血液检验在贫血鉴别诊断中的临床意义探究(1)
摘要：目的 探讨血液检验在贫血鉴别诊断中的临床意义。方法 选取我院于2014年4月～2015年4月收治的贫血患者150例作为临床研究的观察组，其中75例地中海贫血患者为观察组A，75例缺铁性贫血患者为观察组B。同期选取150例体检健康者作为临床研究的对照组。对三组受检者分别实施血液检验。结果 经比较，观察组A的RBC、RBC/MCV指标明显高于观察组B和对照组，观察组B的RBC、Hb指标明显低于观察组A和对照组，对照组的MCV、MCH指标明显高于观察组A和观察组B，组间比较结果具有显著差异性(P<0.05)；同时，观察组A和观察组B的灵敏度、特异性、正确率比较无明显差异性(P>0.05)。结论 血液检验有助于诊断贫血以及鉴别贫血类型。
关键词：血液检验；贫血鉴别诊断
Clinical Significance of Blood Test in the Differential Diagnosis of Anemia
, 百拇医药
WU Li-qin
(Nanjiang County Hospital of Traditional Chinese Medicine，Nanjiang 635600，Sichuan，China)
Abstract：Objective To investigate the clinical significance of blood test in the differential diagnosis of anemia.Methods 150 patients with anemia in our hospital from April 2014 to April 2015 were selected as the observation group，75 cases of patients with anemia in the observation group A，75 cases of iron deficiency anemia in the observation group B.In the same period，150 healthy persons were selected as the control group in clinical research.Blood tests were carried out for the three groups.Results After comparison，RBC and RBC/MCV in the observation group were significantly higher than those in the observation group B and control group.The RBC and Hb in the observation group were significantly lower than that in the observation group A and control group.The MCH and MCV in the control group were significantly higher than those in the observation group A and B，and the sensitivity，specificity and accuracy of A and B were not significantly different(P>0.05).Conclusion Blood test is helpful for diagnosis and differential diagnosis of anemia.
, 百拇医药
Key words：Blood test；Anemia；Differential diagnosis；Diagnosis
贫血是较常见的血液疾病，医学中将其定义为人体外周血红细胞容量低于正常范围下限的症状。贫血患者的典型症状在神经系统、皮肤黏膜、呼吸循环系统、消化系统、泌尿生殖内分泌系统等均有体现，严重影响到患者的生活质量和健康水平[1]。因此，及时对贫血加以诊断和鉴别非常重要。根据发病机制来划分，贫血可以被分为多种类型，比如地中海贫血、缺铁性贫血等，而在给患者治疗之前，需先对患者的贫血类型加以鉴别[2]。
1 资料与方法
1.1一般资料 取我院于2014年4月～2015年4月收治的贫血患者150例作为临床研究的观察组，其中75例地中海贫血患者为观察组A，75例缺铁性贫血患者为观察组B。同期选取150例体检健康者为对照组。观察组A男患者44例，女患者31例；年龄为7～70岁，平均年龄(40.22±5.36)岁。观察组B男患者42例，女患者33例；年龄为9～68岁，平均年龄(41.19±4.67)岁。对照组男78例，女72例；年龄为7～71岁，平均年龄(42.56±4.17)岁。经比较，三组受检者的一般资料比较无明显差异性(P>0.05)。
, 百拇医药
1.2方法 所有受检者均空腹抽取肘静脉血，抽血量为3 ml。使用全自动血液分析仪及配套的试剂进行血液检测。分析三组受检者的MCV、RBC、Hb、MCH、RBC/MCV、RDW等血液检验指标，并比较观察组A和观察组B的检验灵敏度、特异性和正确率。
1.3观察指标 血液检验指标主要为MCV(平均红细胞体积)、RBC(血红细胞计数)、Hb(血红蛋白)、MCH(平均血红蛋白含量)、RBC/MCV(血红细胞计数与平均红细胞体积之比)、RDW(红细胞体积分布宽度)。
1.4统计学分析 患者数据采用SPSS 13.0统计软件包进行统计学处理。计量资料以均数±标准差(x±s)表示，采用t检验；计数资料的比较采用χ2检验，P<0.05为具有统计学意义。, 百拇医药(吴丽琴)
关键词：血液检验；贫血鉴别诊断
Clinical Significance of Blood Test in the Differential Diagnosis of Anemia
, 百拇医药
WU Li-qin
(Nanjiang County Hospital of Traditional Chinese Medicine，Nanjiang 635600，Sichuan，China)
Abstract：Objective To investigate the clinical significance of blood test in the differential diagnosis of anemia.Methods 150 patients with anemia in our hospital from April 2014 to April 2015 were selected as the observation group，75 cases of patients with anemia in the observation group A，75 cases of iron deficiency anemia in the observation group B.In the same period，150 healthy persons were selected as the control group in clinical research.Blood tests were carried out for the three groups.Results After comparison，RBC and RBC/MCV in the observation group were significantly higher than those in the observation group B and control group.The RBC and Hb in the observation group were significantly lower than that in the observation group A and control group.The MCH and MCV in the control group were significantly higher than those in the observation group A and B，and the sensitivity，specificity and accuracy of A and B were not significantly different(P>0.05).Conclusion Blood test is helpful for diagnosis and differential diagnosis of anemia.
, 百拇医药
Key words：Blood test；Anemia；Differential diagnosis；Diagnosis
贫血是较常见的血液疾病，医学中将其定义为人体外周血红细胞容量低于正常范围下限的症状。贫血患者的典型症状在神经系统、皮肤黏膜、呼吸循环系统、消化系统、泌尿生殖内分泌系统等均有体现，严重影响到患者的生活质量和健康水平[1]。因此，及时对贫血加以诊断和鉴别非常重要。根据发病机制来划分，贫血可以被分为多种类型，比如地中海贫血、缺铁性贫血等，而在给患者治疗之前，需先对患者的贫血类型加以鉴别[2]。
1 资料与方法
1.1一般资料 取我院于2014年4月～2015年4月收治的贫血患者150例作为临床研究的观察组，其中75例地中海贫血患者为观察组A，75例缺铁性贫血患者为观察组B。同期选取150例体检健康者为对照组。观察组A男患者44例，女患者31例；年龄为7～70岁，平均年龄(40.22±5.36)岁。观察组B男患者42例，女患者33例；年龄为9～68岁，平均年龄(41.19±4.67)岁。对照组男78例，女72例；年龄为7～71岁，平均年龄(42.56±4.17)岁。经比较，三组受检者的一般资料比较无明显差异性(P>0.05)。
, 百拇医药
1.2方法 所有受检者均空腹抽取肘静脉血，抽血量为3 ml。使用全自动血液分析仪及配套的试剂进行血液检测。分析三组受检者的MCV、RBC、Hb、MCH、RBC/MCV、RDW等血液检验指标，并比较观察组A和观察组B的检验灵敏度、特异性和正确率。
1.3观察指标 血液检验指标主要为MCV(平均红细胞体积)、RBC(血红细胞计数)、Hb(血红蛋白)、MCH(平均血红蛋白含量)、RBC/MCV(血红细胞计数与平均红细胞体积之比)、RDW(红细胞体积分布宽度)。
1.4统计学分析 患者数据采用SPSS 13.0统计软件包进行统计学处理。计量资料以均数±标准差(x±s)表示，采用t检验；计数资料的比较采用χ2检验，P<0.05为具有统计学意义。, 百拇医药(吴丽琴)