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体检者高血红蛋白人群的血细胞及红细胞参数分析 被引量:1

An analysis on blood cell and red blood cell parameters of the high hemoglobin population by physical examination
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摘要 目的分析普通体检者高血红蛋白(Hb)男性人群的性别和年龄分布、细胞计数及红细胞参数变化规律。方法随机收集体检者高血红蛋白者1000例和同期其它体检者6682例。男性高Hb者分A、B、C3组,其中A组785例,Hb在161~169g/L,B组158例,Hb170~179g/L,C组15例,Hb180g/L以上,另有女性42例,再随机取Hb在正常范围男性200例为正常对照。各组之间3项血细胞指标和5项红细胞参数作统计分析。结果高Hb人群中男性958例,占95.8%,女性42例,占4.2%;主要分布于60岁以下。A组人群分布在40岁以下,其次是40~59岁;3个实验组与正常对照组比较不仅RBC数有明显差异,WBC也有显著差距,且WBC随Hb升高而上升、PLT则相反。3组的MCH、MCHC均明显高于对照组,并随着Hb上升呈上升趋势,而RDW与对照组比较无明显差异。结论普通体检者高Hb人群,主要分布在中青年男性,除红细胞及其参数有明显变化外,还影响到WBC和PLT,应引起重视。 Objective To analyze the gender and age distribution,cell counts and the rules of variation of blood cell(RBC)parameters,in terms of the population with high hemoglobin(Hb)by general health examination.Methods A random collection of the target population,1000 cases,as well as 7682 cases of physical examination during the same period.The males with high Hb are categorized into three groups,namely Group A,B and C,among which there are 785 cases with Hb 161-169g/L in Group A,and 158 cases with Hb 170-179g/L and 15cases with Hb 180g/L or more can be seen in Group B and C respectively,compared with 200 randomly chosen normal cases.Next comes the statistical analysis of three items of blood cell indication and five blood cell paraments of each group.Results There are 42 female cases accounting for 4.2% and 958 male cases occupying 95.8% among all the high Hb population.With regard to age,the ones by high hemoglobin examination are aged mainly below 60 while there are relatively fewer over 60.The population in Group A is mostly less tnan 40 years of age,followed by those berween 40 to 59;By comparing three experimental groups with the normal control group,significant differences showup in both RBC number and WBC,and WBC is positively related to Hb which is on the rise,while the situation of PLTis quite the opposite.In addition,MCHand MCHC of the three groups are remark-ably higher than those of the control proup,experiencing an upward trend with the change in Hb,while their RDW reveals no difference by comparing with the control group.Conclusion The high Hb population by general physical examination is mainly distributed a-mong the young and middle-aged males.Apart from the significannt changes in red blood cells and their parameters,WBC and PLTare also affected,with the result that importance should be attached.
出处 《浙江检验医学》 2010年第3期31-33,共3页 Zhejiang Journal of Laboratory Medicine
关键词 体检 血红蛋白 白细胞 血常规 参数 Physical examination Hemoglobin Leukocytes Routine blood test Parameters
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