特勤疗养男性官兵全血细胞计数的检测分析  

Tests and Analysis of Complete Blood Count of Male Soldiers in Special Service Recuperation

作　　者：郑少燕 范雪婷 张志英 刘松坚 黄茜 朱丹萍 ZHENG Shaoyan;FAN Xueting;ZHANG Zhiying;LIU Songjian;HUANG Qian;ZHU Danping(Department of Health Check,Rocket Army Guangzhou Special Service Recuperation Center,Guangzhou Guangdong 510515,China)

机构地区：[1]火箭军广州特勤疗养中心体检科,广东广州510515

出　　处：《华南国防医学杂志》2021年第11期824-827,共4页Military Medical Journal of South China

基　　金：军委后勤保障部卫生局立项课题(20WQ020)。

摘　　要：目的检测特勤疗养中心男性官兵全血细胞计数相关4项指标,了解特勤官兵的血细胞相关参数特点,为构建比较合理的特勤官兵全血细胞计数相关的标准参考区间提供依据。方法选择2019-01~12月某特勤疗养中心疗养的18~56岁特勤疗养男性官兵900例,于早晨空腹采集静脉血2 ml,采用日本Sysmex XN-1000全自动血细胞分析仪进行全血细胞计数检测,并进行统计分析。结果从事不同作业特勤疗养男性官兵的全血细胞计数结果显示,除白细胞计数(white blood cell,WBC)无统计学差异外,其它3项指标均有统计学差异(P<0.05)。900例特勤疗养男性官兵全血细胞计数4项指标95%参考区间和《全国临床检验操作规程》第4版存在一定差异;各年龄组间红细胞计数(red blood cell,RBC)、血红蛋白(hemoglobin,HGB)、血小板计数(platelet,PLT)随年龄增长而逐渐降低。结论由于特勤官兵工作、训练和生活环境等因素的影响,《全国临床检验操作规程》第4版的全血细胞计数参考区间不适合该群体;而全血细胞计数参考区间的准确性、可靠性、适用性与临床疾病的诊断效率密切相关。因此有必要根据检测情况,为该特殊群体建立合适的标准参考区间。Objective To test and analyze 4 indicators related to the complete blood count of male officers and soldiers in a special service recuperation center,to understand the characteristics of blood cell related parameters,and to provide basis for establishing a reasonable reference interval for the complete blood count of officers and soldiers in the special service recuperation.Methods A total of 900 convalescent officers and soldiers(aged 18-56)from January to December 2019 were selected from a special service recuperation center.2 ml of venous blood was collected on empty stomach in the morning,and the complete blood count was detected by the Japanese Sysmex XN-1000 automatic blood cell analyzer and statistically analyzed.Results The results of the complete blood count of male convalescent soldiers engaged in different operations showed that,except for the white blood cell count(WBC),there were significant differences in other three indicators(P<0.05).There was a certain difference between the 95% reference interval for counting 4 indicators and the 4 th edition of the National Clinical Laboratory Procedure.Red blood cell(RBC),hemoglobin(HGB)and platelet(PLT)gradually decreased with age.Conclusion Due to the influence of work,training and living environment of officers and soldiers in special service recuperation,the reference interval of complete blood count in the National Clinical Laboratory Procedure is not suitable for this group.The accuracy,reliability and applicability of the reference interval of complete blood count are closely related to the diagnostic efficiency of clinical diseases.Therefore,it is necessary to establish a suitable reference interval for this special group according to the investigation.

关 键 词：特勤疗养中心男性官兵 全血细胞计数 参考区间 

分 类 号：R82[医药卫生—临床医学]