特发性血小板减少性紫癜患者临床特点与血液检验结果研究  

Clinical Characteristics and Blood Test Results of Patients with Idiopathic Thrombocytopenic Purpura

作　　者：卢艳[1] 韩海燕[2] LU Yan;HAN Haiyan(Laboratory of Hematology,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia Autonomous Region,014010 China;School of Medical Technol-ogy and Anesthesiology,Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,In-ner Mongolia Autonomous Region,014010 China)

机构地区：[1]内蒙古科技大学包头医学院第一附属医院血液内科研究室,内蒙古包头014010 [2]内蒙古科技大学包头医学院医技与麻醉学院,内蒙古包头014010

出　　处：《系统医学》2022年第12期95-98,共4页Systems Medicine

摘　　要：目的对特发性血小板减少性紫癜患者血液检验结果和临床特点展开分析。方法将内蒙古科技大学包头医学院第一附属医院在2019年10月-2021年3月期间收治的特发性血小板减少性紫癜患者64例作为研究对象,按照患病类型划分为急性型32例、慢性型32例,所有患者均接受血液检验,对比两组检验结果以及临床特点。结果急性型患者面色苍白占比3.12%显著低于慢性型患者,其皮肤黏膜出血占比81.25%显著高于慢性型,差异有统计学意义(χ^(2)=10.256、4.654,P<0.05);急性型患者血小板相关抗体G(80.27±20.14)ng/×10^(6)PC、血小板计数(19.76±2.15)×10^(9)/L均显著低于慢性型患者,同时其血红蛋白(121.27±17.03)g/L明显高于慢性型患者,差异有统计学意义(t=3.500、16.671、2.697,P<0.05)。结论不同患病类型的特发性血小板减少性紫癜患者临床特点存在显著区别,且血液检验结果具有较大差异,因而有助于临床诊断及治疗工作的有效开展,值得进一步深入探讨与使用。Objective To analyze the blood test results and clinical characteristics of patients with idiopathic throm⁃bocytopenic purpura.Methods A total of 64 patients with idiopathic thrombocytopenic purpura admitted to the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology from October 2019 to March 2021 were randomly selected as research subjects.According to the type of disease,there were 32 cases of acute type and 32 cases of chronic type.All patients received blood tests,and the test results and clinical characteristics were compared between the two groups.Results The proportion of pallor in the acute type was 3.12%,which was significantly lower than that in the chronic type,and the proportion of skin and mucous membrane hemor⁃rhage was 81.25%,which was significantly higher than that in the chronic type,and the differences were statistically significant(χ^(2)=10.256,4.654,P<0.05).The G test results of platelet-related antibodies in patients with acute type(80.27±20.14)ng/×10^(6)PC and platelet count(19.76±2.15)×10^(9)/L were significantly lower than those in patients with chronic type.At the same time,its hemoglobin(121.27±17.03)g/L was significantly higher than that of chronic pa⁃tients,and the differences were statistically significant(t=3.500,16.671,2.697,P<0.05).Conclusion There are sig⁃nificant differences in the clinical characteristics of patients with different types of idiopathic thrombocytopenic purpura,and the results of blood tests are quite different.Therefore,it is conducive to the effective development of clini⁃cal diagnosis and treatment,and it is worthy of further in-depth discussion and use.

关 键 词：特发性 血小板减少性紫癜 血液检验 临床特点 

分 类 号：R725[医药卫生—儿科]