当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
35期
89-90
,共2页
贫血%血液检验%结果分析
貧血%血液檢驗%結果分析
빈혈%혈액검험%결과분석
Anemia%Blood test%Results analysis
目的：对贫血患者的血液检验结果进行分析。方法选取160例贫血患者，同时，再选择50例健康体检者为对照组，对160例贫血患者和健康体检者用一次性真空采血管来进行静脉采血5 mL。记录所有血液标本中红细胞分布宽度(red cell distribution width, RDW)、平均红细胞血红蛋白浓度(mean corpuscular hemoglobin concentration, MCHC)、平均红细胞血红蛋白量(mean corpuscular hemoglobin, MCH)、平均红细胞容积(mean corpuscular volume, MCV)的检测结果。结果慢性感染、地中海贫血、缺铁性贫血、巨幼细胞性贫血、溶血性贫血患者的RDW、MCHC、MCH、MCV与健康对照者相比，差异有统计学意义（P<0.05）。结论贫血并非一种具体疾病，而是由各系统疾病引起，多种不同原因的贫血症都会导致出现类似的临床表现和血液学特征，因此，需要通过RDW、MCHC、MCH、MCV这些常规检验指标来鉴别诊断贫血患者。
目的：對貧血患者的血液檢驗結果進行分析。方法選取160例貧血患者，同時，再選擇50例健康體檢者為對照組，對160例貧血患者和健康體檢者用一次性真空採血管來進行靜脈採血5 mL。記錄所有血液標本中紅細胞分佈寬度(red cell distribution width, RDW)、平均紅細胞血紅蛋白濃度(mean corpuscular hemoglobin concentration, MCHC)、平均紅細胞血紅蛋白量(mean corpuscular hemoglobin, MCH)、平均紅細胞容積(mean corpuscular volume, MCV)的檢測結果。結果慢性感染、地中海貧血、缺鐵性貧血、巨幼細胞性貧血、溶血性貧血患者的RDW、MCHC、MCH、MCV與健康對照者相比，差異有統計學意義（P<0.05）。結論貧血併非一種具體疾病，而是由各繫統疾病引起，多種不同原因的貧血癥都會導緻齣現類似的臨床錶現和血液學特徵，因此，需要通過RDW、MCHC、MCH、MCV這些常規檢驗指標來鑒彆診斷貧血患者。
목적：대빈혈환자적혈액검험결과진행분석。방법선취160례빈혈환자，동시，재선택50례건강체검자위대조조，대160례빈혈환자화건강체검자용일차성진공채혈관래진행정맥채혈5 mL。기록소유혈액표본중홍세포분포관도(red cell distribution width, RDW)、평균홍세포혈홍단백농도(mean corpuscular hemoglobin concentration, MCHC)、평균홍세포혈홍단백량(mean corpuscular hemoglobin, MCH)、평균홍세포용적(mean corpuscular volume, MCV)적검측결과。결과만성감염、지중해빈혈、결철성빈혈、거유세포성빈혈、용혈성빈혈환자적RDW、MCHC、MCH、MCV여건강대조자상비，차이유통계학의의（P<0.05）。결론빈혈병비일충구체질병，이시유각계통질병인기，다충불동원인적빈혈증도회도치출현유사적림상표현화혈액학특정，인차，수요통과RDW、MCHC、MCH、MCV저사상규검험지표래감별진단빈혈환자。
Objective To analyze blood test results in patients with anemia. Methods From May 2010 to May 2013, 160 patients with anemia were selected, and 50 healthy volunteers were selected as the control group. 160 patients with anemia and healthy volunteers were drew 5 mL of venous blood respectively by using disposable vacutainer. All test results of RDW, MCHC, MCH, MCV in blood samples were recorded. Results Compared with healthy control group, the level of RDW, MCHC, MCH, MCV in chronic infection group, thalassemia group, iron deifciency anemia group, megaloblastic anemia group, hemolytic anemia group shown a statistically signiifcant difference (P<0.05);While the level of RDW, MCHC, MCH, MCV in sideroblastic anemia group and aplastic anemia group didn’t show the statistically signiifcant difference. Conclusion Anemia is not a speciifc disease, but disease caused by the system, a variety of different causes anemia will lead to similar clinical manifestations and hematological characteristics, therefore, need to RDW, MCHC, MCH, MCV these conventional tests indicators to the differential diagnosis in patients with anemia.
