血常规检测在鉴别缺铁性贫血和地中海贫血的临床应用

Clinical Application of Blood Testing in the Differential Diagnosis of Iron Deficiency Anemia and Thalassemia

目的探讨血常规检测在鉴别缺铁性贫血和地中海贫血时的诊断价值及临床应用。方法采用回顾性分析的方法，统计分析了80例缺铁性贫血患者，30例地中海贫血患者及100例健康体检人员的血常规检查的变化情况。结果1在两种贫血中未发现Hb与WBC、PLT之间有相关性（P〉0．0S）。2健康体检组MCV明显高于缺铁性贫血组和地中海贫血组（P〈0．01）；缺铁性贫血组RDW明显高于健康体检组和地中海贫血组（P〈0．01）。结论简便、快捷的血常规检测，尤其MCV，R．DW对缺铁性贫血和地中海贫血的I临床鉴别，有一定诊断价值，值得应用。

Objective To investigate the blood test in the differential diagnosis of iron deficiency anemia and Mediterranean anemia in the diagnosis and clinical application. Methods A retrospective analysis, statistical analysis of 80 patients with iron deficiency anemia, 30 patients with thalassemia patients and 100 healthy blood test medical staff changes. Results 1 anemia was found in both Hb and WBC, PLT correlation between （P〉0.05）. MCV 2 was significantly higher than healthy group of iron-deficiency anemia and thalassemia group group （P〈0.O1）; iron deficiency anemia was significantly higher than the healthy group RDW Group and Mediterranean anemia group （P〈0.01）. Conclusion The simple and quick blood test, in particular, MCV, RDW of iron deficiency anemia and thalassemia clinical identification, have some diagnostic value, should be applied.