某院近10年贫血患者的骨髓细胞形态学研究

Morphology of Bone Marrow Cells of Patients With Anemia in a Hospital in Recent 10 Years

目的探讨骨髓细胞形态学在贫血患者病因查找中的作用。方法将在我院近10年进行骨髓细胞形态学检查的1 684例贫血患者作为研究对象,对其骨髓细胞形态学的检查结果结合临床资料进行统计学分析,按时间顺序将其分为对照组和研究组,对照组786例,研究组898例,比较两组患者疾病种类的变化情况。结果缺铁性贫血、白血病以及巨幼细胞性贫血是三种导致贫血的主要病因。研究组中患者缺铁性贫血的发病率明显低于对照组,白血病的发病率高于对照组,差异有统计学意义(P<0.05),研究组中骨髓描述性诊断的比例高于对照组(P<0.05)。结论骨髓细胞形态学检查有助于找出贫血患者的病因,从而有利于临床医师进行对因治疗。

Objective To investigate the role of bone marrow cell morphology in the pathogenesis of anemia. Methods 1 684 cases of anemia in bone marrow cell morphology examination in our hospital during the last 10 years, examination results of bone marrow cell morphology and clinical data were analyzed statistically. Divided into the control group and the research group according to the time sequence, the control group of 786 cases, the study group of 898 cases, the changes of disease types were compared between the two groups. Results Iron deficiency anemia, leukemia and giant cell anemia are the main causes of the three kinds of anemia. The incidence of patients with iron deficiency anemia in the study group was significantly lower than that in the control group, the incidence of leukemia was higher than that of the control group, the difference was statistically significant（P〈0.05）, the ratio of descriptive diagnosis in the study group was higher than that in the control group（P〈0.05）. Conclusion Morphological examination of bone marrow cells is helpful to find out the cause of the anemia, it is advantageous to the clinician to carry on to the treatment.