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MCV、MCH和RDW对孕前筛查地中海贫血的意义
引用本文:丁高侬,郑雁坚,王治伟.MCV、MCH和RDW对孕前筛查地中海贫血的意义[J].白求恩军医学院学报,2011,9(3):163-165.
作者姓名:丁高侬  郑雁坚  王治伟
作者单位:丁高侬,郑雁坚,DING Gaonong,ZHENG Yanjian(广东省台山市计划生育服务站,529200);王治伟,WANG Zhiwei(广州医学院港湾医院,510700)
摘    要:目的探讨平均红细胞体积(MCV)、平均红细胞血红蛋白含量(MCH)、红细胞分布宽度(RDW)对孕前筛查地中海贫血(地贫)的应用价值。方法采用全自动血细胞分析仪检测基因诊断的地贫患者(地贫组)和健康者(对照组)的血常规,分析地贫患者MCV、MCH、RDW的变化规律,判断此筛查方法的灵敏度。结果各类地贫患者的MCV、MCH、RDW与正常对照者比较差异显著(P〈0.05)。地贫患者MCV和MCH正常、RDW升高者占1.6%,MCV和MCH降低、RDW正常者占23.4%,MCV和MCH降低、RDW升高者占71.9%;筛查地贫灵敏度达96.9%。结论综合分析MCV、MCH和RDW变化,可以作为地中海贫血高发区计划生育服务站筛查地贫的初筛手段;此方法简便、经济、实用。

关 键 词:地中海贫血  平均红细胞体积  平均红细胞血红蛋白含量  红细胞分布宽度

The value of MCV,MCH and RDW in screening for thalassemia in pre-pregnancy checkup
DING Gaonong,ZHENG Yanjian,WANG Zhiwei.The value of MCV,MCH and RDW in screening for thalassemia in pre-pregnancy checkup[J].Journal of Bethune Military Medical College,2011,9(3):163-165.
Authors:DING Gaonong  ZHENG Yanjian  WANG Zhiwei
Institution:DING Gaonong,ZHENG Yanjian,WANG Zhiwei. Family Planning Service Station,Taishan,Guangdong 529200,China
Abstract:Objective To examine the value of MCV (mean corpuscular volume),MCH (mean corpuscular hemoglobin) and RDW (red blood cell distribution width) in screening for thalassemia in pre-pregnancy checkup.Methods Mean corpuscular volume, MCH and RDW of the thalassemia patients(thalassemia group)diagnosed with polymerase chain reaction technique,as well as the healthy subjects(control group), were determined using automatic blood cell analyzer.Results The MCV,MCH and RDW were statistically different between the thala...
Keywords:Thalassemia  Mean corpuscular volume  Mean corpuscular hemoglobin  Red blood cell distribution width  
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