血常规联合纤维蛋白检测在乙型肝炎诊断中的应用  

Application of Blood Routine Combined with Fibrin Detection in the Diagnosis of Hepatitis B

作　　者：韩瑛莹 HAN Yingying(Department of Medical Laboratory,Fuxin Mine General Hospital,Liaoning Health Industry Group,Fuxin 123000,China)

机构地区：[1]辽宁健康产业集团阜新矿总医院医学检验科,辽宁阜新123000

出　　处：《中国医药指南》2022年第30期127-129,共3页Guide of China Medicine

摘　　要：目的评价乙型肝炎诊断中血常规联合纤维蛋白检测的应用价值,为乙型肝炎患者临床诊断工作提供参考。方法选择我院2018年1月至2019年5月期间收治的80例乙型肝炎患者(急性、慢性、重症肝炎、肝硬化)以及同期体检健康者80例作为此次试验的试验组与参照组。两组受试人员均采取血常规联合纤维蛋白检测,比较参照组与试验组受试人员检验结果。结果两组受试人员组间血常规检测结果差异显著,试验组HGB、WBC水平明显低于参照组,LY、MCV、RDW、MPV水平明显高于参照组,P<0.05(具有统计学意义);试验组及参照组的PDW比较,差异无统计学意义,P>0.05。慢性肝炎、重症肝炎以及肝硬化患者FC、DT、FMPS、A-max水平均低于参照组,P<0.05(具有统计学意义)。结论乙型肝炎行纤维蛋白原、血常规检测能够有效鉴别乙型肝炎疾病情况,从而为患者临床治疗工作的开展提供更有价值、针对性的参考依据。Objective To evaluate the value of blood routine combined with fibrin detection in the diagnosis of hepatitis B,and to provide reference for the clinical diagnosis of hepatitis B patients.Methods Eighty patients with hepatitis B(acute,chronic,severe hepatitis,cirrhosis)and 80 healthy persons were selected as the experimental group and reference group.Blood routine test and fibrin test were used to compare the test results of the reference group and the experimental group.Results The blood routine test results of the two groups of subjects were significantly different,the levels of HGB and WBC in the experimental group were significantly lower than those in the reference group,and the levels of LY,MCV,RDW,MPV were significantly higher than those in the reference group,and P<0.05(of statistical significance);PDW comparison between the experimental group and the reference group,the difference was not statistically significant,P>0.05.FC,DT,FMPS,A-max levels in patients with chronic hepatitis,severe hepatitis,and cirrhosis were lower than those in the reference group,with P<0.05(statistically significant).Conclusion The detection of fibrinogen and blood routine test can effectively identify the status of hepatitis B,so as to provide more valuable and targeted reference for the development of clinical treatment.

关 键 词：血常规检测 纤维蛋白检测 乙型肝炎 诊断价值 疾病鉴别 

分 类 号：R512.6[医药卫生—内科学]