贫血患者开展血液检验的临床诊断的鉴别价值体会

Experience in the Differential Value of Clinical Diagnosis of Blood Test in Patients with Anemia

目的 评析血液检验在贫血患者临床鉴别诊断的价值。方法 纳入 2019 年 1 月至 2020 年 1 月期间我院收治的 33 例地中海性贫血患者作为观察组 1 组,选择同时期我院接诊的 33 例缺铁性贫血患者作为观察组 2 组,选择同时期我院 33 例体检的健康体检者作为对照组,3 组均开展血液检验,评析 3 组血液检验的指标数据。结果 观察组 2 组血红蛋白浓度(5.37±0.72)×10~9/L、血红蛋白量(86.28±10.03)g/L 小于观察组 1 组和对照组,红细胞体积分布宽度(23.64±1.45)% 高于观察组 1 组与对照组,P < 0.05,统计学意义存在。观察组 1 组的血红蛋白量(103.25±13.64)g/L、血红蛋白浓度(6.45±0.62)×10~9/L 和平均红细胞容积比值(7.86±1.76)高于观察组 2 组和对照组,P < 0.05,统计学意义存在。对照组红细胞平均血红蛋白浓度(23.33±1.86)pg、细胞平均体积(92.64±9.48)f L 高于观察组 1 组和观察组 2 组,P < 0.05,统计学意义存在。结论 贫血患者开展血液检验效果确切。红细胞体积分布宽度、红细胞平均血红蛋白浓度、血红蛋白浓度、平均红细胞容积比值、细胞平均体积等均可以作为鉴别诊断的重要依据。

Objective To evaluate the value of blood test in the clinical differential diagnosis of anemia patients.Methods Thirty-three cases of thalassemia patients admitted to our hospital from January 2019 to January 2020 were included as observation group 1,33 cases of iron deficiency anemia patients admitted to our hospital during the same period were selected as observation group 2,and 33 healthy patients who underwent physical examination in our hospital during the same period were selected as control group.Blood tests were performed on the three groups.The specific index data of the three groups of blood tests were evaluated.Results The concentration of hemoglobin(5.37±0.72)×109/L and the amount of hemoglobin(86.28±10.03)g/L in the observation group 2 were smaller than that in the observation group 1 and the control group,and the distribution width of red blood cell volume(23.64±1.45)%was higher than that in the observation group 1 and the control group(P<0.05).The hemoglobin content(103.25±13.64)g/L,the hemoglobin concentration(6.45±0.62)×109/L and the average erythrocyte volume ratio(7.86±1.76)of the observation group 1 were higher than that of the observation group 2 and the control group(P<0.05),with statistical significance.The mean erythrocyte hemoglobin concentration(23.33±1.86)pg and mean cell volume(92.64±9.48)fL of the control group were higher than that of the observation group 1 and 2(P<0.05).Conclusion The results of blood test for anemia patients are accurate.The distribution width of red blood cell volume,average hemoglobin concentration of red blood cell,hemoglobin concentration,average erythrocyte volume ratio and average cell volume can be used as an important basis for differential diagnosis.