摘要
目的探讨以测定血尿患者自身血和尿平均红细胞容积(MCV)及其比值来鉴别肾小球性血尿与非肾小球性血尿的临床意义。方法 应用MEK-8222K血细胞分析仪对200例血尿患者(肾小球性血尿患者102例设为观察组,非肾小球性血尿患者98例设为对照组)进行自身血和尿MCV测定,然后比较分析2组检测结果。结果 观察组尿MCV值低于对照组,差异有统计学意义(P<0.01)。且观察组血和尿MCV比值高于对照组,差异有统计学意义(P<0.05)。尿MCV<75fl,自身血和尿MCV比值>1.4,诊断肾小球性血尿符合率为97.1%;尿MCV≥75fl,自身血和尿MCV比值≤1.1,诊断非肾小球性血尿符合率为96.9%。结论 测定血尿患者自身血和尿MCV及其比值,是一种客观、无创伤的鉴别血尿来源的方法。
Objective To discuss the clinical significance of identifying glomerular hematuria or non-glomerular hematuria by determining blood and urine mean corpuscular volume（MCV）and their ratio.Methods 200 cases patients with hematuria（102 cases patients with glomerular hematuria as observation group,98 cases patients with non-glomerular hematuria as control group）were examined the blood and urine MCV by MEK-8222K hematology analyzer.Results The urine MCV of observation group was lower than that of control group,the difference was statistically significant（P0.01）.The ratio of blood and urine MCV of observation group was higher than that of control group,the difference was statistically significant（P0.05）.Urine MCV75fl,ratio of blood and urine MCV1.4,conformity rate of glomerular hematuria was 97.1%;Urine MCV≥75fl,ratio of blood and urine MCV≤1.1,conformity rate of non-glomerular hematuria was 96.9%.Conclusion Determination blood and urine MCV and their ratio of patients with hematuria can be used to differentiated the glomerular hematuria or non-glomerular hematuria;It is an objective,non-invasive method.
出处
《临床合理用药杂志》
2011年第1期24-25,共2页
Chinese Journal of Clinical Rational Drug Use
