西藏地区健康成人血细胞检测值调查

自动化仪器分析藏、汉族健康成人静脉血血细胞的检测区间，以建立本地区的备查血细胞参考范围。选择1661名西藏地区和541名平原地区健康成人，分别用BC-3000血细胞分析仪和XE一2100血细胞分析仪，测定WBC、RBC、Hb、HCT、MCV、MCH、MCHC、RDW及PLT。结果表明：西藏地区健康成人WBC比平原地区偏低（P〈0．01）；西藏地区RBC、Hh和HCT比平原地区偏高（P〈0．001），且男女之间有差异（P〈0．001）；西藏地区PLT比平原地区偏低（P〈0．001）；汉族男性WBC参考范围为（3．4～8．8）×10^9／L，女性为（3．4～9．0）×10^9／L，藏族男性为（3．4—8．7）×10^9／L，女性为（3．4～8．6）×10^9／L；汉族男性RBC为（4．8～6．8）×10^12／L，女性为（4．3—5．8）×10^12／L，藏族男性为（4．6～6．9）×10^9／L，女性为（4．1～5．8）×10^12／L；汉族男性Hb为（149～210）g／L，女性为（123～170）g/L，藏族男性为（147～211）g／L，女性为（120～170）g／L；汉族男性HCT为0．45～0．65，女性为0．39～0．53，藏族男性为0．44～0．65，女性为0．37～0．54；汉族男性PLT为（88～257）×10^9／L，女性为（97—266）×10^9／L，藏族男性为（89—270）×10^9／L，女性为（98—280）×10^9／L；RDW〈15．3％。制定高原地区健康成人血细胞相关指标的参考范围，为临床提供参考依据。

Investigation of Blood Cells Values in the Health Adults in Tibet

To investigate the blood cells values of the health adults of Zang and Han nationality in plateau and to establish the biological reference interval. The venous blood was collected and detected by BC-3000 and XE- 2100. The results showed that the values of WBC of the 1661 healthy adults in Tibet were lower than that the 541 people lived in plain （P 〈0.01 ）. Compared with the people lived in plain,the values of the RBC,Hb and HCT of the healthy adults lived in Tibet were higher than that in plain （ P 〈 0. 001 ）, and there was significant difference between males and females （P 〈0.001 ）. The values of PLT of the health adults in Tibet were lower than that of the people lived in plain （P 〈0. 001 ）. The reference range of the WBC was （3.4 -8.8） ×10^9/L in males of Han nationality and （3.4 - 9.0）×10^9/L in females, （3.4 - 8.7 ） ×10^9/L in males of Zang nation- ality and （3.4 ~ 8.6）×10^9/L in females. The range of RBC was （4.8 - 6.8 ） ×10^9/L in males of Han and （4.3 -5.8） ×10^12/L in females, （4.6 -6.9） x lO12/L in males of Zang and （4.1 -5.8） ×10^12/L in fe- males. The range of Hb was （ 149 ~ 210 ） g/L in males of Han and （ 123 - 170） g/L in females, （ 147 - 211 ） g/ L in males of Zang and （ 120 ~ 170 ） g/L in females. The range of HCT was 0.45 - O. 65 in males of Han and 0. 39 -0.53 in females,0.44 -0.65 in males of Zang and 0.37 -0.54 in females. The range of PLT was （88 257） ×10^9/L in males of Han and （97 -266） ×10^9/L in females, （89 -270） ×10^9/L in males of Zang and （98 -280） ×10^9/L in females. The RDW was less than 15.3% . It is necessary to set up the correct indexes of the adults in plateau so as to provide reliable reference for clinic.