首页|利用大数据间接法建立成都市郫都区人群血小板参考区间

利用大数据间接法建立成都市郫都区人群血小板参考区间

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目的 利用大数据采用间接法建立成都市郫都区人群血小板(platelet,PLT)指标的参考区间.方法 选择2020年至2023年成都市郫都区中医医院的健康体检人群47392例作为研究对象,运用希森美康公司XN-100(B3)、(B4)全自动血液流水线分析仪和配套试剂盒检测血小板浓度.采用K-S检验分析其数据的正态性,非正态数据使用Box-Cox转换成近似正态,Turkey法剔除离群值,使用非参数Mann-Whitney U检验比较性别间差异.非参数法建立人群参考区间,以中华人民共和国国家卫生健康委员会临检中心行业标准WS/T405-2012血细胞参考区间为参考,对其参考变化值进行比较(reference change value,RCV).结果 纳入分析的有效PLT数据为47 392个,男性28 812例,女性18 580例,血小板数量在性别间差异具有统计学意义,区分性别建立参考区间.男性、女性参考区间分别为102× 109/L~338 × 109/L、101× 109/L~354 × 109/L,与行业标准的相对偏差均小于RCV值.结论 基于大数据采用间接法建立的血小板参考区间,与卫健委临床检验中心行业标准推荐的参考区间无明显差异,采用人群参考区间更利于郫都区人群血小板相关疾病的诊断和治疗.
Using Big Data to Establish the Reference Interval of Platelets in Pidu District of Chengdu City
Objective To use Big data to establish the population reference interval of Platelet(PLT)indicators in Pidu District of Chengdu City.Methods A total of 47392 cases of Pidu District TCM Hospital in Chengdu from 2020 to 2023 were selected as the research objects.The platelet concentration was measured by XN-100(B3)and(B4).The normality of obtained dataset was checked using the K-S test,and non-normal data were converted to approximate normal using BOX-COX,while outliers were removed by the interquartile spacing method.Differences between sex groups were compared using the non-parametric Mann-Whitney U test.The non-parametric method was used to establish the population reference interval and calculate the relative deviation from the reference interval based on the industry standard WS/T405-2012 of the Health Center of the National Health Commission,with reliable results less than the reference change value(reference change value,RCV).Results The valid PLT data included in the analysis were 4 739,22812 males and 18580 females,with statistically significant differences in platelet number between sexes,and reference interval was established between sex groups.The reference intervals for male and female were 102 × 109/L-338 × 109/L and 101 × 109/L-354 × 109/L,respectively,and the relative deviation from the industry standard was less than the RCV value.Conclusion The platelet reference interval established by indirect method based on big data is not significantly different from the reference interval recommended by the Clinical Inspection Center of the National Health Commission.The use of population reference interval is more conducive to the diagnosis and treatment of platelet-related diseases in the Pidu District.

PlateletReference intervalIndirect method

何大海、周朝琼、张艳、孔丽蕊

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成都市郫都区中医医院检验科,四川成都 611730

成都中医药大学附属第三医院检验科,四川成都 610031

血小板 参考区间 间接法

成都市卫生健康委员会科研课题

2022376

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(8)