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血常规指标在早期慢性苯中毒机体损伤中的价值研究
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R446.11+1

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基金项目:广东省科技计划项目(编号:2014A020212028)


Study on the value of blood routine index in early chronic benzene poisoning
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    摘要:

    目的 观察慢性苯中毒患者的血常规指标,探讨其早期判断慢性苯中毒对血液系统损害的价值,为临床监测慢性苯中毒机体损伤的发生及其早期干预提供依据。方法 选取广州市第十二人民医院慢性苯中毒患者48例,依据《职业性苯中毒诊断标准(GBZ 68-2013)》将其分为慢性轻度苯中毒组、慢性中度苯中毒组、慢性重度苯中毒组,同时选取健康体检者50例为对照组,比较4组血常规指标[红细胞计数(RBC)、白细胞计数(WBC)、血小板(PLT)]水平差异,并绘制工作者受试特征曲线分析其对慢性苯中毒的诊断价值。结果 不同病情程度的慢性苯中毒患者的血常规指标RBC、WBC和PLT水平比较,差异均有统计学意义(均 P<0.05);且随着中毒程度的加深,患者的 RBC、WBC 和 PLT 水平均呈上升趋势(均 P< 0.05);RBC+WBC+PLT、PLT、WBC和RBC的曲线下面积分别为0.926、0.902、0.812、0.783。结论 PLT、WBC和RBC对早期苯中毒的诊断价值较高,可成为早期慢性苯中毒的诊断及发现机体损伤检测的实验室指标。

    Abstract:

    Objective In order to observe the blood routine indicators of patients with chronic benzene poisoning, toexplore the value of early judgment of chronic benzene poisoning on blood system damage, and to provide basis for clinical monitoring of the occurrence of chronic benzene poisoning and early intervention. Methods Forty- eight patients with chronic benzene poisoning in the 12th People's Hospital of Guangzhou were selected and divided into chronic mild benzene poisoning group, chronic moderate benzene poisoning group, and chronic benzene poisoning group according to the "Diagnostic Standards for Occupational Benzene Poisoning (GBZ 68- 2013)" In the severe benzene poisoning group, 50 healthy people were selected as the control group. The blood routine indexes [red blood cells (RBC), white blood cells (WBC), platelets (PLT)] levels of the four groups were compared, and the ROC curve was drawn to analyze their effects on chronic benzene. The diagnostic value of poisoning. Results The differences in the blood routine indexes RBC, WBC and PLT levels of patients with chronic benzene poisoning of different disease levels were statistically significant (P<0.05); and as the degree of poisoning deepened, the patients' RBC, WBC and PLT levels showed Increasing trend (P<0.05); the AUC of RBC +WBC + PLT, PLT, WBC and RBC were 0.926, 0.902, 0.812, 0.783, respectively. Conclusion PLT, WBC and RBC have high diagnostic value for early benzene poisoning, and can be used as laboratory indicators for early diagnosis of chronic benzene poisoning and detection of body damage.

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  • 在线发布日期: 2021-11-15
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