对不同类型贫血患者血液检验结果的分析

摘要

Objective To analyse the dif erent types of anemia blood according to the test results.Methods 30 cases of patients treated in our hospital with dif erent types of anemia were sampled as the observation group from January 2015 to August 2015,the clinical data of al pa-tients were retrospectively analyzed.30 cases of healthy people at the same time were chosen as the control group,check the blood of healthy peo-ple,compared examination results of the two groups.Results The blood MCV,MCH,MCHC levels had no significance dif erence between the observation group with acute blood loss anemia and aplastic anemia and the control group (P >0.05),the blood indexes of observation group pa-tients with the Mediterranean anemia and iron deficiency anemia general y lower than that of the control group (P <0.05),the blood MCV and MCH levels in observation group patients with megaloblastic anemia,were higher than control group (P <0.05),the blood MCV and MCHC levels of ob-servation group patients with hemolytic anemia were significantly higher than that of the control group (P <0.05).Conclusion The analysis of blood MCV,MCH,MCHC levels can provide clinical guidanceto determine the type of anemia in patients,which can ef ectively improve the diagnose of the types of patients with anemia.%目的：对不同类型贫血患者的血液检测结果进行分析。方法选取2015年1—8月收治的30例不同类型贫血患者作为研究对象，对所有患者的临床资料进行回顾性分析，设置为试验组。同时选择同期进行体检的30例健康人作为对照组，对所有健康人的血液进行检查，比较两组研究对象的检查结果。结果试验组患者中急性失血性贫血患者和再生障碍性贫血患者的血液红细胞平均容积（MCV）、红细胞平均血红蛋白（MCH）、红细胞平均血红蛋白浓度（MCHC）水平和对照组相比，差异无统计学意义（P ＞0.05）；而试验组患者中地中海贫血和缺铁性贫血患者的血液 MCV、MCH、MCHC 水平普遍低于对照组，差异有统计学意义（P ＜0.05）；试验组巨幼红细胞性贫血患者血液中 MCV 和 MCH 水平高于对照组，差异有统计学意义（P ＜0.05）；试验组溶血性贫血患者血液中的 MCV 和 MCHC 水平明显高于对照组，差异有统计学意义（P ＜0.05）。结论临床上对贫血患者进行血液检测，分析患者血液中的 MCV、MCH、MCHC 水平可以为确定患者的贫血类型提供临床指导，可有效提升诊断患者贫血类型的准确性，值得推广使用。