[1]杨忠金.健康儿童末梢血血细胞参数参考值范围调查研究[J].医学信息,2019,32(20):121-123.[doi:10.3969/j.issn.1006-1959.2019.20.037]
　YANG Zhong-jin.Investigation on the Range of Reference Values of Peripheral Blood Cell Parameters[J].Journal of Medical Information,2019,32(20):121-123.[doi:10.3969/j.issn.1006-1959.2019.20.037]
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健康儿童末梢血血细胞参数参考值范围调查研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年20期
页码:
121-123
栏目:
调查分析
出版日期:
2019-10-15

文章信息/Info

Title:
Investigation on the Range of Reference Values of Peripheral Blood Cell Parameters
文章编号:
10.3969/j.issn.1006-1959.2019.20.037
作者:
杨忠金
（云南省临沧市妇幼保健院检验科，云南 临沧 677000）
Author(s):
YANG Zhong-jin
(Department of Clinical Laboratory,Lincang City Maternal and Child Health Hospital,Lincang 677000,Yunnan,China)
关键词:
末梢血; 血细胞分析; 参考范围; 健康儿童
Keywords:
Peripheral blood; Blood cell analysis; Reference range; Healthy children
分类号:
R714
DOI:
10.3969/j.issn.1006-1959.2019.20.037
文献标志码:
A
摘要:
目的 了解临沧地区6个月~5岁健康儿童末梢血各项血细胞检测参数的参考值范围，为本地区儿童保健及临床诊断提供参考。方法 使用ABXPentra MS60全自动五分类血球分析仪及原装配套试剂对2018年1月~10月到我院儿童保健科健康体检的儿童进行末梢血血细胞检测，将检测的原始数据通过瑞美软件导入Excel，利用Excel筛选出6个月~5岁的儿童3356例，分别比较不同年龄段男女儿童WBC、RBC、HGB、HCT、MCV、MCH、MCHC、PLT 8个项目的参考值范围。结果 ①5岁以下儿童WBC、PLT随年龄的增加而降低，HGB、HCT、MCV、MCH 、MCHC随年龄的增加而增加，RBC的变化不明显；②6月~1岁时，不同性别儿童RBC、HGB、MCV、MCH、MCHC、PLT比较，差异有统计学意义（P＜0.05），WBC、HCT比较，差异无统计学意义（P＞0.05）；2~4岁时，不同性别儿童8项指标中大多数基本一致，仅个别指标存在差异；4~5岁时，不同性别儿童WBC比较，差异有统计学意义（P＜0.05）；不同性别儿童MCV、MCH在所有年龄段中比较，差异均有统计学意义（P＜0.05）；③同性别儿童不同检测项目在相邻两个年龄段间比较均存在一定的差异性，其中2~3岁与3~4岁儿童所有检测项目比较，差异均有统计学意义（P＜0.05）。结论 临沧地区5岁以下健康儿童血细胞检测参数因性别、年龄的不同，应该制定独立的血细胞分析医学参考值范围，为本地区的儿童保健提供更为精准的医疗保健服务。
Abstract:
Objective To understand the reference range of blood cell detection parameters of peripheral blood in healthy children from 6 months to 5 years old in Lincang area, and provide reference for children's health and clinical diagnosis in this area.Methods The ABXPentra MS60 automatic five-class blood cell analyzer and original matching reagents were used to detect peripheral blood cells in children who were admitted to the Children's Health Department of our hospital from January to October 2018. The raw data were imported into Excel through Ruimei Software. 3356 children aged 6 months to 5 years old were selected by Excel to compare the reference range of WBC, RBC, HGB, HCT, MCV, MCH, MCHC and PLT for boys and girls of different ages.Results ①The WBC and PLT of children under 5 years old decreased with age, HGB, HCT, MCV, MCH, MCHC increased with age, and the change of RBC was not obvious;②The difference of RBC, HGB, MCV, MCH, MCHC and PLT in children of different genders was statistically significant at 6 months to 1 year old (P<0.05). There was no significant difference between WBC and HCT (P>0.05). At the age of 2~4 years, most of the 8 indicators of children of different genders were basically the same, only some indicators were different; when 4~5 years old, the WBC of different genders was statistically significant (P<0.05); different genders Children's MCV and MCH were statistically significant in all age groups (P<0.05).③There were some differences in the different test items of children of the same sex in the adjacent two age groups. The differences between the two groups of children aged 2~3 years and 3~4 years old were statistically significant (P<0.05).Conclusion The blood cell detection parameters of healthy children under 5 years old in Lincang area should be independent of the gender and age. The medical reference value range of blood cell analysis should be established to provide more accurate medical care for children's health care in the region.

参考文献/References:

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更新日期/Last Update: 2019-10-15