天津地区1180名健康成年人静脉血血细胞参考值调查

Investigation of venous blood cells parameters among 1180 healthy people in Tianjin area

目的调查天津地区健康成年人静脉血血细胞参考值。方法采用Sysmex KX-21全自动血液分析仪对天津地区1180名健康成年人（其中，男性651名、女性529名）的空腹静脉血血细胞的18项参数进行检测，并将所得数据进行统计学分析。结果在体检人群中，不同性别、年龄组的静脉血血细胞大部分参数的差异有统计学意义：男性组与女性组相比，除了平均红细胞体积、淋巴细胞百分比、平均血小板体积、血小板分布宽度，其余参数结果差异均有统计学意义；男性老年组与成年组相比，除了白细胞数、平均红细胞血红蛋白量、血小板数、中性粒细胞百分比、中性粒细胞绝对数、平均血小板体积、血小板分布宽度，其余参数结果差异均有统计学意义；女性老年组与成年组相比，除了白细胞数、平均红细胞体积、平均红细胞血红蛋白量，其余参数结果差异均无统计学意义。结论调查结果与《全国临床检验操作规程》提供的参考范围存在一定的差异，因此，实验室有必要根据具体情况建立自己的静脉血血细胞参考范围。

Objective To investigate the reference values of 18 parameters of venous blood cells among healthy adults in Tianjin area. Methods The values of 18 parameters of venous blood from 1180 healthy adults in Tianjin area were measured by Sysmex KX-21 hematology analyzer and the results were analyzed. Results The statistical analysis of the test reveals that significant differences exist in most parameters of venous blood cells according to the gender and age of people. Except the parameters of mean corpuscular volume, lymphocytes percentage, mean platelet volume, platelet distribution width, there were significant differences in the remaining parameters between the males group and the females group. Except the parameters of white blood count, platelet count, mean corpuscular hemoglobin, neutrophil percentage, absolute neutrophil count, mean platelet volume, platelet distribution width, there were significant differences in the remaining parameters between the old male group and the aduh male group. Except the parameters of white blood count, mean corpuscular volume, mean corpuscular hemoglobin, there was no significant difference in the remaining parameters between the old female group and the adult female group. Conclusions There are some differences between the findings and the reference range provided by the National Guide to Clinical laboratory Procedure. Therefore, it is necessary for laboratory to establish the reference values of venous blood cells according to concrete conditions.