血常规检查在诊断炎症性肠病中的应用价值探讨

Evaluation of the application value of blood routine examination in the diagnosis of inflammatory bowel disease

目的:探讨血常规检查在诊断炎症性肠病中的应用价值。方法:选择广东省患州市广东医科大学附属患东医院收治的60例炎症性肠病患者与同期在该医院进行体检的60例健康人作为研究对象。分别将其中60例炎症性肠病患者与60例健康人设为研究组和对照组。对两组研究对象均进行血常规检查,比较其检查结果,并比较研究组患者中病情严重程度不同患者的各项血常规指标。结果:研究组患者血红蛋白(Hb)的水平、平均红细胞体积(MCV)、红细胞体积分布宽度(RDW)、红细胞计数(RBC)和平均红细胞血红蛋白含量(MCH)均低于对照组健康人,其血小板计数(PLT)高于对照组健康人,P<0.05。在研究组患者中,重度炎症性肠病患者Hb的水平、MCV、RDW、RBC和MCH均低于轻度及中度炎症性肠病患者,其PLT高于轻度及中度炎症性肠病患者,P<0.05;中度炎症性肠病患者Hb的水平、MCV、RDW、RBC和MCH均低于轻度炎症性肠病患者,其PLT高于轻度炎症性肠病患者,P<0.05。结论:对炎症性肠病患者进行血常规检查有助于诊断其病情及评估其病情的严重程度。

Objective:To explore the application value of blood routine examination in the diagnosis of inflammatory bowel disease.Methods:60 patients with inflammatory bowel disease(IBD)admitted to Huidong Hospital of Guangdong Medical University in Huizhou City,Guangdong Province and 60 healthy people who underwent physical examination in the same period were selected as the subjects.Sixty patients with inflammatory bowel disease and 60 healthy subjects were selected as study group and control group,respectively.Routine blood tests were conducted on the two groups of subjects,and the results were compared,and the blood routine indexes of patients with different severity of disease in the study group were compared.Results:The level of hemoglobin(Hb),mean red blood cell volume(MCV),red blood cell volume distribution width(RDW),red blood cell count(RBC)and mean red blood cell hemoglobin content(MCH)in the study group were lower than those in the control group,while the platelet count(PLT)was higher than those in the control group(P<0.05).In the study group,the levels of Hb,MCV,RDW,RBC and MCH in patients with severe IBD were lower than those in patients with mild and moderate IBD,and the levels of PLT were higher than those in patients with mild and moderate IBD(P<0.05).The levels of Hb,MCV,RDW,RBC and MCH in patients with moderate IBD were lower than those in patients with mild IBD,and the levels of PLT were higher than those in patients with mild IBD(P<0.05).Conclusion:Routine blood examination for patients with inflammatory bowel disease is helpful to diagnose the disease and evaluate the severity of the disease.