内蒙古呼和浩特市老年人部分检验参考值调查  

SURVEY OF SOME TEST REFERENCE VALUES WITH THE OLD PEOPLE IN HOHHOT OF INNER MONGOLIA

作　　者：张军力[1] 王育民[1] 宿瑞俊[1] 

机构地区：[1]内蒙古医学院附属医院检验科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2009年第1期1-5,共5页Acta Academiae Medicinae Neimongol

基　　金：内蒙古自然科学基金(2001090617)

摘　　要：目的:通过调查研究,提出健康老年人血液细胞、生物化学常规检验的参考值范围。方法:选择两组年龄段人群,每段又以男、女性别分组,即老年男性、女性组,中青年男性、女性组。将四组人群同时检测血液细胞与生化常规项目,并将检测结果进行同性别比较和同年龄段比较。结果:血液细胞显示女性老年组WBC和淋巴细胞总数低于中青年女性组(P<0.01),男性老年组RBC、Hb、HCT低于中青年男性组(P<0.01),老年组(男、女)血小板均低于中青年组(P<0.01)。生化检测显示老年组(男、女)与中青年组比较血糖(GLU)、总胆固醇(TC)、三酰甘油(TG)、尿素(Urea)、球蛋白(GLB)、肌酸激酶(CK)均升高(P<0.01),Amy、ALB均降低(P<0.01)。女性老年组与中青年女性组相比Ca、P降低(P<0.01),AKP升高(P<0.01)。结论:临床常用的参考值不能充分反映老年人情况,许多值的改变,不是疾病引起而是年龄增长的生理变化所致,建立老年人检验项目参考值,给今后临床合理解释利用检验信息提供了依据。Objective：To provide reference value＇s limits of routine examination for blood cells,biochemistry in healthy and old people through investigation.Methods：Two groups of different aged people were selected and divided into four groups by sex,which were old male group,old female group,middle-aged and young male and female groups.The blood cells and biochemical routine examination in four groups were respectively determined,and the results were compared between groups with same sex and same age.Results：White blood count（WBC） and total number of lymphocyte count of old female group were lower than that of middle-aged and young female groups（P〈0.01）,and red blood count（RBC）,hemoglobin（Hb） and hematocrit（HCT） of old male group were lower than that of middle-aged and young male group（P〈0.01）,and platelet count of old group（male and female）were lower than that of middle-aged and young group（P〈0.01）.Biochemical results showed that blood sugar（GLU）,total cholesterol（TC）,triglyceride（TG）,urea,globulin（GLB）and creatine kinase（CK）of old group（male and female） were higher than that of middle-aged and young groups（P〈0.01）,but amylase and albumin of the former group were lower（P〈0.01）.Ca and P of old female group were lower than that of middle-aged and young female groups,but alkaline phosphatase（AKP） of the former group was higher（P〈0.01）.Conclusion：Reference values commonly used in clinic can＇t fully reflect healthy condition of old people and changes of many values were not only induced by diseases but also nelated to physiological changes.Establishment of reference values of detecting old people will provide proofs for reasonable explanation in clinical using test information in future.

关 键 词：参考值 老年人 检验 

分 类 号：R446.111[医药卫生—诊断学]