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贫血疾病诊断中血液检验方式的应用效果研讨

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目的 探讨血液检验方式对贫血疾病的诊断效果。方法 选取贫血疾病患者 80 例进行诊断研究,将其设为研究组;选择同期健康体检者 80 例进行诊断研究,将其设为参照组。两组研究对象均采集血液完成检验操作,比较两组血液检验结果以及各种类型贫血疾病的血常规检验结果。结果 研究组红细胞平均体积、血红蛋白、红细胞计数、红细胞平均血红蛋白含量、红细胞分布宽度变异系数分别为(92。75±4。29)fl、(60。09±6。39)g/L、(2。09±0。35)×1012/L、(22。96±3。66)pg、(18。93±2。23)%,参照组分别为(88。75±3。25)fl、(125。69±12。25)g/L、(4。35±0。49)×1012/L、(28。26±2。29)pg、(12。45±2。49)%。与参照组红细胞计数、血红蛋白以及红细胞平均血红蛋白含量展开比较,研究组呈现出显著降低(P<0。05);与参照组红细胞平均体积以及红细胞分布宽度变异系数展开比较,研究组呈现出显著提升(P<0。05)。同参照组红细胞平均体积、血红蛋白、红细胞平均血红蛋白含量以及红细胞计数比较,缺铁性贫血患者呈现出显著降低,同参照组红细胞分布宽度变异系数比较,缺铁性贫血患者呈现出显著提升(P<0。05);同参照组比较,巨幼细胞性贫血以及溶血性贫血红细胞计数以及血红蛋白呈现出显著降低,红细胞分布宽度变异系数以及红细胞平均体积呈现出显著提升;同参照组红细胞平均血红蛋白含量比较,巨幼细胞性贫血患者呈现出显著降低(P<0。05);同参照组红细胞平均血红蛋白含量比较,溶血性贫血患者未呈现出显著差异(P>0。05);同参照组红细胞分布宽度变异系数比较,地中海贫血患者未呈现出显著差异(P>0。05);同参照组红细胞平均体积、血红蛋白、红细胞平均血红蛋白含量以及红细胞计数比较,地中海贫血患者均呈现出显著降低(P<0。05)。结论 临床针对贫血疾病患者实施诊断期间,血液检验方式可对红细胞参数异常情况及时发现,并且在不同贫血疾病鉴别诊断中表现出显著应用价值。
Study on the application effect of blood test in the diagnosis of anemic disease
Objective To explore the effect of blood test in the diagnosis of anemic disease.Methods 80 patients with anemic disease were selected as the study group,and 80 healthy subjects during the same period were selected as the reference group.Blood samples were collected for testing in both groups,and the results of blood tests and routine blood tests of various types of anemic diseases were compared between the two groups.Results The mean corpuscular volume,hemoglobin,red blood cell count,and mean corpuscular hemoglobin and red blood cell distribution width-coefficient of variation in the study group were(92.75±4.29)fl,(60.09±6.39)g/L,(2.09±0.35)×1012/L,(22.96±3.66)pg and(18.93±2.23)%,and those in the reference group were(88.75±3.25)fl,(125.69±12.25)g/L,(4.35±0.49)×1012/L,(28.26±2.29)pg and(12.45±2.49)% .Compared with the reference group,the red blood cell count,hemoglobin and mean corpuscular hemoglobin in the study group were significantly decreased(P<0.05).Compared with the reference group,the mean corpuscular volume and red blood cell distribution width-coefficient of variation were significantly increased in the study group(P<0.05).Compared with the reference group,the mean corpuscular volume,hemoglobin,mean corpuscular hemoglobin and red blood cell count in iron deficiency anemia patients were significantly decreased,and the red blood cell distribution width-coefficient of variation was significantly increased(P<0.05).Compared with the reference group,the red blood cell count and hemoglobin of megaloblastic anemia and hemolytic anemia patients were significantly reduced,the red blood cell distribution width-coefficient of variation and mean corpuscular volume were significantly increased;compared with the reference group,the mean corpuscular hemoglobin of patients with megaloblastic anemia was significantly decreased(P<0.05).There was no significant difference in mean corpuscular hemoglobin in hemolytic anemia patients when compared with the reference group(P>0.05).There was no significant difference in the red blood cell distribution width-coefficient of variation in thalassemia patients when compared with the reference group(P>0.05).Compared with the reference group,the mean corpuscular volume,hemoglobin,mean corpuscular hemoglobin and red blood cell count were significantly decreased in thalassemia patients(P<0.05).Conclusion During the diagnosis of patients with anemic diseases,the blood test can detect the abnormal red blood cell parameters in time,and it also shows significant application value in the differential diagnosis of different anemic diseases.

Blood testAnemic diseaseDiagnostic results

王国磊

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277100 山东省枣庄市立医院

血液检验 贫血疾病 诊断结果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(16)