某部雷达官兵红细胞及相关参数的调查分析

Analysis and detect of red blood cells and correlative parameters in peripheral blood of radar soldiers in the certain department of PLA

目的：了解雷达官兵红细胞及相关参数的变化特点。方法：采集每名受检者的静脉血2ml,采用Sysmex XT-4000i血细胞仪检测红细胞计数（RBC）、血红蛋白（HGB）、红细胞平均体积（MCV）、平均血红蛋白量（MCH）平均血红蛋白浓度（MCHC）、红细胞分布宽度（RDW）、网织红细胞比率（RET）、未成熟网织红细胞比率（IRF）、低荧光网织红细胞比率（LFR）、中荧光网织红细胞比率（MFR）、高荧光网织红细胞比率（HFR）。结果：143例雷达官兵RBC、HGB检测均值分别为（5.52±0.35）×1012/L、（158.37±9.98）g/L,检测值范围分别为（4.45～6.28）×1012/L、（135.00～191.00）g/L,异常检出率分别为61.5%、81.1%。MCV、MCH、MCHC和RDW均值分别为（87.69±3.64）fL、（30.37±1.50）pg、（346.32±9.07）g/L和（40.01±1.92）fL,检测值范围分别为（65.60～97.20）fL、（21.70～34.00）pg、（325.00～378.00）g/L和（36.00～46.00）fL,异常检出率分别为4.2%、1.4%、16.8%和4.9%。RET和IRF、LFR、MFR、HFR均值分别为（1.25±0.35）%、（5.19±2.66）%、（94.81±2.66）%、（4.79±2.33）%和（0.40±0.46）%,检测值范围分别为（0.60～2.35）、（0.50～18.20）%、（81.80～99.50）%、（0.50～14.80）%、（0～3.40）%,异常检出率分别8.4%和4.9%、4.2%和7.0%。结论：61.5%和81.1%官兵的RBC及HGB高于正常参考值上限,少数受检官兵的红细胞呈高色素或小细胞,骨髓红细胞系造血功能有所改变,但红细胞合成HGB的能力正常。

Objective：To explore the variation of platelet and correlative parameters in peripheral blood of radar soldiers.Method：Each subject was collected 2ml venous blood and then each sample was detected by Sysmex XT-4000 iblood cell analyzer for red blood cells,hemoglobin,mean corpuscular volume（MCV）,mean corpuscular hemoglobin（MCH）,mean corpuscular hemoglobinconcentration（MCHC）,erythrocyte hemoglobin distribution width（RDW）,rate of reticulocyte（RET）,rate of ped-reticulocyte（IRF）,rate of hypofluorescence reticulocyte（LFR）,rate of middle fluorescence reticulocyte（MFR）and rate of hyperfluorescence reticulocyte（HFR）.Result：The red blood cell count and hemoglobin for 143 radar soldiers were（5.52±0.35）×1012/L and（158.37±9.98）g/L,the range of detection value were（4.45 to 6.28）×1012/L and（135.00 to 191.00）g/L,the abnormal detection rate were respectively 61.5% and 81.1%.The mean value of MCV,MCH,MCHC and RDW were（87.69±3.64）fL,（30.37±1.50）pg,（346.32±9.07）g/L and（40.01±1.92）fL,the range of detection value were（65.60 to 97.20）fL,（21.70 to 34.00）pg,（325.00 to 378.00）g/L and（36.00 to 46.00）fL,the abnormal detection rate were respectively 16.8%,4.2%,1.4%,16.8% and 4.9%.The mean value of RET,IRF,LFR,MFR and HFR were（1.25±0.35）%,（5.19±2.66）%,（94.81±2.66）%,（4.79±2.33）% and（0.40±0.46）%,the range of detection value were（0.60 to 2.35）%,（0.50 to 18.20）%,（81.80 to 99.50）%,（0.50to14.80）% and（0to 3.40）%,the abnor detection rate were respectively 8.4%,4.9%,4.2% and 7.0%.Conclusion：The 61.5% soldiers＇ red blood cell counts and 81.1% soldiers＇ hemoglobin were above the normal value,some soldiers were high pigment or small cells.Maybe there was a change in the hematopoietic function of bone marrow,but the ability of red cell hemoglobin synthesis was normal.