血常规检验在缺铁性贫血和地中海贫血患者中的应用效果研究

Study on the practical effect of routine blood test in patients with iron deficiency anemia and thalassemia

目的探究血常规检验在缺铁性贫血和地中海贫血患者中的应用效果。方法180例进行血液检验者,根据检查结果分为A组(健康体检者)、B组(缺铁性贫血患者)和C组(地中海贫血患者),每组60例。测定红细胞计数(RBC)、血红蛋白(Hb)、红细胞平均体积(MCV)、平均红细胞血红蛋白含量(MCH)、红细胞体积分布宽度(RDW)水平。比较三组血常规检验结果及三组诊断符合率。结果A组RBC为(4.72±0.73)×10^12/L,Hb为(125.86±14.18)g/L,MCV为(68.73±6.59)fl,MCH为(29.21±2.54)pg,RDW为(14.37±3.48)%;B组RBC为(3.04±0.65)×10^12/L,Hb为(85.18±10.52)g/L,MCV为(78.37±7.02)fl,MCH为(24.53±2.41)pg,RDW为(15.51±1.85)%;C组RBC为(3.82±0.73)×10^12/L,Hb为(101.73±9.56)g/L,MCV为(71.71±6.35)fl,MCH为(20.12±2.65)pg,RDW为(23.76±2.64)%。三组RBC、Hb、MCV、MCH、RDW水平比较,差异均具有统计学意义(P<0.05)。B组诊断符合率90.00%(54/60)与C组的86.67%(52/60)比较,差异无统计学意义(P>0.05)。结论在临床诊断过程中,通过血常规检验能够对贫血进行有效判断,进一步鉴别出贫血的类型,比如缺铁性贫血、地中海贫血,此外诊断符合率颇高,因此,具备采纳及应用的价值。

Objective To investigate the practical effect of routine blood test in patients with iron deficiency anemia and thalassemia.Methods A total of 180 patients undergoing blood tests were divided into group A(healthy checkups),group B(patients with iron deficiency anemia)and group C(patients with thalassemia),with 60 cases in each group.The red blood cell count(RBC),hemoglobin(Hb),mean corpuscular volume(MCV),mean corpuscular hemoglobin(MCH)and red blood cell distribution width(RDW)were tested.The test results of routine blood test and diagnosis coincidence rate of the three groups were recorded and compared.Results RBC,Hb,MCV,MCH and RDW level of group A were(4.72±0.73)×10^12/L,(125.86±14.18)g/L,(68.73±6.59)fl,(29.21±2.54)pg,(14.37±3.48)%,which were(3.04±0.65)×10^12/L,(85.18±10.52)g/L,(78.37±7.02)fl,(24.53±2.41)pg,(15.51±1.85)%in group B,and(3.82±0.73)×10^12/L,(101.73±9.56)g/L,(71.71±6.35)fl,(20.12±2.65)pg,(23.76±2.64)%in group C.There was statistically significant difference in RBC,Hb,MCV,MCH and RDW level among the three groups(P<0.05).The diagnosis coincidence rate 90.00%(54/60)of group B had no statistically significant difference compared with 86.67%(52/60)of group C(P>0.05).Conclusion In the clinical diagnosis process,routine blood tests can effectively judge anemia and further identify the types of anemia,such as iron deficiency anemia and thalassemia.In addition,the diagnostic coincidence rate is quite high,so it has the value of adoption and application.