老年人群网织红细胞参数的测定及初步临床应用

The measurement of reticulocytes and clinical applications in the elderly

  • 摘要: 目的: 确定健康老年人网织红细胞(简称网红)计数与分群的参考值范围,探讨其在老年贫血的诊断及白血病化疗中的临床应用价值。方法: 用BAYERADVIA 120自动血液分析仪检测了338例健康老年人和141例老年血液病患者的网红计数及分群,对数据进行了统计学处理。结果: 网红百分率(RET)与绝对数(RET#)和低、中、高荧光强度网红百分率(LFR、MFR、HFR)在两性之间无显著性差异(P>0.05),结果: 0.0140± 0.0045、(62.22±19.28)× 109/L、0.85 71± 0.0441、0.1190± 0.0336和0.0239± 0.0139。老年贫血患者的RET#及HFR+MFR与正常参考值有显著性差异(P<0.05)。白血病化疗后骨髓受抑,其外周血中的RET#及HFR+MFR极度减低;骨髓恢复期,HFR+MFR首先出现或升高。结论: 健康老年人网红计数及分群的参考值范围与性别无关;RET#及HFR+MFR对老年贫血的分类与鉴别诊断及白血病化疗后骨髓造血功能评价具有重要意义。

     

    Abstract: Objective: to establish a reference value of the reticulocytes counts and its subpopulation in the elderly, and study the value of its clinical applications in anemias diagnosis and leukemias chemotherapy. Methods: The reticulocytes were measured by automated hematology analyzer (ADVIA 120) with oxazine 750 as fluorochrome in 338 the healthy elderly and 141 aged hematological disorders. Results: The Student′s t-test showed that there were no significant differences(P>0.05)between male and female in the healthy elderly for reticulocyte percentage (RET), reticulocyte absolute number(RET#), High fluorescence reticulocyt(HFR),middle fluorescence reticulocytes(MFR) and low fluorescence reticulocytes (LFR). They were 0.0140± 0.0045,(62.22±19.28)×109/L、0.8571±0.0441、0.1190±0.0336 and 0.0239±0.0139。There were significant differences(P<0.05)between anemias and reference value in the elderly for RET# and HFR+MFR. RET# and HFR+MFR was extremely decreased in leukemias after chemotherapy. HFR+MFR rise faster than RET# and the absolute neutrophil count (ANC)in bone marrow recovery. Conclusions: Reference value of the reticulocyte counts and its subpopulation were not correlated with sex in the healthy elderly. RET# and HFR+MFR have important significance in classification and difference diagnosis of anemias, estimation of bone marrow recovery after chemotherapy in the elderly.

     

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