CAJ | 학술논문

目的了解北京市中心城区社区65岁以上老年人静脉血常规情况,分析老年人静脉血血常规检测结果与年龄增长之间的关系. 方法 2011年2月至2011年9月,通过随机抽样方法选取北京市朝阳区潘家园社区、八里庄社区和西城区展览路社区、广外社区2014例老年人,通过问卷调查方式收集调查对象的基本资料、生活习惯、患病情况等信息,检测其血常规和生化结果.采用方差分析法分析血常规结果和年龄增长之间的关系. 结果北京城区老年人的红细胞计数平均值为4.43×1012/L,血红蛋白平均值为135.6 g/L,红细胞压积平均值为39.5％,白细胞平均值为6.69×109/L,血小板平均值为245.8×109/L;调查对象血细胞计数的95％可信区间分别为,红细胞计数(3.50～5.26)×1012/L,血红蛋白106.6～164.6g/L,红细胞压积31.6％～47.5％,白细胞计数(3.26～10.00)×109/L,血小板计数(110.9～377.7)×109/L;男性红细胞计数、血红蛋白和红细胞压积均高于女性(P＜0.05、P＜0.001和P＜0.001),女性血小板计数高于男性(P＜0.001);随着年龄增长,红细胞计数、血红蛋白、红细胞压积和平均红细胞血红蛋白浓度(MCHC)逐渐下降(均P＜0.001),红细胞平均分布宽度(RDW-CV)和单核细胞数呈递增趋势(均P＜0.001). 结论老年人血细胞计数的参考范围与成年人参考范围有所不同,是否需要单独制定老年人的参考范围还需要更多的数据分析;老年人血细胞计数指标随着年龄的增长呈动态变化,分析其变化原因并提出改善措施可以提高老年人的健康水平.
목적 료해북경시중심성구사구65세이상노년인정맥혈상규정황,분석노년인정맥혈혈상규검측결과여년령증장지간적관계. 방법 2011년2월지2011년9월,통과수궤추양방법선취북경시조양구반가완사구、팔리장사구화서성구전람로사구、엄외사구2014례노년인,통과문권조사방식수집조사대상적기본자료、생활습관、환병정황등신식,검측기혈상규화생화결과.채용방차분석법분석혈상규결과화년령증장지간적관계. 결과 북경성구노년인적홍세포계수평균치위4.43×1012/L,혈홍단백평균치위135.6 g/L,홍세포압적평균치위39.5％,백세포평균치위6.69×109/L,혈소판평균치위245.8×109/L;조사대상혈세포계수적95％가신구간분별위,홍세포계수(3.50～5.26)×1012/L,혈홍단백106.6～164.6g/L,홍세포압적31.6％～47.5％,백세포계수(3.26～10.00)×109/L,혈소판계수(110.9～377.7)×109/L;남성홍세포계수、혈홍단백화홍세포압적균고우녀성(P＜0.05、P＜0.001화P＜0.001),녀성혈소판계수고우남성(P＜0.001);수착년령증장,홍세포계수、혈홍단백、홍세포압적화평균홍세포혈홍단백농도(MCHC)축점하강(균P＜0.001),홍세포평균분포관도(RDW-CV)화단핵세포수정체증추세(균P＜0.001). 결론 노년인혈세포계수적삼고범위여성년인삼고범위유소불동,시부수요단독제정노년인적삼고범위환수요경다적수거분석;노년인혈세포계수지표수착년령적증장정동태변화,분석기변화원인병제출개선조시가이제고노년인적건강수평.
Objective To investigate routine blood cell count among elderly people aged over 65 years,and to analyze the relationship between routine blood cell count and age.Methods 2014 elderly people were selected by randomly sampling methods from Panjiayuan community and Balizhuang community in Chaoyang District,Zhanlanlu community and Gungwai community in Beijing.Basic data,habits,illness and other information were collected by the survey questionnaires,and blood samples were drawn to analyze routine blood cell count testing and biochemical results.The relationship between routine blood cell count testing and age was analyzed by statistical analysis.Results In elderly people in Beijing community,the mean red blood cell count was 4.43 1012/L,the mean hemoglobin was 135.6 g/L,the mean hematocrit was 39.53％,the mean white blood cell count was 6.69 109/L,the mean platelet count was 245.8 109/L.The 95％ confidence interval was (3.50-5.26) 1012/L for red blood cell count,was (106.6-164.6)g/L for hemoglobin,was 31.6％-47.5％for hematocrit,was (3.26-10.00) 109/L for white blood cell,was (110.9-377.7) 109/L for platelet.The red blood cell count,hemoglobin and hematocrit were higher in men than in women (P＜0.05 or 0.001),and the platelet count was higher in women than in men (P＜0.001).The red blood cell count,hemoglobin,hematocrit and mean corpuscular hemoglobin concentration (MCHC) were decreased along with ageing (all P＜0.001),and the average red blood cell distribution width (RDWCV) and mononuclear cell count showed an increasing trend with ageing (both P＜0.001).Conclusions The reference range of venous blood cells count in elderly people is different from that in adult people,and whether to develop a separate reference range for the elderly needs more data analysis.The values of blood cells count in elderly people may change dynamically with aging,and the elderly health can be improved by analyzing the reasons for the changes.