目的 研究夏季驻守在高海拔地区和低海拔地区部队男官兵血细胞分析的差异.方法 选取2022年7月18-24日239名高海拔地区(西藏安多,平均海拔4 800 m)和336名低海拔地区(江苏南京,平均海拔30 m)男官兵作为研究对象,回顾性分析不同驻地男官兵血细胞分析参数的差异.结果 高海拔组嗜酸性粒细胞百分比(EOS％)、嗜酸性粒细胞计数(EOS)明显低于低海拔组,嗜碱性粒细胞百分比(BASO％)、嗜碱性粒细胞计数(BASO)、单核细胞百分比(MONO％)明显高于低海拔组,差异均有统计学意义(P＜0.05),但两组都处于正常参考范围内.高海拔组红细胞计数(RBC)、血红蛋白(Hb)、血细胞比容(HCT)明显高于低海拔组(P＜0.05),且高海拔组Hb、HCT均处于医学参考范围上限;高海拔组平均红细胞体积(MCV)、平均红细胞Hb含量(MCH)、平均红细胞Hb浓度(MCHC)、红细胞分布宽度标准差(RDW-SD)低于低海拔组(P＜0.05),但两组都处于正常参考范围内;两组红细胞分布宽度变异系数(RDW-CV)比较差异无统计学意义(P＞0.05).高海拔组血小板计数(PLT)、血小板压积(PCT)高于低海拔组,血小板分布宽度(PDW)、血小板平均容积(MPV)、大血小板比例(P-LCR)均低于低海拔组,差异均有统计学意义(P＜0.05);低海拔组PDW处于医学参考范围上限,其他血小板相关指标均处于正常范围.结论 高海拔地区男官兵的血细胞分析指标与低海拔地区比较存在明显差异.
Objective To study the differences in the blood cell analysis of male officers and soldiers be-tween in the high altitude area station and low altitude area station in summer.Methods A total of 239 male officers and soldiers in the high altitude area(Amdo Xizang,average altitude 4 800 m)and 336 male officers and soldiers in the low altitude area(Nanjing,Jiangsu,average altitude 30 m)from July 18 to 24,2022 were selected as the study subjects and the differences in blood cell analysis parameters of male officers and soldiers stationed between at high altitude and low altitude areas were retrospectively analyzed.Results The eosino-phils percentage(EDS％),eosinophils count(EOS)in the high altitude group were significantly lower than thosein the low altitude group(P＜0.05),and the basophillic granulocyte percentage(BASO％),basophillic granulo-cyte count(BASO)and monocyte percentage(MONO％)were significantly higher than those in the low alti-tude group,and the differences were statistically significant(P＜0.05),but which in the both groups were in the normal reference ranges.The red blood cell count(RBC)hemoglobin(Hb)and hematocrit(HCT)in the high altitude group were significantly higher than those in the low altitude group(P＜0.05),moreover Hb and HCT in the high altitude group were in the upper limit of the medical reference range.The mean corpus-cular volume(MCV),mean corpuscular hemoglobin(MCH),mean corpuscular hemoglobin concentration(MCHC)and red blood cell distribution width-standard diviation(RDW-SD)in the high altitude group were lower than those in the low-altitude group(P＜0.05),but the both groups were in the normal reference ran-ges;there was no statistically significant difference in the erythrocyte distribution width coefficient of variation(RDW-CV)between the two groups(P＞0.05).The platelet(PLT)and thrombocytocrit(PCT)in the high altitude group were higher than those in the low altitude group,the platelet distribution width(PDW),mean platelet volume(MPV)and platelet large cell ratio(P-LCR)were lower than those in the low altitude group,and the differences were statistically significant(P＜0.05);PDW in the low-altitude group was at the upper limit of the medical reference range,and the other platelet-related indexes were in the normal range.Conclusion There are obvious differences in the blood cell analysis indicators of male officers and soldiers be-tween the high altitude area and low altitude area.
郑翠霞;宣佶;张丽;吴栋云;仁青巴觉;万丽丽
东部战区总医院秦淮医疗区消化科,南京 210002东部战区总医院秦淮医疗区检验科,南京 210002东部战区总医院秦淮医疗区产科,南京 210002安多县人民医院检验科,西藏那曲 852000东部战区总医院秦淮医疗区普外一科,南京 210002
临床医学
高海拔;驻守官兵;血细胞分析;血小板;差异
high altitude;garrison officers and soldiers;blood analysis;paltelet;difference
《重庆医学》 2024 (001)
84-88 / 5
江苏省"333高层次人才"培养工程项目(BRA2018408).
10.3969/j.issn.1671-8348.2024.01.017
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