血液检验在贫血诊断与鉴别诊断中的价值分析

目的分析贫血诊断与鉴别诊断中血液检验的临床应用及价值。方法回顾性分析60例确诊为贫血的患者的临床资料，将其分为观察组，另选择同期健康体检的60例健康人员为对照组，分别对两组人员进行血液检验，分析两组人员的各项血液指标。结果与对照相比，地中海贫血及缺铁性贫血患者平均红细胞体积、红细胞分布宽度显著增加，而血红蛋白浓度、红细胞血红蛋白量参数下降，差异具统计学意义（P〈0．05）。巨幼细胞性贫血主要表现出红细胞体积、红细胞分布宽度等指标上升（P〈0.05），红细胞血红蛋白量则下降不明显。溶血性贫血红细胞体积、红细胞分布宽度等指标有显著升高（P〈0．05），血红蛋白浓度、红细胞血红蛋白量等指标变化不显著。慢性感染性贫血红细胞体积显著增加，红细胞血红蛋白、红细胞分布宽度等有显著下降（P〈0．05），血红蛋白浓度无显著变化。结论血液检测指标参数变化可以不同程度的反映出不同类型贫血疾病的倾向，临床诊断过程中可结合患者的具体症状，参照检测结果对患者的病情做出鉴别及诊断。

Objective to analyze the clinical application and value of blood test in the diagnosis and differential diagnosis of anemia. Methods a retrospective analysis of 60 patients with anemia in patients with clinical data, divided into the observation group, another healthy in the same period of 60 cases of healthy persons as control group, respectively on two groups of researchers a blood test, analysis of the blood indexes of the two groups of researchers. Results compared with the control compared to Mediterranean anemia and iron deficiency anemia in patients with mean red cell volume, red cell distribution width increased significantly, while the decline in hemoglobin concentration and red cell hemoglobin parameters were statistically significant （P〈0.05）. Giant cell anemia mainly showed the red cell volume, red blood cell distribution width and other indicators of rise （P〈0.05）, the amount of red blood cell hemoglobin decreased significantly. The red blood cell volume and red cell distribution width were significantly increased （P〈0.05）, hemoglobin concentration, red blood cell hemoglobin and other indicators were not significant. The red blood cell volume was significantly increased in patients with chronic infectious anemia, and there was a significant decrease （P〈0.05） in erythrocyte hemoglobin and red blood cell distribution width, and no significant change in hemoglobin concentration. Conclusion Blood Indexes of change can reflect the different degree of different types of anemia disease tendency. In the process of clinical diagnosis can be combined with the specific symptoms, with reference to the detection results to the patient＇s condition to make identification and diagnosis.