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当代护理

Contemporary Nursing

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Contemporary Nursing. 2025; 6: (3) ; 10.12208/j.cn.20250156 .

The effectiveness of blood testing in the differential diagnosis of thalassemia and iron deficiency anemia
血液检验应用于地中海贫血及缺铁性贫血疾病鉴别诊断中的有效性研究

作者: 刘瑞颜 *

郁南县第二人民医院 广东云浮

*通讯作者: 刘瑞颜,单位:郁南县第二人民医院 广东云浮;

引用本文: 刘瑞颜 血液检验应用于地中海贫血及缺铁性贫血疾病鉴别诊断中的有效性研究[J]. 当代护理, 2025; 6: (3) : 182-184.
Published: 2025/3/31 11:26:48

摘要

目的 探讨血液检测在区分地中海贫血与缺铁性贫血疾病鉴别诊断中的效用性。方法 本次研究对象为本院2023年1月至12月地中海贫血及缺铁性贫血患者各30例,将同期进行健康体检的30例健康人员设为参考组,对上述3组受检人员采取血液检验。对3组检查结果予以分析。结果 相较于参考组,缺铁性贫血组与地中海贫血组在MCHC、MCH、MCV指标上均呈现显著降低(P<0.05),同时RDW指标则显著升高(P<0.05)。结论 地中海贫血及缺铁性贫血疾病采取血液检验能够对以上两种疾病有效鉴别,可为患者的病情诊断及治疗提供有力帮助。

关键词: 血液检验;地中海贫血;缺铁性贫血;鉴别诊断

Abstract

Objective To explore the effectiveness of blood tests in the differential diagnosis of thalassemia and iron deficiency anemia.
Methods The subjects of this study were 30 patients with thalassemia and 30 patients with iron deficiency anemia from January to December 2023 in our hospital. The 30 healthy individuals who underwent health examinations during the same period were selected as the reference group, and blood tests were conducted on the three groups of subjects. Analyze the results of three sets of inspections.
Results When comparing MCHC, MCH, and MCV indicators, both the iron deficiency anemia group and the Mediterranean anemia group were significantly lower than the reference group (P<0.05), and the RDW indicator was higher than the reference group (P<0.05). Except for MCV, there were significant differences in all other indicators between the two groups (P<0.05).
Conclusion   Blood tests can effectively distinguish between Mediterranean anemia and iron deficiency anemia, providing strong assistance for the diagnosis and treatment of patients' conditions.

Key words: Blood test; Mediterranean anemia; Iron-deficiency anemia; Differential diagnosis

参考文献 References

[1] 孙璨璨,宋照民. 血液检验对缺铁性贫血及地中海贫血的鉴别诊断价值分析 [J]. 中国实用医药, 2024, 19 (20): 28-32. 

[2] 杨龙. MCHC、MCV、MCH及RDW在缺铁性贫血与地中海贫血鉴别诊断中的应用价值 [J]. 临床医学研究与实践, 2024, 9 (27): 114-117. 

[3] 黄水梅. 探讨血液生化检验指标及铁代谢指标对缺铁性贫血和地中海贫血的鉴别诊断价值 [J]. 中国医药指南, 2024, 22 (06): 72-74. 

[4] 杨丽萍,张蕾. 血液检验在贫血鉴别诊断中的效果 [J]. 中国城乡企业卫生, 2024, 39 (02): 49-51.

[5] 黄桂珍,黄华锋. 缺铁性贫血及地中海贫血血液检验鉴别诊断的观察 [J]. 中国医药指南, 2023, 21 (34): 45-47.

[6] 薛世聪. 贫血诊断与鉴别诊断中应用血液检验的临床价值观察 [J]. 智慧健康, 2023, 9 (19): 170-173.

[7] 陈居根,杨光,李文明. 血液检验在地中海贫血及缺铁性贫血疾病鉴别诊断中的应用价值分析 [J]. 临床医学工程, 2023, 30 (05): 613-614.

[8] 欧阳莉,赖章辉,李峰. 血液检验诊断和鉴别缺铁性贫血及地中海贫血的意义研究 [J]. 医学信息, 2023, 36 (09): 139-142.

[9] 郑小红. 血液检验在地中海贫血与缺铁性贫血鉴别诊断中的临床效果分析 [J]. 名医, 2023, (04): 102-104.

[10] 吴庆梅. 血液检验用于缺铁性贫血患者临床鉴别诊断价值实践研究 [J]. 中国医药指南, 2023, 21 (03): 123-125.