分析脂肪肝患者行血脂检验与血常规检验的临床诊断价值

Analysis of the clinical diagnostic value of blood lipid test and blood routine test in patients with fatty liver

目的探讨在脂肪肝患者诊断中实施血脂检验与血常规检验的临床价值。方法选取30例脂肪肝患者设为观察组,另选取相同时间段30例健康体检者共设为对照组。两组均实施血脂检验与血常规检验,对比两组血常规指标和血脂指标水平。结果观察组红细胞计数(5.24±1.26)×10^(12)/L、血小板分布宽度(13.46±1.24)%、白细胞计数(9.37±0.46)×10^(9)/L、血红蛋白(154.26±10.15)g/L以及红细胞分布宽度(12.97±0.24)%均高于对照组的(4.24±1.07)×10^(12)/L、(11.24±1.59)%、(6.60±0.48)×10^(9)/L、(142.39±10.30)g/L、(11.27±0.13)%,平均红细胞容积(9.24±1.07)fl、平均血小板体积(10.38±0.46)fl、降钙素原(0.20±0.04)ng/ml、血小板计数(205.46±1.24)×10^(9)/L均低于对照组的(12.57±1.23)fl、(13.60±0.48)fl、(0.27±0.07)ng/ml、(218.96±1.59)×10^(9)/L,差异具备统计学意义(P<0.05)。观察组低密度脂蛋白胆固醇(3.37±0.46)mmol/L、甘油三酯(2.46±0.37)mmol/L以及总胆固醇(6.24±1.07)mmol/L均高于对照组的(2.13±0.48)、(1.19±0.26)、(4.57±1.23)mmol/L,高密度脂蛋白胆固醇(1.16±0.24)mmol/L低于对照组的(1.90±0.35)mmol/L,差异具备统计学意义(P<0.05)。结论健康体检者和脂肪肝患者的血脂检验结果和血常规检验结果存在显著差异,可通过血脂指标和血常规指标水平变化诊断脂肪肝,继而为临床治疗提供良好的参考依据,改善患者预后状态,促进患者病情康复,建议广泛应用于临床中。

Objective To explore the clinical value of blood lipid test and blood routine test in patients with fatty liver.Methods 30 patients with fatty liver were selected as the observation group,and another 30 healthy subjects in the same period were selected as the control group.Blood lipid test and blood routine test were performed in both groups,and the levels of blood routine index and blood lipid index were compared between the two groups.Results The red blood cell count of the observation group was(5.24±1.26)×10^(12)/L,the platelet distribution width was(13.46±1.24)%,the white blood cell count was(9.37±0.46)×10^(9)/L,the hemoglobin was(154.26±10.15)g/L and the red blood cell distribution width was(12.97±0.24)%,which were higher than(4.24±1.07)×10^(12)/L,(11.24±1.59)%,(6.60±0.48)×10^(9)/L,(142.39±10.30)g/L and(11.27±0.13)%of the control group;the mean erythrocyte volume of the observation group was(9.24±1.07)fl,the mean platelet volume was(10.38±0.46)fl,the procalcitonin was(0.20±0.04)ng/ml,and the platelet count was(205.46±1.24)×10^(9)/L,which were all lower than(12.57±1.23)fl and(13.60±0.48)fl,(0.27±0.07)ng/ml and(218.96±1.59)×10^(9)/L of the control group;the difference was statistically significant(P<0.05).The low density lipoprotein cholesterol of the observation group was(3.37±0.46)mmol/L,the triglyceride was(2.46±0.37)mmol/L and the total cholesterol was(6.24±1.07)mmol/L,which were higher than(2.13±0.48),(1.19±0.26)and(4.57±1.23)mmol/L of the control group;the high density lipoprotein cholesterol of(1.16±0.24)mmol/L was lower than(1.90±0.35)mmol/L of the control group;the difference was statistically significant(P<0.05).Conclusion There are significant differences in the blood lipid test results and blood routine test results between healthy subjects and patients with fatty liver disease.Fatty liver disease can be diagnosed through changes in blood lipid index and blood routine index levels,and then provide a good reference for clinical treatment,improve the prognosis of patients,and promote the rehabilitation of patients,so it is recommended to be widely used in clinical practice.