血常规检验在贫血鉴别诊断中的临床应用价值

Clinical Value of Routine Blood Test in Differential Diagnosis of Anemia

目的探究在贫血鉴别诊断中应用血常规检验的价值。方法选取2015年1月1日—2017年3月25日我院收治贫血患者75例作为研究对象。根据其贫血类型的不同进行分组,其中A组为巨幼细胞性贫血,B组为缺铁性贫血,同时选取50例健康体检者作为对照组。三组受检者均接受血常规检验,对其检验的结果进行对比分析。结果对照组与A组受检者的RBC水平高于B组,RBC/MCV水平低于B组;A、B组的MCH、MCV、Hb水平均低于对照组,RDW水平高于对照组,差异均具有统计学意义(P<0.05)。结论在贫血鉴别诊断中应用血液检验,可以较好对患者的贫血进行诊断,且可以鉴别其具体的贫血类型,从而为其疾病的治疗提供依据。

Objective To explore the application in anemia in the differential diagnosis value of routine blood test. Methods 75 cases of anemia patients in our hospital from January l, 2015 to March 25, 2017 were selected as the study subjects. Patients were grouped according to the type of anemia, in which group A was megaloblastic anemia, and group B was iron deficiency anemia. At the same time, 50 healthy subjects were chosen as the control group. The three groups received routine blood test, and the results of the test were compared and analyzed. Results The level of RBC in the control group and the A group was higher than that in the B group, and the level of RBC/MCV was lower than that of the B group; The levels of MCH, MCV and Hb in the A and B groups were lower than those in the control group, and the level of RDW was higher than that of the control group, the difference was statistically significant （P〈0.05）.Conclusion The application of blood tests, anemia in differential diagnosis can be better on the diagnosis to patients with anemia, and can identify the specific types of anemia, which provide the basis for the treatment of diseases.