoglobin concentration(MCHC)was(277.34±3.33)g/L,the hematocrit(HCT)was(0.28±0.04)and the mean corpuscular hemoglobin(MCH)was(20.86±1.01)pg,which were lower than(4.46±0.28)×10^(12)/L,(117.72±6.37)g/L,(83.62±2.14)fl,(326.08±9.22)g/L,(0.39±0.06)and(29.32±1.22)pg in the control group;the red blood cell distribution width(RDW)of(20.34±1.17)%was higher than(12.38±1.06)%in the control group;the difference was significant(P<0.05).There were significant differences in RBC,HGB,MCV,MCHC,RDW,HCT and MCH among patients with different types of anemia(P<0.05).HGB and MCH were lower in patients with iron deficiency anemia:iron deficiency anemia<aplastic anemia<hemolytic anemia;The RBC,MCV and MCHC of aplastic anemia patients were the lowest:aplastic anemia<iron deficiency anemia<hemolytic anemia;RDW and HCT of hemolytic anemia were lowest:hemolytic anemia<aplastic anemia<iron deficiency anemia.The levels of serum ferritin,serum iron and serum transferrin receptor in patients with different degrees of anemia were significantly different(P<0.05),with a tendency for serum ferritin and serum iron levels to decrease in patients with mild,moderate and severe anemia,and a tendency for serum transferrin receptor to increase.Conclusion Blood test indicators can be used to diagnose anemia,identify the type of anemia,and determine the severity o
作者
林剑真
LIN Jian-zhen(Jinjiang City Hospital(Fujian Hospital of Shanghai Sixth People's Hospital),Quanzhou 362200,China)
出处
《中国现代药物应用》
2024年第21期74-78,共5页
Chinese Journal of Modern Drug Application
关键词
血液检验指标
贫血
诊断鉴别
贫血程度
Blood test indicators
Anemia
Diagnosis and differentiation
Degree of anemia
