MCV、MCH和RDW检测在小儿缺铁性贫血诊断中应用的意义分析

目的研究和比较缺铁性贫血患儿和健康儿童的血红细胞参数差异情况,为临床诊断小儿缺铁性贫血提供指导依据。方法选取本院2010年12月～2012年12月收治的小儿缺铁性贫血患儿和健康体检儿童共96例作为研究对象,按照是否患有缺铁性贫血分为健康儿童组和缺铁性贫血患儿组,针对两组儿童的平均红细胞容积（MCV）、平均红细胞血红蛋白量（MCH）、红细胞分布宽度（RDW）进行比较研究。结果健康儿童的MCV、MCH水平显著高于缺铁性贫血患儿水平,健康儿童的RDW水平显著低于缺铁性贫血患儿水平,两组间比较,差异均有统计学意义（P均〈0.05）。结论采用MCV、MCH和RDW检测诊断小儿缺铁性贫血具有重要的临床诊断价值,是临床诊断小儿缺铁性贫血的可靠方法。

The significance analysis of MCV,MCH and RDW detection in the application of the diagnosis of children with iron deficiency anemia

Objective To study and compare the differences of red blood cell parameters for children with iron deficiency anemia patients and healthy children,so as to provide guidance basis for the clinical diagnosis of children with iron deficiency anemia.Methods 96 cases of the healthy check-up of children with iron deficiency anemia patients and healthy children in our hospital from December 2010 to December 2012 were chosen as the research object.According to whether suffered from iron deficiency anemia group,they were divided into the health children group and the children with iron deficiency anemia group.In viewed of the erythrocyte mean corpuscular volume（MCV）,red cell distribution width（RDW） and mean corpuscular hemoglobin（MCH） of the two groups,they were taken for research.Results The MCV and MCHC level in the healthy children was significantly higher than that of children with iron deficiency anemia;The RDW level of healthy children was significantly lower than that of children with iron deficiency anemia,compared between the two groups,the differences were all statistically significant（P＆lt;0.05）.Conclusion In the practice of clinical diagnosis of children with iron deficiency anemia,the MCV,RDW and MCH detection has an important clinical diagnostic value,and it is a reliable method in clinical diagnosis of children with iron deficiency anemia.