血细胞形态学检验在发热疾病中的诊断价值分析

Analysis of the diagnostic value of blood cell morphology test in febrile diseases

目的探讨血细胞形态学检验在发热疾病中的诊断价值。方法选取2019年2月至2020年6月本院收治的110例发热患者作为研究组,另选取同期于本院体检的110名健康者作为对照组,两组均接受血细胞形态学检验。比较两组血细胞形态学检验结果及研究组不同疾病类型发热患者血细胞形态学检验结果和感染性患者中不同致病菌类型患者血细胞形态学检验结果。结果研究组异常细胞(14.55%)、淋巴细胞异常(19.09%)、白细胞异常(20.91%)、细胞性贫血(15.45%)比例均高于对照组(0.00%、0.91%、1.82%、0.91%),形态正常细胞比例(30.00%)低于对照组(96.36%),差异有统计学意义(P<0.05)。研究组感染性疾病患者淋巴细胞异常、白细胞异常、异常细胞比例均明显高于非感染性疾病患者,差异有统计学意义(P<0.05);细菌性感染患者白细胞异常比例明显高于病毒感染患者,淋巴细胞异常比例明显低于病毒感染患者,差异有统计学意义(P<0.05)。结论血细胞形态学检验诊断发热患者可明确具体病因,有利于临床医师根据检验结果辅助诊断发热患者疾病类型、致病菌种类等,并及时给予针对性用药治疗。

Objective To explore the diagnostic value of blood cell morphology testing in fever diseases.Methods 110 fever patients admitted to our hospital from February 2019 to June 2020 were selected as the study group,and 110 healthy individuals who underwent physical examination at our hospital during the same period were selected as the control group.Both groups underwent blood cell morphology testing,the results of blood cell morphology between the two groups,the results of blood cell morphology of fever patients with different disease types in the study group,and the results of blood cell morphology of patients with different types of pathogenic bacteria in infectious patients were compared.Results The proportion of abnormal cells(14.55%),lymphocyte abnormalities(19.09%),white blood cell abnormalities(20.91%),and cellular anemia(15.45%)in the study group were higher than those in the control group(0.00%,0.91%,1.82%,0.91%),while the proportion of cells with normal morphology in the study group(30.00%)was lower than that in the control group(96.36%),the differences were statistically significant(P<0.05).The proportion of abnormal lymphocytes,leukocytes and abnormal cells in patients with infectious diseases were significantly higher than those in patients with non infectious diseases in the study group,the differences were statistically significant(P<0.05);the proportion of abnormal white blood cells in patients with bacterial infection was significantly higher than that in patients with viral infection,and the proportion of abnormal lymphocytes was significantly lower than that in patients with viral infection,the differences were statistically significant(P<0.05).Conclusion Blood cell morphology examination can identify the specific cause of fever in patients,which is beneficial for clinical doctors to assist in diagnosing the disease type and pathogenic bacteria type of fever patients based on the test results,and provide targeted medication treatment in a timely manner.