贫血患者临床诊断中血常规检验的作用探析

Exploring the role of routine blood tests in the clinical diagnosis of anemia patients

目的:探讨在贫血患者临床诊断中应用血常规检验的作用。方法:2017年12月-2020年12月收治贫血患者98例,按照贫血类型不同分为两组,各49例。观察组为溶血性贫血;对照组为缺铁性贫血。两组患者均采用血常规检验,观察血常规检验的诊断准确性;比较两组患者血常规指标及血清铁蛋白(SF)水平。结果:血常规检验在观察组患者诊断中的检出率为61.2%,在对照组患者诊断中的检出率为98.0%。观察组红细胞体积分布宽度(RDW)及血红蛋白(Hb)水平均明显低于对照组,平均红细胞血红蛋白含量(MCH)、平均红细胞体积(MCV)、平均红细胞血红蛋白浓度(MCHC)水平均明显高于对照组,差异有统计学意义(P<0.05);两组红细胞计数(RBC)水平比较,差异无统计学意义(P>0.05)。观察组SF水平明显高于对照组,差异有统计学意义(P<0.05)。结论:在贫血患者临床诊断中应用血常规检验,具有较高的诊断准确性,可以为贫血患者治疗方案的制定提供有效参考依据,但在诊断溶血性贫血患者时需进行必要的随访,避免误诊漏诊。

Objective:To explore the practical effect of routine blood tests in the clinical diagnosis of anemia patients.Methods:From December 2017 to December 2020,98 patients with anemia were selected,they were divided into the two groups according to the type of anemia with 49 cases in each group.The observation group was hemolytic anemia.The control group was iron deficiency anemia.Routine blood tests were used for both groups of patients to observe the diagnostic accuracy of routine blood tests.We compared the blood routine index level and SF test results between the two groups.Results:The detection rate of blood routine test in the diagnosis of patients in the observation group was 61.2%,and that in the control group was 98.0%.The red blood cell volume distribution width(RDW)and hemoglobin(Hb)levels in the observation group were significantly lower than those in the control group,and the levels of mean red blood cell hemoglobin content(MCH),mean red blood cell volume(MCV)and mean red blood cell hemoglobin concentration(MCHC)in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in red blood cell count(RBC)between the two groups(P>0.05).The level of serum ferritin(SF)in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of blood routine test in the clinical diagnosis of anemia patients has high diagnostic accuracy and can provide an effective reference basis for the formulation of treatment plan for anemia patients,however,necessary follow-up is required when diagnosing patients with hemolytic anemia to avoid misdiagnosis and missed diagnosis.