贫血患者开展血液检验的临床诊断鉴别价值

Clinical diagnosis and differential value of blood test in patients with anemia

目的:分析血液检测在贫血鉴别诊断中的临床意义。方法:2019年1月-2020年1月收治贫血患者100例,其中地中海贫血50例为缺铁组,缺铁性贫血50例为地贫组。另选取同期健康体检者50例,作为对照组。比较三组血液检测结果。结果:对照组红细胞数量、血红蛋白、平均红细胞体积和平均红细胞血红蛋白量等指标水平均显著高于地贫组和缺铁组,差异有统计学意义(P<0.05);缺铁组红细胞分布宽度水平显著高于地贫组和对照组,差异有统计学意义(P<0.05)。结论:血液检验在贫血鉴别诊断中具有重要的临床意义,有助于临床医生分析和区分贫血类型。

Objective:To analyze the clinical significance of blood test in the differential diagnosis of anemia.Methods:From January 2019 to January 2020,100 patients with anemia were selected,including 50 cases of thalassemia and 50 cases of iron deficiency anemia.Another 50 healthy subjects in the same period were selected as the control group.We compared the blood test results of the three groups.Results:In the control group,the number of red blood cells,hemoglobin,average red blood cell volume and average red blood cell hemoglobin were significantly higher than those in the thalassemia group and iron deficiency group,the difference was statistically significant(P<0.05).In the iron deficiency group,the distribution width of erythrocytes was significantly higher than that in the thalassemia group and the control group,the difference was statistically significant(P<0.05).Conclusion:Blood test has important clinical significance in the differential diagnosis of anemia,which is helpful for clinicians to analyze and distinguish the types of anemia.