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目的研究探讨血液检验在贫血诊断与鉴别诊断中的价值。方法选取本院2014年5月至2016年7月收治的贫血患者176例,依据患者贫血分型进行分组观察,地中海贫血者88例(A组),缺铁性贫血者88例(B组),另收取同期来源健康体检正常人员50名作为参考组,均实施血液检验,分析各组血液指标差异性。结果 A、B贫血患者RDW、RBC均显著高于参考组,同时贫血患者Hb、MCV指标均显著低于参考组,差异有统计学意义(P<0.05);其中B组患者RDW、MCH指标显著高于A组,Hb、RBC/MCV比值明显低于A组,差异有统计学意义(P<0.05)。结论贫血的诊断中实施血液检验技术进行检测,具有良好的诊断价值,尤其在地中海贫血与缺铁性贫血症状的鉴别中可结合血液指标进行准确判断。
Objective To investigate the value of blood test in the diagnosis and differential diagnosis of anemia. Methods A total of 176 patients with anemia admitted from May 2014 to July 2016 in our hospital were enrolled in this study. According to the type of anemia patients, 88 patients (group A), 88 patients with iron deficiency anemia (group B) , And the other 50 normal subjects from the same period were taken as the reference group. Blood tests were performed to analyze the difference of blood indexes in each group. Results The RDW and RBC in patients with A and B anemia were significantly higher than those in the reference group, meanwhile the Hb and MCV indexes in patients with anemia were significantly lower than those in the reference group (P <0.05). The RDW and MCH in B group were significantly higher than those in the reference group The ratio of Hb and RBC / MCV in group A was significantly lower than that in group A, the difference was statistically significant (P <0.05). Conclusion The blood test technique is used in the diagnosis of anemia, which has a good diagnostic value. In particular, the identification of the symptoms of thalassemia and iron deficiency anemia can be accurately combined with the blood parameters.