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目的探讨常规血液检测中红细胞和血小板参数的变化在恶性疟疾感染疾病诊断中的应用价值。方法用ABX micros 60血细胞分析仪检测160例恶性疟疾确诊患者和160名健康对照者的RBC、Hb、HCT、PLT、MPV等红细胞和血小板的11项参数,并进行对比分析。结果恶性疟组RBC、Hb、HCT、MCV、PLT、PCT和PDW等7个参数值均低于健康对照组,差异具有统计学意义(P<0.01),两组MCH、MCHC、RDW以及MPV 4项指标比较差异无统计学意义(P>0.05)。结论将RBC、Hb下降以及PLT计数下降作为恶性疟疾感染诊断的辅助指标,将为疟原虫感染的诊断提供有价值的参考。
Objective To investigate the value of red blood cell and platelet parameters in routine blood tests in the diagnosis of malaria infection. Methods Eleven parameters of RBC, Hb, HCT, PLT, MPV and other red blood cells and platelets in 160 patients diagnosed with malaria and 160 healthy controls were detected by ABX micros 60 hematology analyzer and compared. Results Seven parameters of RBC, Hb, HCT, MCV, PLT, PCT and PDW in the falciparum malaria patients were lower than those in the healthy controls (P <0.01). The MCH, MCHC, RDW and MPV 4 There was no significant difference between the indexes (P> 0.05). Conclusion The decrease of RBC, Hb and the decrease of PLT count as auxiliary indicators for the diagnosis of malaria infection will provide valuable reference for the diagnosis of Plasmodium infection.