贫血鉴别诊断中应用血液常规检验的价值评价

目的:探讨血液常规检验在贫血鉴别诊断中的应用价值。方法:2014年7月～2016年8月期间我院接收90例巨幼细胞性贫血(甲组)与90例产科门诊孕妇中缺铁性贫血患者(乙组),同期选择90例体检中心健康体检者作为对照组,三组受试者均清晨空腹采集静脉血,采用全自动血细胞分析仪及配套试剂完成血液常规检验,对比三组受试者相关指标检测结果。结果:与对照组比较,甲组的RBC/MCV降低,RDW、MCV升高,表明RDW、MCV、RBC/MCV检测在巨幼细胞性贫血诊断中具有临床意义,与对照组比较,乙组的MCH、MCV均降低,表明这两项指标检测在缺铁性贫血诊断中具有临床意义。结论:血液常规检验对于贫血有无与贫血分型的诊断具有重要作用,临床应用与推广价值显著。

Objective: To explore the application of routine blood tests in differential diagnosis of anemia. Methods: From July 2014 to August 2016, 90 cases of megaloblastic anemia(group A) and 90 cases of obstetric clinic pregnant women receiving iron deficiency anemia(group B) were enrolled in our hospital. 90 cases of physical examination center The subjects as control group, three groups of subjects were fasting morning venous blood collection, the use of automatic hematology analyzer and reagents to complete routine blood tests, compared with the three groups of subjects related indicators test results. Results: Compared with the control group, the RBC/MCV and the RDW and MCV in group A were increased, indicating that RDW, MCV and RBC/MCV were of clinical significance in the diagnosis of megaloblastic anemia. Compared with the control group, MCH, MCV were reduced, indicating that these two indicators of detection in the diagnosis of iron deficiency anemia clinically meaningful.Conclusion: Routine test of blood has an important effect on the diagnosis of anemia and the diagnosis of anemia, and the clinical application and promotion value are significant.