昆山市健康成人血常规检测中10项指标的参考值范围分析

Analysis on reference value ranges of 10 indicators in blood routine detection among healthy adults in Kunshan City

目的调查分析昆山市健康成人的静脉血血细胞分析常用参数的参考范围。方法选取2 456例体检健康成人的静脉血血细胞分析结果,采用SPSS19.0软件对血常规检测中的包括红细胞、血红蛋白、平均红细胞体积、红细胞平均血红蛋白浓度、红细胞平均血红蛋白量、红细胞压积、白细胞(WBC)、淋巴细胞百分比、中性粒细胞百分比、血小板等10项指标进行统计分析。结果血细胞常用的10项参数均呈偏态分布,经Mann-Whitney U检验显示10项参数性别差异均有统计学意义(P<0.05);WBC较其他相关文献略偏高,其他9项参数与大部分相关文献的报道相近。结论血细胞分析常用参数受地域、性别、环境、生活条件及检测仪器的影响,有必要建立各实验室自己的参考范围。

Objective To investigate and analyze the reference ranges of the common parameters of venous blood cell analysis a- mong healthy adults in Kunshan City. Methods The analytical results of venous blood cells from 2 456 healthy adults were selected and the ten indicators of red blood cell, hemoglobin, mean corpuscular volume, mean corpuscular hemoglobin concentration, mean corpuscular hemoglobin, hematocrit, white blood cell, lymphocytes percentage, neatrophilic granulocyte percentage, blood platelet were statistically analyzed by adopting the SPSS 19.0 software. Results The commonly used 10 parameters of blood cells showed a skewed distribution,the Mann-Whitney U tests showed that the gender difference in 10 parameters was statistically significant（P〈0.05） ;the WI3C count was slightly higher than that reported by other literature, the other 9 parameters were close to those reported by the majority of related literature. Conclusion The commonly used parameters of blood cell analysis are influenced by the region, gender, environment,living condition and detection instrument,and it is necessary to establish the reference ranges for each laboratory.