血液检验对贫血鉴别诊断临床意义分析

Clinical Significance Analysis of Blood Test for Differential Diagnosis of Anemia

目的探讨血液检验对贫血鉴别诊断的临床意义。方法选取我院在2015年3月到2017年3月收治的100例贫血患者进行研究,分组方法为奇偶分组法,将其分为A组(地中海贫血组)和B组(缺铁性贫血组),各50例。并选取同时期来我院体检的50例健康人员作为C组。对所有受检者均采取全自动血液分析仪进行血液检查。对比3组受检者的MCV、Hb、MCH、RDW指标以及地中海贫血和缺铁性贫血的检出率。结果 A组和B组的MCV、RBC、Hb、MCH、RDW指标均与C组相比较,组间数据均在明显差异,统计学意义存在(P<0.05)。A组和B组的检出率相比较,组间数据无明显差异,统计学意义不存在(P>0.05)。结论对贫血患者进行血液检验,可有效的鉴别患者的贫血类型,且具有较高的检出率,值得临床上借鉴以及进一步普及。

Objective To investigate clinical significance of blood test for differential diagnosis of anemia. MethodsChoose 100 cases anemia patients treated in our hospital from March 2015 to March 2017 for study, based on odd-even grouping method, divide them into group A(thalassemia group) and group B(hypoferric anemia, 50 cases in each). At the same time, choose 50 cases health people received checkup in our hospital as group C. Carry on blood test with automated hematology analyzer for all cases. Compare indexes of MCV, Hb, MCH and RDW of three groups, and detection rates of thalassemia and hypoferric anemia. Results MCV, RBC, Hb, MCH and RDW indexes of group A and B were significantly different from group C, and difference showed statistical significance between two groups(P<0.05). Detection rate difference showed no statistical significance between group A and B(P> 0.05). Conclusion Blood test can identify anemia type of patients effectively with high detection rate, which is worthy of clinical reference and further promotion.