血常规检验在贫血鉴别诊断中的临床应用价值研究

郭先建

【摘要】目的：本文主要探究贫血鉴别诊断之中采用血常规检验所取得的临床效果以及临床应用价值。方法：将我院进行检查的缺铁性贫血患者77例纳入实验B组，盲选同期于院进行治疗的75例地中海贫血患者纳入实验A组，并选择同一个时间在我院体检的健康者盲选100例纳入健康组，实验A组、健康组以及实验B组均进行血常规检验，对RBC、Hb、MCV、RDW、RBC/MCV以及MCH六项指标进行分析，探究实验A组、B组临床诊断正确率、灵敏度以及特异性。结果：三组进行血液指标分析和比对，实验A组Hb、RBC/MV以及RBC水平高于实验B组；实验B组RDW水平明显高于实验A组和健康组；健康组的Hb、MCH以及MCV水平明显高于实验A组、B组，组间对比有明显差异（P<0.05）。其中，实验B组检查结果（符合率、灵敏度和特异性）明显优于实验A组，但是在进行实验A组、B组数据比对时，组间差异并无统计学意义（P>0.05）。结论：贫血鉴别和诊断中经血常规检验可了解血液指标状况，血液指标可为临床诊断提供科学的数据，加上血常规检查过程十分便捷，值得推广。

【关键词】血常规检验；血液指标；贫血；应用价值

Abstract Objective： To explore the clinical effect and clinical value of blood routine test in the differential diagnosis of anemia. Methods ： in our hospital were performed in patients with iron deficiency anemia and 77 cases in the experimental group B， blind selection during the same period in the hospital 75 cases of thalassemia patients into the experimental group A， and select the same time in our hospital physical health were blind into 100 cases of the healthy group， experimental group A， healthy experimental group and B group were blood routine test， RBC， Hb， MCV， RDW， RBC/MCV and MCH six indexes were analyzed， experiment group A， group B clinical diagnosis accuracy rate， sensitivity and specificity. Results： the three groups of blood index analysis and comparison， the experimental group A Hb， RBC/MV and RBC was higher than group B； the RDW levels were significantly higher in B group than in A experimental group and healthy group； group Hb， MCH health and MCV levels were significantly higher than that of group A and group B， the comparison between the two groups have obvious difference （P<0.05）. Among them， the results of test group B （coincidence rate， sensitivity and specificity） were significantly better than those of group A， but there was no statistically significant difference between group A and group B （P>0.05）. Conclusion： blood routine test can be used to understand the blood index status in the identification and diagnosis of anemia. Blood index can provide scientific data for clinical diagnosis， and blood routine examination is very convenient， which is worth promoting.

Key words： Blood routine test； blood index； anemia； application value

【中圖分类号】 R331.1

【文献标识码】

B【文章编号】 1672-3783（2018）03-03-020-01

贫血是常见疾病，因人体中的血红细胞数量和正常范围相比更低而导致。发病原因与系统性疾病之间呈现出紧密的相关性联系，在临床主要分为四种不同类型的贫血（地中海贫血、巨幼细胞性贫血、溶血性贫血、缺铁性贫血）[1]。因为贫血类型有很大的差异，因此在对患者治疗之前需要展开准确的判断，才可保障治疗方案的科学性和合理性。目前，临床主要是经血常规检验技术对贫血展开判定[2]。本文将2016年12月31日-2017年11月31日于我院进行检查的77例缺铁性贫血患者、75例地中海贫血患者、100例健康者作为研究对象，探究贫血鉴别诊断之中采用血常规检验所取得的临床效果以及临床应用价值，报道如下：