【摘要】 目的通过对健康成年人及老年人静脉血细胞分析调查研究,建立健康老年人静脉血细胞分析参考值范围。方法采集3 302例健康成年人及老年人静脉血,用SymexKX 21N血细胞分析仪测定各参数,结果采用SPSS10.0软件进行数据处理。结果健康老年人（男、女）参考值范围,白细胞（WBC）:（3.57～9.00）×10⁹/L、（3.52～8.39）×10⁹/L;红细胞（RBC）:（3.78～5.42）×10¹²/L、（3.44～4.83）×10¹²/L;血红蛋白（Hb）:121.40～168.10、107.90～147.90 g/L;红细胞比容（HCT）:36.62%～49.18%、32.82%～44.03%;平均红细胞体积（MCV）:85.10～100.60、84.70～100.60 fL;红细胞平均血红蛋白（MCH）:28.54～34.48、28.20～34.10 Pg;红细胞平均血红蛋白浓度（MCHC）:322.00～357.00、320.00～352.00 pg/L;红细胞体积分布宽度（RDW-CV）12.13%～15.10%、10.20%～17.12%;血小板（PLT）:（70.00～240.00）×10⁹/L、（77.00～262.00）×10⁹/L;血小板平均体积（MPV）:9.77～15.37、9.51～15.55 fL;血小板体积分布宽度（PDW）:11.44%～27.77%;血小板压积（PCT）:1.10～2.73、1.13～2.99 mL/L;大血小板比率（P LCR）:24.35%～70.14%。老年人男、女间参数WBC、RBC、Hb、HCT、MCHC、PLT、PCT比较,差异有统计学意义（P<0.01）;其余参数比较,差异均无统计学意义（P>0.05）;老年人与成年人间WBC、MPV、PDW、P-LCR比较,差异无统计学意义（P>0.05）;其余参数比较,差异均有统计学意义（P<0.05）。与国内文献报道的成年人、老年人血细胞各参数比较,结果也存在明显差异（P<0.05）。结论健康老年人、成年人参考值范围有明显差异,有必要科学、合理地建立本地区和本实验室健康老年人静脉血细胞分析参考值范围。更多还原

【Abstract】 Objective To establish the reference range of venous blood cells of healthy aged people by means of investigation on the reference range of venous blood cells of healthy adults and the aged.Methods The parameters of 3 302 venous blood samples from the healthy adults and the aged were analyzed by applying SymexKX-21N hematology analyzer,and the test results were statistically analyzed with SPSS10.0 software.Results The reference range of the healthy aged people（males and females）:WBC（3.57-9.00）×10⁹/L and（3.52-8.39）×10⁹/L;RBC（3.78-5.42）×10¹²/L and （3.44-4.83）×10¹²/L;hemoglobin（Hb） 121.40-168.10 and 107.90-147.90 g/L;hematocrit （HCT） 36.62%-49.18%and 32.82%-44.03%;mean corpuscular volume（MCV） 85.10-100.60 and 84.70-100.60 fL;mean corpuscular hemoglobin（MCH） 28.54-34.48 and 28.20-34.10 pg; mean corpuscular hemoglobin concentration（MCHC） 322.00-357.00 and 320.00-352.00 pg/L; coefficient of variation of red blood cell distribution width（RDW-CV） 12.13%-15.10%and 10.20%-17.12%;platelet（PLT）（70.00-240.00）×10⁹/Land（77.00-262.00）×10⁹/L;mean platelet volume（MPV） 9.77-15.37 and 9.51-15.55 fL;platelet distribution width（PDW） 11.44%-27.77%;platelet hematocrit（PCT） 1.10-2.73 and 1.13-2.99 mL/L;large platelet ratio （P-LCR） 24.35%-70.14%.The differences of the parameters（WBC,RBC,Hb,HCT,MCHC, PLT and PCT） were statistically significant between senile males and senile females（P<0.01）,while the other parameters weren’t（P>0.05）;the differences of parameters（WBC,MPV,PDW and PLCR） were not significant between adults and the ageds（P>0.05）,while the other parameters were （P<0.05）.There were also significant differences（P<0.05） between the test results and the repor- ted date about the blood cell parameters of adults and the ageds.Conclusion The reference range of the healthy ageds is different from that of adults;therefore it is necessary to establish the laboratory reference range of venous blood cells of the elderly in this region scientifically and rationally.更多还原