儿童遗传性球形红细胞增多症中MCHC的特异性

Specificity of mean corpuscular hemoglobin concentration in children with hereditary spherocytosis

  • 摘要: 目的 观察红细胞指数平均红细胞血红蛋白浓度(Mean Corpuscular Hemoglobin Concentration,MCHC)在儿童遗传性球形红细胞增多症中的特异性。方法 应用Sysmex SE-9000全自动血液分析仪检测初诊遗传性球形红细胞增多症(Hereditary Spherocytosis,HS)、自身免疫性溶血性贫血(Autoimmune Hemolytic Anemia,AHA)、巨幼红细胞性贫血(Megaloblastic Anemia,MA)、缺铁性贫血(Iron Deficiency Anemia,IDA)患儿和对照组(儿童)各50例的MCHC。结果 HS患者MCHC显著高于其他疾病组和健康对照组(P<0.05),MCHC临界值为355g/L时,MCHC诊断HS的灵敏度和特异性分别为87.76%和98.00%。余各组间MCHC差异无统计学意义(P>0.05)。结论 MCHC增高的特异性,对临床诊断HS有重要提示意义。

     

    Abstract: Objective To observe the specificity of mean corpuscular hemoglobin concentration(MCHC) in children with hereditary spherocytosis(HS). Methods MCHC was measured in 50 children with newly diagnosed HS(HS group),50 children with autoimmune hemolytic anemia(AHA group),50 children with iron deficiency anemia(IDA group),50 children with megaloblastic anemia(MA group) and 50 healthy controls(control group) using a Sysmex SE-9000 automatic blood cells analyser. Results The MCHC was significantly higher in HS group than in AHA,IDA,MA and healthy control groups(P<0.05).The cut-off value of MCHC was 355g/L.The sensitivity and specificity of MCHC in diagnosis of HS were 87.76% and 98.00%,respectively.No difference was found in MCHC among different groups(P>0.05). Conclusion Increased specificity of MCHC is of a significant value for the diagnosis of HS in children.

     

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