血常规和生化检验在病毒性肝炎诊断中的价值研究  

Effect of routine blood test and biochemical test in diagnosis of viral hepatitis

作　　者：厚麟怡 HOU Lin-yi(Chaoyang Hospital of Traditional Chinese Medicine,Chaoyang 122000,China)

机构地区：[1]辽宁省朝阳市中医院,122000

出　　处：《中国实用医药》2021年第27期37-39,共3页China Practical Medicine

摘　　要：目的分析病毒性肝炎诊断中采用血常规和生化检验的价值。方法选取100例病毒性肝炎患者为观察组,另选取同期的100例健康体检者作为对照组。两组均进行血常规和生化检验。比较两组血常规指标(白细胞计数、血小板计数、淋巴细胞百分比和中性粒细胞百分比)及生化检验指标[血清白蛋白和球蛋白比值(A/G)、总胆红素(TBIL)、白蛋白(ALB)、丙氨酸氨基转移酶(ALT)]。结果观察组白细胞计数(5.23±1.78)×10^(9)/L、血小板计数(101.48±21.46)×10^(9)/L以及中性粒细胞百分比(53.57±6.21)%均低于对照组的(7.29±2.11)×10^(9)/L、(168.33±26.85)×10^(9)/L、(69.12±7.49)%,淋巴细胞百分比(39.97±10.25)%高于对照组的(33.16±8.41)%,差异具有统计学意义(P<0.05)。观察组A/G(1.04±0.15)、ALB(41.03±1.96)g/L均低于对照组的(1.72±0.22)、(46.53±4.87)g/L,差异具有统计学意义(t=25.538、10.477,P=0.000、0.000<0.05);观察组TBIL(26.10±8.81)μmol/L、ALT(111.56±70.39)U/L均高于对照组的(15.24±5.98)μmol/L、(32.55±18.15)U/L,差异具有统计学意义(t=10.199、10.869,P=0.000、0.000<0.05)。结论在病毒性肝炎诊断中,患者的血常规和生化检验项目数值与健康体检者有较为明显的差异,说明其检查项目对于病毒性肝炎的诊断具有较强的指导性,可在较大程度上提升病毒性肝炎诊断准确率,具有较高的临床应用价值。Objective To analyze the value of routine blood test and biochemical test in diagnosis of viral hepatitis.Methods There were 100 cases of viral hepatitis patients selected as the observation group,and another 100 cases of healthy subjects in the same period as the control group.Routine blood test and biochemical test were performed in both groups.The routine blood indicators(white blood cell count,platelet count,lymphocyte percentage and neutrophil percentage)and biochemical test indicators[serum albumin to globulin ratio(A/G),total bilirubin(TBIL),albumin(ALB),alanine aminotransferase(ALT)]were compared between the two groups.Results The white blood cell count(5.23±1.78)×10^(9)/L,platelet count(101.48±21.46)×10^(9)/L,and neutrophil percentage(53.57±6.21)%in the observation group were lower than(7.29±2.11)×10^(9)/L,(168.33±26.85)×10^(9)/L,(69.12±7.49)%in the control group,and lymphocyte percentage(39.97±10.25)%was higher than(33.16±8.41)%of the control group.All the difference was statistically significant(P<0.05).A/G(1.04±0.15)and ALB(41.03±1.96)g/L in the observation group were lower than(1.72±0.22)and(46.53±4.87)g/L in the control group,and the difference was statistically significant(t=25.538,10.477,P=0.000,0.000<0.05).TBIL(26.10±8.81)μmol/L and ALT(111.56±70.39)U/L in the observation group were higher than(15.24±5.98)μmol/L and(32.55±18.15)U/L in the control group,and the differences were statistically significant(t=10.199,10.869;P=0.000,0.000<0.05).Conclusion The values of routine blood and biochemical test items of patients with viral hepatitis are more obviously different from those of healthy physical examiners,indicating that their examination items have a strong guideline for the diagnosis of viral hepatitis,which can improve the diagnostic accuracy of viral hepatitis to a greater extent and have a high clinical application value.

关 键 词：血常规 生化检验 病毒性肝炎 白细胞计数 血小板计数 

分 类 号：R446.1[医药卫生—诊断学] R512.6[医药卫生—临床医学]