血液检验在贫血鉴别诊断中的作用研究

To Study the Effect of Blood Test in the Differential Diagnosis of Anemia

目的分析研究在贫血的鉴别诊断中血液检验所起到的作用。方法选取杭州市拱墅区米市巷街道社区卫生服务中心2012年8月-2014年4月经检验的贫血患者60例,作为观察组,其中30例为溶血性贫血患者,作为观察组1,另30例为缺铁性贫血患者,作为观察组2,再选取30例正常人作为对照组,均对其血细胞进行检测,观察3组患者血液中的RBC、MCV、Hb、MCH、RDW指标的差异,以及观察组中两组的灵敏度,特异性和符合率的差异。结果观察组1中RBC指标低于对照组,观察组2中Hb指标明显低于观察组1和对照组,对照组中MCH明显高于观察组1和观察组2,组间对比差异具有统计学意义(P<0.05)。观察组1与观察组2灵敏度、特异度和符合率的差异不具有统计学意义(P>0.05)。结论血液检验在贫血类型的鉴别诊断中,发挥重要的作用,具有一定的临床价值。

Objective To analyze the effect of the blood in the differential diagnosis of anemia in the test. Methods 60 patients with anemia in our hospital from 2012 August to 2014 April menstrual test cases, as the observation group, including 30 cases of hemolytic anemia, 1 as the observation group, another 30 cases of iron deficiency anemia patients as the observation group, 2, selected 30 cases of normal people as control group, were detected on the blood cells, differences were observed in the three groups in blood RBC, MCV, Hb, MCH, RDW index, and the sensitivity of the two group in the observation group, specificity and coincidence rate differences. Results The RBC index in group 1 than in the control group, the observation group 2 Hb index was significantly lower in the observation group and the control group 1, control group MCH was significantly higher than the observation group 1 and observation group 2, the difference was statistically significant between the groups （P 〈 0. 05 ）. The observation group 1 and group 2 sensitivity, specificity and coincidence rate of the difference was not statistically significant （P 〉 0. 05 ）. Conclusion The blood test in the differential diagnosis of anemia type, play an important role, has certain clinical value.