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目的:了解雷达官兵红细胞及相关参数的变化特点。方法:采集每名受检者的静脉血2ml,采用Sysmex XT-4000i血细胞仪检测红细胞计数(RBC)、血红蛋白(HGB)、红细胞平均体积(MCV)、平均血红蛋白量(MCH)平均血红蛋白浓度(MCHC)、红细胞分布宽度(RDW)、网织红细胞比率(RET)、未成熟网织红细胞比率(IRF)、低荧光网织红细胞比率(LFR)、中荧光网织红细胞比率(MFR)、高荧光网织红细胞比率(HFR)。结果:143例雷达官兵RBC、HGB检测均值分别为(5.52±0.35)×1012/L、(158.37±9.98)g/L,检测值范围分别为(4.45~6.28)×1012/L、(135.00~191.00)g/L,异常检出率分别为61.5%、81.1%。MCV、MCH、MCHC和RDW均值分别为(87.69±3.64)fL、(30.37±1.50)pg、(346.32±9.07)g/L和(40.01±1.92)fL,检测值范围分别为(65.60~97.20)fL、(21.70~34.00)pg、(325.00~378.00)g/L和(36.00~46.00)fL,异常检出率分别为4.2%、1.4%、16.8%和4.9%。RET和IRF、LFR、MFR、HFR均值分别为(1.25±0.35)%、(5.19±2.66)%、(94.81±2.66)%、(4.79±2.33)%和(0.40±0.46)%,检测值范围分别为(0.60~2.35)、(0.50~18.20)%、(81.80~99.50)%、(0.50~14.80)%、(0~3.40)%,异常检出率分别8.4%和4.9%、4.2%和7.0%。结论:61.5%和81.1%官兵的RBC及HGB高于正常参考值上限,少数受检官兵的红细胞呈高色素或小细胞,骨髓红细胞系造血功能有所改变,但红细胞合成HGB的能力正常。
Objective: To understand the characteristics of red blood cells and related parameters of radar officers and men. Methods: Blood samples of 2 ml were collected from each subject, and the RBC, HGB, MCV and MCH were measured by Sysmex XT-4000i instrument. The mean hemoglobin concentration (MCHC) ), RDW, RET, IRF, LFR, MFR, high-fluorescence network Reticulocyte ratio (HFR). Results: The mean values of RBC and HGB of 143 officers and soldiers were (5.52 ± 0.35) × 1012 / L and (158.37 ± 9.98) g / L, respectively. The detection range was 4.45 ~ 6.28 × 1012 / 191.00) g / L, the abnormality detection rates were 61.5% and 81.1% respectively. The average values of MCV, MCH, MCHC and RDW were (87.69 ± 3.64) fL, (30.37 ± 1.50) pg, (346.32 ± 9.07) g / L and (40.01 ± 1.92) fL, (21.70-34.00) pg, (325.00-378.00) g / L and (36.00-46.00) fL respectively. The abnormality detection rates were 4.2%, 1.4%, 16.8% and 4.9% respectively. The mean values of RET and IRF, LFR, MFR and HFR were (1.25 ± 0.35)%, (5.19 ± 2.66)%, (94.81 ± 2.66)%, (4.79 ± 2.33)% and (0.40 ± 0.46)% respectively. Were 0.60 ~ 2.35, 0.50 ~ 18.20%, 81.80 ~ 99.50%, 0.50 ~ 14.80%, 0 ~ 3.40% respectively. The detection rates of anomalies were 8.4% and 4.9% 7.0%. CONCLUSIONS: RBC and HGB in 61.5% and 81.1% of officers and soldiers are higher than the upper limit of normal reference value. The erythrocytes of a few officers and soldiers are hyperchromatic or small cells. The hematopoietic function of bone marrow erythrocytes is changed. However, erythrocytes have normal ability of synthesizing HGB.