【摘要】 目的探讨西安地区健康体检人群静脉血细胞参考值水平。方法采用回顾分析的方法,随机抽取857例例行健康查体人群,用XT-1800i全自动血细胞分析仪进行血液细胞学23项参数分析,并与原参考值以及不同性别、不同地区进行比较,观察血细胞参考值的变化。结果西安地区健康体检人群82.6%(19/23)的血细胞参考值与以往沿用的参考值发生了明显的改变,其中WBC,RBC,HGB,PLT,EO(%),BASO(%),NEUT,LYMPH,EO,BASO,HCT,RDW-SD现调查值比原参考值偏低,而NEUT(%),MONO(%),LYMPH(%),MONO,MCV,MCH,RDW-CV,PDW,MPV,P-LCR现调查值比原参考值偏高,WBC,RBC,HGB,PLT,NEUT(%),MONO(%),EO(%),BASO(%),NEUT,MONO,LYMPH,EO,BASO,MCV,RDW-CV,RDW-SD,PDW,MPV,P-LCR差异有极显著性(P<0.01);RBC,HGB,HCT,MCHC,RDW-CV,NEUT(%),EO(%),BASO(%),NEUT,EO男性高于女性,MONO(%)男性低于女性,男女之间差异具有统计学意义(P<0.01),血小板4项参数(PLT,PDW,MPV,P-LCR)男女之间差异无统计学意义(P>0.05)。西安地区与包头市、贵阳市、广州市所报道的血细胞参考值范围亦不相同。73.9%(17/23)的血细胞参数与包头市结果间差异具有统计学意义,92.3%(12/13)与贵阳市结果间差异具有统计学意义,78.5%(11/14)与广州市结果间差异亦具有统计学意义(P<0.01)。结论西安地区健康体检人群血细胞参考值范围与原参考值发生了改变,原参考值已不能很好的适用临床和健康体检的需要,有必要科学、合理地建立地区性的血细胞参考值范围。更多还原

【Abstract】 Objective To research blood cell reference level of healthy crowd in Xi’an.Methods Retrospective analysis method was adopted,and 857 cases were selected from the crowd of routine health check,and observed the changes about the reference value of blood cell by using XT-1800i automated hematology analyzer to analyze 23 parameters of blood cytology and comparing them with the original in area of sex and areas.Results Blood cell reference value of healthy crowd in Xi’an 82.6%(19/23) was obviously different from reference value used before:WBC,RBC,HGB,PLT,EO(%),BASO(%),NEUT,LYMPH,EO,BASO,HCT and RDW-SD was lower than the original value;NEUT(%),MONO(%),LYMPH(%),MONO,MCV,MCH,RDW-CV,PDW,MPV and P-LCR was higher than original value.WBC,RBC,HGB,PLT,NEUT(%),MONO(%),EO(%),BASO(%),NEUT,MONO,LYMPH,EO,BASO,MCV,RDW-CV,RDW-SD,PDW,MPV,P-LCR had significant difference(P<0.01).RBC,HGB,HCT,MCHC,RDW-CV,NEUT(%),EO(%),BASO(%),NEUT and EO of men was higher than those of women.MONO(%)of men was lower than that of women.Value of men and women had significant differences(P<0.01).Four parameters-PLT,PDW,MPV,P-LCR of blood platelet had no significant difference(P>0.05).The blood cell reference value was different between Xi’an and Baotou[73.9%(17/23)],Guiyang[92.3%(12/13)] and Guangzhou[78.5%(11/14)](P<0.01).Conclusion Blood cell reference value of healthy people in Xi’an is different from the original reference value,so the original reference value is not good for needs of medical and health and it’s necessary to build scientific and rational regional blood cell reference rang.更多还原