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目的分析血液检验在贫血患者鉴别诊断中的临床价值。方法资料选取我院2011年6月至2014年6月收治的贫血患者108例,其中巨幼细胞性贫血和缺铁性贫血各54例作为研究组A和研究组B,并选择54例健康成人作为对照组,比较三组血液RBC、MCV、MCH、RBC/MCV、RDW等指标。结果研究组A的RBC、RBC/MCV指标水平均低于研究组B与对照组(P<0.05);研究组A的RBC显著低于研究B组与对照组,而RDW则均高于研究B组(P<0.05);研究组A、B与对照组MCV、MCH,比较差异具有统计学意义(P<0.05);研究组A特异性为64.81%,灵敏度92.59%,符合率85.19%,研究组B分别为68.52%、94.44%、75.93%,两组无明显差异(P>0.05)。结论血液检验中各项指标有助于诊断贫血,且能有效鉴别贫血类型。综合性血液检测是一种较为理想的贫血症状临床鉴别和诊断方法,值得临床推广应用。
Objective To analyze the clinical value of blood test in the differential diagnosis of anemia patients. METHODS: A total of 108 patients with anemia were enrolled in our hospital from June 2011 to June 2014. 54 patients with megaloblastic anemia and iron-deficiency anemia were selected as study group A and study group B, 54 healthy adults As a control group, three groups of blood RBC, MCV, MCH, RBC / MCV, RDW and other indicators were compared. Results The RBC and RBC / MCV indexes of study group A were lower than that of study group B and control group (P <0.05). The RBC of study group A was significantly lower than that of study group B and control group, while the RDW was higher than that of research group B (P <0.05). There was significant difference in MCV and MCH between study group A and group B and control group (P <0.05). The specificity of study group A was 64.81%, the sensitivity was 92.59% and the coincidence rate was 85.19% Group B were 68.52%, 94.44% and 75.93%, respectively, with no significant difference between the two groups (P> 0.05). Conclusion The indicators of blood test help to diagnose anemia, and can effectively identify the type of anemia. Comprehensive blood test is a more ideal method for differential diagnosis and diagnosis of anemia, which is worthy of clinical application.