中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
12期
106-107
,共2页
贫血%鉴别诊断%血液检验
貧血%鑒彆診斷%血液檢驗
빈혈%감별진단%혈액검험
Anemia%Differential diagnosis%Blood test%Application
目的：分析血液检验在临床贫血鉴别诊断中应用的价值。方法：收治贫血患者80例，按照贫血类型不同分为地中海贫血组和缺铁性贫血组，对两组的血液均采用 KX-21全自动血液分析仪进行分析，并对两组血液检验RDW、MCV、MCH以及MCHC等指标进行观察分析。结果：地中海贫血组在MCHC指标检测结果上高于缺铁性贫血组，在RDW和MCV指标检测结果上低于缺铁性贫血组，经统计学处理均P＜0.05，差异有统计学意义，而两组在MCH水平的比较上P＞0.05，差异无统计学意义。地中海贫血组血液检测灵敏度、特异性以及符合率分别为95%、66%、76%，缺铁性贫血组血液检测灵敏度、特异性以及符合率分别为96%、69%、78%。结论：血液检验在临床贫血鉴别诊断中能够为贫血类型的确定提供诊断依据，且诊断具有可靠性。
目的：分析血液檢驗在臨床貧血鑒彆診斷中應用的價值。方法：收治貧血患者80例，按照貧血類型不同分為地中海貧血組和缺鐵性貧血組，對兩組的血液均採用 KX-21全自動血液分析儀進行分析，併對兩組血液檢驗RDW、MCV、MCH以及MCHC等指標進行觀察分析。結果：地中海貧血組在MCHC指標檢測結果上高于缺鐵性貧血組，在RDW和MCV指標檢測結果上低于缺鐵性貧血組，經統計學處理均P＜0.05，差異有統計學意義，而兩組在MCH水平的比較上P＞0.05，差異無統計學意義。地中海貧血組血液檢測靈敏度、特異性以及符閤率分彆為95%、66%、76%，缺鐵性貧血組血液檢測靈敏度、特異性以及符閤率分彆為96%、69%、78%。結論：血液檢驗在臨床貧血鑒彆診斷中能夠為貧血類型的確定提供診斷依據，且診斷具有可靠性。
목적：분석혈액검험재림상빈혈감별진단중응용적개치。방법：수치빈혈환자80례，안조빈혈류형불동분위지중해빈혈조화결철성빈혈조，대량조적혈액균채용 KX-21전자동혈액분석의진행분석，병대량조혈액검험RDW、MCV、MCH이급MCHC등지표진행관찰분석。결과：지중해빈혈조재MCHC지표검측결과상고우결철성빈혈조，재RDW화MCV지표검측결과상저우결철성빈혈조，경통계학처리균P＜0.05，차이유통계학의의，이량조재MCH수평적비교상P＞0.05，차이무통계학의의。지중해빈혈조혈액검측령민도、특이성이급부합솔분별위95%、66%、76%，결철성빈혈조혈액검측령민도、특이성이급부합솔분별위96%、69%、78%。결론：혈액검험재림상빈혈감별진단중능구위빈혈류형적학정제공진단의거，차진단구유가고성。
Objective:To analyze the application value of blood test in the differential diagnosis of clinical anemia.Methods:80 patients with anemia were selected.They were divided into the thalassemia group and the iron deficiency anemia group according to different types of anemia.The blood of the two groups were analyzed by using KX-21 automatic blood analyzer.The RDW,MCV, MCH and MCHC index of the two groups were observed and analyzed.Results:The detection result of MCHC index of the thalassemia group was higher than that of the iron deficiency anemia group.The detection results of RDW and MCV index were lower than these of the iron deficiency anemia group.The difference was statistically significant(all P<0.05).The difference between the level of MCH of the two group was not statistically significant(P>0.05).The blood detection sensitivity,specificity and accuracy of the thalassemia group were 95% ,66% ,76% .The blood detection sensitivity,specificity and accuracy of the iron deficiency anemia group were 96% ,69% ,78% .Conclusion:In the differential diagnosis of clinical anemia,the blood test can provide a diagnostic basis for determining the type of anemia,and the diagnosis is reliable.
