全血细胞分析在缺血性脑血管疾病中的临床意义  

The clinical value of whole blood cell analysis of CI

作　　者：赵颖[1] 张建荣[1] 杨芝红[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2006年第1期33-35,共3页Ningxia Medical Journal

摘　　要：目的了解脑梗死(CI)急性期与恢复期全血细胞计数变化的临床意义。方法用美国贝克曼公司生产全自动血细胞分析仪对我院2004年1月-7月住院脑梗死患者121例进行全血细胞计数,并与对照组比较。结果CI患者急性期WBC、MCV、MPV、PDW 4项指标与对照组对应比较后其结果均显著高于对照组,P<0.01。PLT与对照组比较显著低于对照组P<0.01。RBC、RDW急性期CI组与对照组比较没有显著性差异P>0.05。但急性期与恢复期RBC、WBC测定结果具有非常显著性差异。其他各项检测指标在急性期、恢复期无显著变化(P均>0.05)。结论CI患者急性期与恢复期全血WBC、MCV、MPV、PDW升高,PLT降低具有特征性。MCV与MPV升高使全血有形成分大大增加,是造成脑梗死重要因素之一。全血细胞分析为脑梗死预防、治疗、预后提供了极为重要的信息。Objective To study the clinical value of the change of whole blood cell count beween acute period and recovering period in patients with CI. Methods 121 blood sample in patients of CI was counted by automatic hematolcgy analyzer of beckman corporation from January, 2004 to July, 2004. Results Compared with control group, WBC and MPV of acute CI patients were significantly increased （ P 〈 0.01 ） ; MCV showed significant difference（ P 〈0.01）;PDW was significantly increased（ P 〈0.01）;PLT was significantly decreased（ P 〈0.01）. Difference of RBC and RDW between acute CI patient and control group showed no significance（ P 〉0.05）,while the results of RBC and WBC had significant difference（ P 〈 0.01 ） between acute period and recovering period of CI. The change of the rest indexes was not significantly（ P 〉0.05） between acute period and recovering period. Conclusion WBC, MCV, MPV and PDW in whole blood of CI patients（including acute and recovering period） were increased, PLT was decreased. While MCV and MPV were increased, cell amount in blood was increased obviously. It is one imporatant reasons of CI. Whole blood cell analysis provides most important information for prevention, treatment and prngnosis of CI.

关 键 词：脑梗死 白细胞计数 平均红细胞体积 平均血小板体积 血小板计数 

分 类 号：R743.33[医药卫生—神经病学与精神病学]