CAJ | 학술논문

目的：通过对贵州省荔波县的布依族、苗族、水族、瑶族人群的血常规分析，了解该地区少数民族人群的健康状况及存在的问题。方法：贵州省荔波县的布依族、苗族、水族及瑶族正常人群872例，男性369例，女性503例，采集静脉血2 mL检测其白细胞（ WBC）、红细胞（ RBC）、血红蛋白含量（ Hb）、红细胞压积（ HCT）、红细胞平均压积体积（ mCV）、平均红细胞血红蛋白含量（ mCH）、平均红细胞血红蛋白浓度（ mCHC）、血小板计数（ PLT）血常规8项指标，观察8项指标异常情况及在男女性别上差异。结果：血常规8项指标中 WBC、RBC、HCT、mCV及PLT在正常参考范围；受检者男女各检测指标比较，WBC、RBC、Hb、HCT、mCV及mCH差异有统计学意义（ P<0.05）；按男女进行各指标异常降低比较，仅HCT异常减低的检出率在男女间差异有统计学意义（χ2=18.465，P<0.01），异常增高指标中RBC、Hb、HCT、mCV异常增高检出率在男女间差异有统计学意义（χ2为7.183、30.093、17.07、13.379，P<0.01）。结论：贵州荔波少数民族地区部分血常规指标存在较高异常率，且存在性别差异，提示该地区男女健康状况不同，有必要进行大规模性别相关疾病筛查并建立本地区参考范围。
목적：통과대귀주성려파현적포의족、묘족、수족、요족인군적혈상규분석，료해해지구소수민족인군적건강상황급존재적문제。방법：귀주성려파현적포의족、묘족、수족급요족정상인군872례，남성369례，녀성503례，채집정맥혈2 mL검측기백세포（ WBC）、홍세포（ RBC）、혈홍단백함량（ Hb）、홍세포압적（ HCT）、홍세포평균압적체적（ mCV）、평균홍세포혈홍단백함량（ mCH）、평균홍세포혈홍단백농도（ mCHC）、혈소판계수（ PLT）혈상규8항지표，관찰8항지표이상정황급재남녀성별상차이。결과：혈상규8항지표중 WBC、RBC、HCT、mCV급PLT재정상삼고범위；수검자남녀각검측지표비교，WBC、RBC、Hb、HCT、mCV급mCH차이유통계학의의（ P<0.05）；안남녀진행각지표이상강저비교，부HCT이상감저적검출솔재남녀간차이유통계학의의（χ2=18.465，P<0.01），이상증고지표중RBC、Hb、HCT、mCV이상증고검출솔재남녀간차이유통계학의의（χ2위7.183、30.093、17.07、13.379，P<0.01）。결론：귀주려파소수민족지구부분혈상규지표존재교고이상솔，차존재성별차이，제시해지구남녀건강상황불동，유필요진행대규모성별상관질병사사병건립본지구삼고범위。
Objective:To understand the health condition of minority groups of the Libo county of Guizhou province through analysis on routine blood test of the crowd of buyi,miao,shui and yao. Methods:A total of 872 cases of normal population of buyi,miao,shui and yao were selected from Li-bo county of Guizhou province. Venous blood sample was collected to carry out routine blood test:white blood cell( WBC),red blood cell( RBC),hemoglobin( Hb),hematocrit( HCT),mean hem-atocrit volume( mCV),mean corpuscular hemoglobin( mCH),mean corpuscular hemoglobin concen-tration(mCHC),platelet count(PLT). Abnormal condition of the 8 hematological parameters and the differences between men and women were observed. Results:WBC,RBC,HCT,mCV,PLT were in the normal reference range. The differences of RBC ,Hb,HCT,mCV and mCH between male and female subjects were statistically significant( P<0. 01 ). There were statistical differences in the HCT abnormal reduction rate between men and women(χ2 =18. 465 ,P<0. 01 );and there were statistical differences in RBC,Hb,HCT and mCV abnormal increase rates between men and women(χ2 =7. 183 ,30. 093 ,17. 07 ,13. 379 ,P <0. 01 ). Conclusions:The abnormal rates of some hematological parameters of minority nationalities in Libo county of Guizhou are relatively high,and there is a gender difference which suggesting that men and women have different health conditions. Large-scale screen-ing of gender-related diseases is necessary. It should expand the sample size in the region to establish the reference range.