网织红细胞的多参数分析在贫血患者临床鉴别诊断中的价值

Value of reticulocyte mulitple parameters in differential diagnosis in anemia

目的：探讨血液中网织红细胞的各项参数在贫血患者临床诊断与鉴别中的价值。方法主要采取美国贝克曼库尔特L H-750自动分析仪对本院2012年1～12月间的50例贫血患者（研究组）和50例健康体检者（对照组）血液中网织红细胞各项参数进行测定。结果研究中失血性贫血、二联性贫血、溶血性贫血、缺铁性贫血患者的网织红细胞百分率（RET％）、未成熟网织红细胞百分率（IFR％）较对照组均有不同程度的升高，研究组中溶血性贫血患者网织红细胞绝对数（RET＃）较对照组有明显的升高，数据比较差异有统计学意义（P＜0．05）；失血性贫血、二联性贫血、和缺铁性贫血的RET＃与对照组比较差异无统计学意义（P＞0．05）。结论临床中检测血液中网织红细胞的各项参数对贫血患者的诊断与鉴别具有重要的意义，在临床中具有较好的应用价值。

Objective To investigate the parameters of the blood reticulocyte values in anemic patients in clinical diagnosis and differentiation .Methods Using Beckman Coulter LH -750 automatic analyzer to determine 50 cases（stuudy group） of anemic patients in our hospital during January 2012 to December 2012 and 50 cases among healthy subjects （control group） of patients with blood reticulocyte parameters .Results The study of blood loss anemia ,bivalent anemia ,hemolytic anemia ,iron deficiency anemia RET% ,IFR% had increased in different degrees compared with the control group ,the study group hemolytic anemia patients RET # had significantly increased than that of control group ,the data had statistically significant differences （P〈0 .05）;hemorrhagic anemia ,two linked anemia ,and iron deficiency anemia RET # showed no significant difference compared with the control group statistically meaningless（P〉0 .05） .Conclusion The clinical diagnosis has important implications for the detection and identification of the parameters of reticulocytes in patients with anemia ,with good application value in clinical practice .