血液检验在贫血诊断与鉴别诊断中的价值分析(1)
【摘要】 目的：研究在对贫血患者进行诊断与鉴别中血液检验的使用效果与价值。方法：以2014年8月-2015年8月在笔者所在医院进行检查的40例缺铁性贫血患者为观察组，并以同时期在本院检查的健康者40例为对照组。观察两组研究对象的血液指标，并对两组间检验结果进行分析与对比。结果：两组检验对象的红细胞平均血红蛋白量、红细胞体积分布宽度、红细胞平均体积、红细胞计数、血红蛋白比较差异有统计学意义(P<0.05)；且缺铁性贫血患者贫血程度越高其血清铁、血清铁蛋白越低，缺铁性贫血患者贫血程度越高其血清转铁蛋白受体、血小板计数越大。结论：在贫血患者进行诊断与鉴别诊断中血液检验的使用效果较为明显，临床价值较高，值得推广使用。
【关键词】 灵敏； 诊断； 鉴别； 贫血
中图分类号 R446.11 文献标识码 B 文章编号 1674-6805(2016)6-0065-03
Value Analysis of Blood Test in Diagnosis and Differential Diagnosis of Anemia/XU Ju-mei.//Chinese and Foreign Medical Research，2016，14(6)：65-67
【Abstract】 Objective：To study the effect and value of blood test in the diagnosis and differential diagnosis of anemia patients.Method：from August 2014 to August 2015，40 cases of iron deficiency anemia were examined in our hospital as the observation group，and 40 cases of healthy persons were examined in the same period as the control group.Blood indexes were observed in the two groups，and the results were analyzed and compared between the two groups.Result：There were significant differences between the two groups of the average hemoglobin，red blood cell volume distribution width，the average size of red blood cells，red blood cell count，hemoglobin，which had statistical significance(P<0.05).And the higher the degree of anemia in patients with iron deficiency anemia had the lower the serum iron，serum ferritin，the higher degree of anemia in patients with iron deficiency anemia had the higher level of serum transferrin receptor，the greater the platelet count.Conclusion：In the diagnosis and differential diagnosis of anemia patients，the use of blood test is more obvious，the clinical value is higher，it is worth to promote and use.
【Key words】 Sensitivity； Diagnosis； Differential； Anemia
First-author’s address：Taizhou Gaogang Hospital of Traditional Chinese Medicine，Taizhou 225321，China
doi：10.14033/j.cnki.cfmr.2016.6.035
临床中贫血较为常见，属于血液型疾病，具体是指血红细胞容量的降低超过正常范围。影响血红细胞容量的降低因素可能为多种系统性疾病，出现这一病症的患者生活质量与身体健康都会受到严重影响[1]。贫血类型中以巨幼性红细胞贫血、出血性贫血、地中海贫血、缺铁性贫血等比较常见，我国重点监控的种类为缺铁性贫血。红细胞平均血红蛋白量、红细胞体积分布宽度、红细胞平均体积、红细胞计数、血红蛋白等指标水平通常是临床中用于鉴别和诊断贫血症状的重要依据[2]。本文主要研究在对贫血患者进行诊断与鉴别中血液检验的使用效果与价值，报告如下。
1 资料与方法
1.1 一般资料
以2014年8月-2015年8月在笔者所在医院进行检查的40例缺铁性贫血患者为观察组，并以同时期在本院检查的健康者40例为对照组。观察组研究对象中均有程度不一的皮肤苍白、食欲不振、乏力、心悸、黏膜苍白、头晕等症状，排除恶性肿瘤、重大疾病、孕妇患者。观察组男21例，女19例；年龄18～62岁，平均(37.64±5.28)岁；以血红蛋白水平为依据进行分级，重度(31～60 g/L)14例，中度(61～90 g/L)15例，轻度(正常低限超过91 g/L)11例。对照组男20例，女20例；年龄19～63岁，平均(37.72±4.63)岁。两组研究对象性别、年龄等一般资料比较差异无统计学意义(P>0.05)，有可比性。, http://www.100md.com(徐菊美)
【关键词】 灵敏； 诊断； 鉴别； 贫血
中图分类号 R446.11 文献标识码 B 文章编号 1674-6805(2016)6-0065-03
Value Analysis of Blood Test in Diagnosis and Differential Diagnosis of Anemia/XU Ju-mei.//Chinese and Foreign Medical Research，2016，14(6)：65-67
【Abstract】 Objective：To study the effect and value of blood test in the diagnosis and differential diagnosis of anemia patients.Method：from August 2014 to August 2015，40 cases of iron deficiency anemia were examined in our hospital as the observation group，and 40 cases of healthy persons were examined in the same period as the control group.Blood indexes were observed in the two groups，and the results were analyzed and compared between the two groups.Result：There were significant differences between the two groups of the average hemoglobin，red blood cell volume distribution width，the average size of red blood cells，red blood cell count，hemoglobin，which had statistical significance(P<0.05).And the higher the degree of anemia in patients with iron deficiency anemia had the lower the serum iron，serum ferritin，the higher degree of anemia in patients with iron deficiency anemia had the higher level of serum transferrin receptor，the greater the platelet count.Conclusion：In the diagnosis and differential diagnosis of anemia patients，the use of blood test is more obvious，the clinical value is higher，it is worth to promote and use.
【Key words】 Sensitivity； Diagnosis； Differential； Anemia
First-author’s address：Taizhou Gaogang Hospital of Traditional Chinese Medicine，Taizhou 225321，China
doi：10.14033/j.cnki.cfmr.2016.6.035
临床中贫血较为常见，属于血液型疾病，具体是指血红细胞容量的降低超过正常范围。影响血红细胞容量的降低因素可能为多种系统性疾病，出现这一病症的患者生活质量与身体健康都会受到严重影响[1]。贫血类型中以巨幼性红细胞贫血、出血性贫血、地中海贫血、缺铁性贫血等比较常见，我国重点监控的种类为缺铁性贫血。红细胞平均血红蛋白量、红细胞体积分布宽度、红细胞平均体积、红细胞计数、血红蛋白等指标水平通常是临床中用于鉴别和诊断贫血症状的重要依据[2]。本文主要研究在对贫血患者进行诊断与鉴别中血液检验的使用效果与价值，报告如下。
1 资料与方法
1.1 一般资料
以2014年8月-2015年8月在笔者所在医院进行检查的40例缺铁性贫血患者为观察组，并以同时期在本院检查的健康者40例为对照组。观察组研究对象中均有程度不一的皮肤苍白、食欲不振、乏力、心悸、黏膜苍白、头晕等症状，排除恶性肿瘤、重大疾病、孕妇患者。观察组男21例，女19例；年龄18～62岁，平均(37.64±5.28)岁；以血红蛋白水平为依据进行分级，重度(31～60 g/L)14例，中度(61～90 g/L)15例，轻度(正常低限超过91 g/L)11例。对照组男20例，女20例；年龄19～63岁，平均(37.72±4.63)岁。两组研究对象性别、年龄等一般资料比较差异无统计学意义(P>0.05)，有可比性。, http://www.100md.com(徐菊美)