血细胞形态学检验在发热疾病诊断中价值分析.docVIP

血细胞形态学检验在发热疾病诊断中价值分析 　　【摘 要】目的：研究血细胞形态学检验对发热疾病的临床诊断价值。方法：临床纳入2014年9月至2017年9月期间我院收治的58例发热患者作为研究组，另选取同期来我院进行体检的58例健康人作为对照组。对两组研究对象进行血细胞形态学检验，观察对比两组研究对象血细胞形态学检验结果，分析血细胞形态学检验对发热疾病的临床诊断价值。结果：两组研究对象MCH水平对比无差异，P0.05；研究组HCT、RDW-SD、MCHC以及MCV水平明显高于对照组，均P0.05。研究组异常淋巴细胞、异常细胞、白细胞变化、大细胞贫血以及小细胞贫血检出率明显高于对照组，均P0.05。结论：发热患者血细胞形态学检验与正常健康人群有明显区别，因此血细胞形态学检验对发热疾病的诊断具有重要临床价值，值得临床应用及推广。 　　【关键词】 血细胞；形态学检验；发热；诊断 　　【中图分类号】R 446 　　【文献标志码】A 　　【文章编号】1005-0019（2018）05-006-01 　　Abstract Objective：To study the clinical diagnostic value of blood cell morphology test for febrile diseases.Methods： 58 cases of fever admitted to our hospital from September 2014 to September 2017 were included as research groups，and 58 healthy patients who came to our hospital for physical examination in the same period were selected as control group.The blood cell morphology test was performed on two groups of study subjects，the results of blood cell morphology test were compared，and the clinical diagnostic value of blood cell morphology test for fever disease was analyzed.Results：There was no difference in the level of MCH between the two groups，P 0.05. The levels of HCT，RDW-SD，MCHCC and MCV in the study grouPwere significantly higher than those of the control group，all of which were P0.05. The detection rate of abnormal lymphocytes，abnormal cells，Leukocyte changes，large cell anemia and small cell anemia in the study grouPwas significantly higher than that of the control group，all of which were P0.05. Conclusion： The blood cell morphology of fever patients is different from that of normal healthy population.Therefore，the diagnosis of fever disease by blood cell morphology test 　　Key words： Blood cells；Morphological examination；Fever；diagnosis 　　血细胞形态学检验是临床常用的检查方式，属于血常规项目中的一种，在诊断临床各种疾病时具有重要价值和意义[1]。近年来随着我国医学领域的发展和进步，相关检验设备和仪器不断更新，相对于以往来说，检验水平有明显升高，临床检验水平显著提高[2]。全自动血液分析仪是近年来发明的一种血液分析仪器，在临床上应用广泛，凭借检测样本量少，检测速度快，检出率精确等优势，深受广大临床医师好评[3]。因此目前临床上对于多数血常规项目检测均采用全自动血液分析仪进行。发热是临床疾病的常见表现之一，由于多数疾病均会引起发热症状，因此如何有效及时诊断发热，能有效延缓疾