血常规在手足口病中的变化意义

Significance of blood routine examination in HFMD

目的:探讨血常规各项指标在手足口病中的变化意义。方法:随机抽取2017年5月-2017年12月,来我院并被确诊的手足口病患儿共80例,根据病情轻重平均分为轻度组与重度组,另外选取同时期的健康体检儿童40例作为对照组。由护士以真空采血管的方式采集三组儿童桡静脉血样本,以EDTA-K2抗凝,采用五分类血球仪进行血常规项目检查。结果:重症组患儿HCT、Hb、MCH与NC比例均低于轻症组患儿,轻症组患儿HCT、Hb、MCH与NC比例显著低于对照组。重症组患儿RDW与LC比例显著高于轻症组患儿,轻症组患儿RDW显著高于对照组。三组儿童之间WBC、MCV、MCHC与RBC无显著差异。结论:手足口病儿童可能基于病情的严重程度而发生不同程度贫血,需要合理调整幼儿饮食结构以预防贫血。

Objective:To explore the significance of blood routine indexes in HFMD.Methods:From May 2017 to December 2017,a total of 80 cases of children with HFMD were randomly selected and diagnosed in our hospital.According to the severity of the disease,the cases were divided into the mild group and the severe group.In addition,40 cases of children with physical examination in the same period were selected as the control group.Three groups of children’s radial blood samples were collected by the nurses in the way of vacuum blood vessel collection,and anticoagulation was performed with edta-k2.Routine blood tests were performed with the five-category hematocrit.Results:The proportion of HCT,Hb,MCH and NC in the severe group was lower than that in the mild group,and the proportion of HCT,Hb,MCH and NC in the mild group was significantly lower than that in the control group.The ratio of RDW and LC in the severe group was significantly higher than that in the mild group,and the RDW in the mild group was significantly higher than that in the control group.There were no significant differences in WBC,MCV,MCHC and RBC between the three groups.Conclusion:Children with hand foot and mouth disease may have different degrees of anemia based on the severity of the disease.Therefore,it is necessary to rationally adjust children's diet structure to prevent anemia.