血液检验中各参数的联合应用在贫血诊断与鉴别诊断中的价值  

Value of Combined Application of Various Parameters in Blood Test in Diagnosis and Differential Diagnosis of Anemia

作　　者：曹锋[1] 张云宁[1] CAO Feng;ZHA NG Yun-ning(Department of Clinical Laboratory, Taixing People＇ s Hospital, Taixing, Jiangsu Province, 225400 Chin)

机构地区：[1]江苏省泰兴市人民医院检验科,江苏泰兴225400

出　　处：《系统医学》2018年第2期25-27,共3页Systems Medicine

摘　　要：目的探究分析血液检验中各参数的联合应用在贫血诊断与鉴别诊断中的价值。方法随机抽取该院2014年1月—2017年11月期间治疗的205例贫血患者,按照不同的贫血类型分类后,从中再次抽取巨幼细胞性贫血组(60例)和缺铁性贫血患者(60例),并随机抽取同期该院进行健康检查的60名为对照组,对比分析3组血液检验结果。结果缺铁性贫血组患者RBC水平(4.32±0.31)×10^(12)/L、HGB水平(84.15±6.24)g/L均低于其他两组(P<0.05);缺铁性贫血组患者RDW水平(23.78±3.40)%高于其他两组(P<0.05);巨幼细胞性贫血组患者的RBC(8.26±0.45)×10^(12)/L、RBC/MCV(6.87±1.25)均高于其他两组(P<0.05);同时,巨幼细胞性贫血组特异性为66.44%,灵敏度为93.74%,符合率为77.24%;缺铁性贫血组特异性为67.41%,灵敏度为94.20%,符合率为77.10%。两组数据对比,检验灵敏性、特异性、符合率之间差异无统计学意义(P>0.05)。结论临床上诊断和鉴别诊断贫血,应以RBC、HGB、RDW、RBC/MCV等指标作为疾病诊断的主要参考依据,以此来引导临床医务人员诊断与鉴别出不同类型的贫血情况,因此血液检验中各参数的联合应用在贫血诊断与鉴别诊断中发挥着重大作用,值得临床检验工作的借鉴与运用。Objective To study the value of combined application of various parameters in blood test in diagnosis and differential diagnosis of anemia. Methods 205 cases of anemia patients admitted and treated in our hospital from January 2014 to November 2017 were randomly selected and divided into two groups with 60 cases in each according to the different anemia types, and 60 cases of healthy physical examination people were selected as the control group, and the blood test results were compared and analyzed. Results The RBC level, HGB level in the iron deficiency anemia group were respectively（4.32±0.31）×10^（12）/L and（84.15±6.24）g/L, which were lower than those in the other two groups（P〈0.05）, and the RDW level in the iron deficiency anemia group was（23.78±3.40）%, which was higher than that in the other two groups（P〈0.05）, and the RBC and RBC/MCV in the megaloblastic anemia group were respectively（8.26±0.45）×10^（12）/L and（6.87±1.25）, which were higher than those in the other two groups（P〈0.05）, at the same time, the specificity, sensitivity and coincidence rate in the two groups were respectively 66.44%, 93.74%, 77.24% and 67.41%,94.20%, 77.10%, and the differences between the two groups were not obvious（P〉0.05）. Conclusion The RBC, HGB,RDW, RBC/MCV should be the major reference in diagnosis and differential diagnosis of anemia, therefore, the combined application of various parameters play an important role in blood test in diagnosis and differential diagnosis of anemia, which is worth reference and application in the clinical test.

关 键 词：血液检验 贫血 诊断 鉴别诊断 价值 

分 类 号：R556[医药卫生—血液循环系统疾病]