血液检验在贫血鉴别诊断中的效果观察

李万顺

（千阳县人民医院检验科，陕西 宝鸡，721500）

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摘要：

目的 探讨贫血鉴别诊断中血液检验的应用效果。方法 选取2011年3月至2016年3月于我院进行检查的60例贫血患者和30例健康人群作为研究对象，根据不同的贫血类型将60 例贫血患者分为观察Ⅰ组（地中海贫血，n=30）和观察Ⅱ组 （缺铁性贫血，n=30），30 例健康体检者作为对照组，观察分析三组的红细胞（RBC）、平均红细胞容积（MCV）、血红蛋白（Hb）、红细胞血红蛋白量（MCH）、RBC/MCV、红细胞分布宽度（RDW）水平。结果 观察域组的RBC、MCV、MCH、RBC/MCV 水平明显高于观察Ⅰ组；而观察Ⅰ组的Hb及RDW水平明显高于观察Ⅱ组；观察Ⅰ组及观察Ⅱ组的RBC、MCV、Hb、MCH、RBC/MCV 及RDW水平均明显低于对照组；三组研究对象的RBC、MCV、Hb、MCH、RBC/MCV及RDW水平比较，差异具有统计学意义（P<0.05）。结论 对贫血患者的RBC、MCV、Hb、MCH、RBC/MCV 及RDW水平进行检测，可准确判断和鉴别疾病的类型，对贫血的临床诊断和治疗具有较高的临床价值。

关键词：贫血；血液检验；血红蛋白

中图分类号：R446.11文献标志码：A文章编号：2096-1413(2017)26-0088-02

Effect observation of blood test in differential diagnosis of anemia
LI Wan-shun
(Department of Clinical Laboratory, People``s Hospital of Qianyang County, Baoji 721500, China)

ABSTRACT: Objective To investigate the effect of blood test in differential diagnosis of anemia. Methods Sixty anemia patients and 30 physical examiners who received blood test in our hospital from March 2011 to March 2016 were selected as the study objects. Sixty anemia patients were divided into observation Ⅰ group (thalassemia, n=30) and observation Ⅱ group (Iron deficiency anemia, n=30) according to different types of anemia, and 30 physical examiners were selected as the control group. The levels of red blood cell (RBC), mean corpuscular volume (MCV), hemoglobin (Hb), erythrocyte hemoglobin content (MCH), RBC/MCV and erythrocyte hemoglobin distribution width (RDW) were compared between the three groups. Results The levels of RBC, MCV, MCH and RBC/MCV in the observation Ⅱ group were higher than those in the observation Ⅰ group; and the levels of Hb and RDW in the observation Ⅰ group were higher than those in the observation Ⅱ group; the RBC, MCV, Hb, MCH, RBC/MCV and RDW in observation Ⅰ group and observation Ⅱ group were lower than those in the control group; there were significant differences between the three groups (P<0.05). Conclusion The detection of RBC, MCV, Hb, MCH, RBC/MCV and RDW in patients with anemia can accurately determine and identify the types of the disease, which has high clinical value in the clinical diagnosis and treatment of anemia.
KEYWORDS: anemia; blood test; hemoglobin

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