血常规检验在地中海贫血和缺铁性贫血鉴别诊断中的价值

The Value of Routine Blood Tests in the Differential Diagnosis of Thalassemia and Iron Deficiency Anemia

目的分析血常规检验在地中海贫血与缺铁性贫血诊断与鉴别诊断当中的应用价值。方法选2016年12月—2017年12月我院收治的贫血患者60例作为研究组,研究组60例患者根据贫血类型分为A组(地中海贫血)与B组(缺铁性贫血),选同期健康体检者30例作为对照组,所有受检人员均实施血常规检验,观察各组人员的血常规检查结果。结果研究组患者平均红细胞比容、平均红细胞血红蛋白量、平均红细胞血红蛋白浓度、红细胞计数、红细胞体积分布宽度均异常,与对照组比较,数据差异有统计意义(P<0.05)。A组患者各指标情况与B组之间均在明显数据差异(P<0.05)。结论在地中海贫血与缺铁性贫血患者检查诊断当中采取血常规检验,可以有效检出贫血类型,且血常规检验操作方便易行,能够为不同贫血类型患者实施快速诊断,值得临床推广与应用。

Objective To analyze the value of routine blood tests in the diagnosis and differential diagnosis of thalassemia and iron deficiency anemia. Methods From December 2016 to December 2017, 60 patients with anemia treated in our hospital were selected as the study group. 60 patients in the study group were divided into group A（thalassemia） and group B（iron deficiency anemia） according to the type of anemia. In the same period, 30 healthy checkups were used as a control group. All subjects underwent routine blood tests and observed the blood test results of each group. Results The mean hematocrit, mean corpuscular hemoglobin, mean corpuscular hemoglobin, red blood cell count, and red blood cell volume distribution were all abnormal in the study group. Compared with the control group, the data were statistically significant（P﹤0.05）. There was a significant difference in the data between groups A and group B（P﹤0.05）. Conclusion Blood routine examination in the diagnosis of thalassaemia and iron deficiency anemia can effectively detect the type of anemia, and the routine blood test is convenient and easy to perform. It can be used for rapid diagnosis of patients with different types of anemia. It is worthy of clinical promotion and application.