血常规指标的变化特征和散点图异常对白血病的诊断分析  

Analysis of the Changes of Blood Routine Index and the Abnormal Scatterplot in the Diagnosis of Leukemia

作　　者：王宣力 WANG Xuanli(Department of Laboratory Medicine,Dandong Central Hospital,Dandong 118000,China)

机构地区：[1]丹东市中心医院检验科,辽宁丹东118000

出　　处：《中国医药指南》2023年第9期112-114,共3页Guide of China Medicine

摘　　要：目的分析血液科白血病诊断中血常规指标变化特征、散点图异常情况,为白血病患者诊断工作提供参考,以促进白血病患者早期治疗。方法选择我院血液科2018年12月至2019年10月入院治疗的白血病患者,总计100例,作为观察组。另外,选取同期的100例健康体检者作为对照组。两组受试人群均进行血常规指标检测,对比血常规检测结果、散点图情况。结果血常规指标比较,观察组白血病患者的白细胞水平(15.35±6.60)×10^(9)/L以及红细胞水平(7.85±1.35)×10^(9)/L均值明显高于对照组(6.35±0.30)×10^(9)/L、(4.65±0.60)×10^(9)/L。观察组血小板水平(57.08±4.05)×10^(9)/L均值低于对照组(220.90±8.80)×10^(9)/L,经统计学计算P<0.05。两组受试人群血细胞形态及散点图异常情况分析,对照组血常规散点图共有5个区域,五分类有固定区域。观察组急性髓系白血病M3型(AML-M3)、急性淋巴细胞白血病(ALL)、急性髓细胞性白血病(AML)患者散点图与对照组有显著差异性。就观察组白血病患者血细胞数目异常情况分析,患者白细胞异常率为99.00%、红细胞异常率为26.00%、血小板异常率为70.00%。结论白血病患者血常规指标、散点图异常情况明显,可作为诊断白血病的主要依据,为白血病患者诊治工作提供参考。Objective To analyze the characteristics of blood routine index changes and abnormal scatter diagrams in the diagnosis of leukemia in the department of hematology,to provide references for the diagnosis of leukemia patients,so as to promote the early treatment of leukemia patients.Methods A total of 100 leukemia patients admitted to the department of hematology in our hospital from December 2018 to October 2019 were selected as the observation group.In addition,100 healthy subjects in the same period were selected as the control group.Both groups of subjects were tested for blood routine indexes,and the results of blood routine tests and scatter plots were compared.Results In terms of blood routine index comparison,the average values of white blood cell level(15.35±6.60)×10^(9)/L and red blood cell level(7.85±1.35)×10^(9)/L in the observation group were significantly higher than those in the control group(6.35±0.30)×10^(9)/L,(4.65±0.60)×10^(9)/L.The average platelet level(57.08±4.05)×10^(9)/L in the observation group was lower than the control group(220.90±8.80)×10^(9)/L,P<0.05.According to the analysis of blood cell morphology and scatter diagram abnormalities in the two groups of subjects,the blood routine scatter diagram of the control group has 5 areas,and the five categories have fixed areas.There is a significant difference the blood routine scatter diagram of control group and acute myelocytic leukemia type M3(AML-M3),the scatter diagrams of patients with acute lymphoblastic leukemia(ALL)and acute myeloid leukemia(AML)in the observation group.According to the analysis of the abnormal number of blood cells in the observation group of leukemia patients,the abnormality rate of white blood cells was 99.00%,the abnormality rate of red blood cells was 26.00%,and the abnormality rate of platelets was 70.00%.Conclusion There are obvious abnormalities in blood routine indicators and scatter plots of leukemia patients,which can be used as the main basis for the diagnosis of leukemia and provide a referen

关 键 词：血常规指标 散点图异常 白血病 异常率 诊断价值 血细胞形态 急性髓系白血病M3型 急性淋巴细胞白血病 急性髓细胞性白血病 

分 类 号：R446.11[医药卫生—诊断学]