血液检验在贫血诊断与鉴别诊断中的应用及意义评估

Application of Blood Test in Diagnosis and Differential Diagnosis of Anemia and Its Significance Evaluation

目的探讨贫血诊断与鉴别中应用血液检验的临床意义。方法通过查阅临床资料,抽取我院门诊收治的贫血患者80例作为研究对象,分为巨幼红细胞性贫血组(n=20)与缺铁性贫血组(n=40)及其他组(n=20),同期接待的健康体检者50例作为对照组,均接受血液检验,比较组间血液检验指标。结果对照组RDW、RBC、MCH、Hb、MCV、RBC/MCV与其余三组比较差异有统计学意义(P <0.05);巨幼红细胞性贫血组、其他组RDW、MCH、MCV、Hb、RBC/MCV明显高于缺铁性贫血组,而RBC明显低于缺铁性贫血组,组间差异有统计学意义(P <0.05)。结论血液检验应用在贫血患者中有不错的诊断价值,与常规体检者之间指标差异明显,同时可鉴别缺铁性贫血与巨幼红细胞性贫血,值得借鉴。

Objective To investigate the clinical significance of blood test in the diagnosis and differential diagnosis of anemia. Methods According to the clinical data, 80 cases of anemia patients admitted to our hospital were selected as study subjects. They were divided into two groups: megaloblastic anemia group(20 cases) and iron deficiency anemia group(40 cases) and other groups(20 cases) of the 50 healthy subjects as control group, all underwent blood tests, blood test indicators were compared between groups. Results The differences of RDW, RBC, MCH, Hb, MCV and RBC/MCV between the control group and the other three groups were statistically significant(P<0.05). In megaloblastic anemia group, RDW, MCH, MCV, Hb and RBC/MCV in other groups were significantly higher than those in iron deficiency anemia group, while RBC was significantly lower than that in iron deficiency anemia group(P <0.05). Conclusion Blood test has a good diagnostic value in patients with anemia, and the difference between the indicators of conventional subjects, and can identify iron deficiency anemia and megaloblastic anemia, it is worth learning.