白细胞参考值的重新认识及循证医学探讨  

Calculating of the ranges of white blood cells of health people for a certain laboratory and investigating under rules of evidence-based medicine

作　　者：王占华[1] 王晓红[1] 

机构地区：[1]泰安荣军医院,山东泰安271000

出　　处：《泰山医学院学报》2016年第4期386-388,共3页Journal of Taishan Medical College

摘　　要：目的为了了解正常人群白细胞值的分布规律,进而为不同的实验室制定符合本室条件的白细胞正常参考范围提供依据。方法采用日本XT-1800i全自动微量血细胞计数仪对健康体检者进行白细胞计数,进行对数分析。使用SPSS19.0和EXCEL2003进行数据处理。结果人群的白细胞数不是正态分布。本地区本实验室的白细胞参考值,男:3.97×10~9/L^9.67×10~9/L,女:3.61×10~9/L^8.68×10~9/L。结论在统计白细胞参考值时,应当先进行数据分析和对数变换;不同的实验室应当有自己的参考值;特殊病人个体应当有个体参考值。Objective：To study the distribution of WBC value in order to develop reference values for a certain laboratory or a special patient. Methods： Automatic hematology analyzer XT-1800i made by Japan was used to analyze WBC. The characteristics of the distribution of WBC values and its logarithmic were studied with the software EXCEL2003 and SPSS19. 0. Results ： The distribution of WBC is not the normal distribution, but geometric distribution and its logarithmic conforms to it. The reference values to the laboratory are 3. 97×10^9/L -9. 67×10^9/L to males,and 3.61 ×10^9/L-8. 68×10^9/L to females. Conclusions： When eal.culating the reference values of WBC, the number should be transformed into logarithmic to decide the range;Different lab should have different reference;And so do different a special patient.

关 键 词：白细胞 参考值 循证医学 

分 类 号：R446.11[医药卫生—诊断学]