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红细胞参数和血红蛋白A2在地中海贫血筛查中的价值 被引量:8
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作者 杨方方 向琪 王顺清 《中国医师杂志》 CAS 2015年第5期768-771,共4页
目的 分析红细胞参数和血红蛋白A2(HBA2)在地中海贫血(地贫)筛查中的临床价值.方法 选取本院内科、产科门诊地贫筛查受检者318例,202例确诊地贫基因携带者为地贫组(α地贫96例、β地贫102例、αβ复合型地贫4例);116例确诊非地贫... 目的 分析红细胞参数和血红蛋白A2(HBA2)在地中海贫血(地贫)筛查中的临床价值.方法 选取本院内科、产科门诊地贫筛查受检者318例,202例确诊地贫基因携带者为地贫组(α地贫96例、β地贫102例、αβ复合型地贫4例);116例确诊非地贫基因携带者为非地贫组,所有受检者行平均红细胞体积(MCV)、平均红细胞血红蛋白(MCH)、红细胞体积分布宽度变异系数(RDW-CV)、红细胞体积分度宽度标准差(RDW-SD)、HBA2检查及地贫基因检测,分析上述指标单项或联合筛查地贫的灵敏度、特异度、准确率、阳性预测值及阴性预测值.结果 MCV、MCH、RDW-CV、HBA2平行联合筛查地贫灵敏度最高(100%),MCV、MCH、RDW-SD系列联合筛查地贫特异度最高(96.6%);在α地贫筛查中MCH、MCV、RDW-CV平行联合灵敏度最高(100%),在β地贫筛查中HBA2灵敏度最高(100%),MCV、MCH、HBA2系列联合特异度最高(98.3%).结论 红细胞参数和HBA2联合筛查地贫效果较好,MCV、MCH、HbA2联合筛查β地贫效果最优,对红细胞参数筛查阳性、HBA2筛查阴性对象可考虑仅行α地贫基因检查,减少患者检查成本. 展开更多
关键词 红细胞/细胞学 血红蛋白A2 地中海贫血/诊断
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AGING OF HUMAN MATURE ERYTHROCYTES IS LIKE A PROCESS OF APOPTOSIS IN ENUCLEATED CELL
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作者 潘华珍 冯立明 +3 位作者 卢红 许彩民 张平诚 张之南 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第1期20-23,共4页
Apoptosis of nucleated cells is well known, but how about the unnucleated cells is still not elucidated. In the present paper, the morphological and biochemical features of the aged erythrocytes were observed and comp... Apoptosis of nucleated cells is well known, but how about the unnucleated cells is still not elucidated. In the present paper, the morphological and biochemical features of the aged erythrocytes were observed and compared with the characteristic events of apoptosis. Membrane of aged erythrocytes tends to shrink, protrude, from vesicle and lose lipid asymmetry. Aged erythrocytes were removed by phagocytosis. Both of the events are very similar to the apoptotic nucleated cells. The authors suggested that aging of erythro- cytes is also a process of apoptosis. 展开更多
关键词 aged erythrocytes APOPTOSIS
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