作　　者： (樊景春）; (张占林）; (张灵俐）; (吴建军）; (靳利梅）; (殷晓春）; (刘芳）;

机构地区： 甘肃中医药大学公共卫生学院,甘肃兰州730000

出　　处： 《预防医学论坛》 2017年第6期401-405,共5页

摘　　要： 目的分析2015年甘肃省朝觐人员血液指标分布情况及影响因素,为制定适合朝觐人群的血液指标参考值范围提供依据。方法对2015年在甘肃国际旅行卫生保健中心体检的3 080名朝觐人员红细胞数(RBC)、血红蛋白数(HGB)、血小板数(PLT)和红细胞平均压积(MCV)4种指标进行检测。结果检测3 080人,RBC和HGB升高比例、PLT和MCV降低比例女性高于男性(P<0.01);RBC和MCV升高与MCV降低人数在各年龄组所占比例差异有统计学意义(P<0.01),其中RBC在41~50岁年龄组升高人数构成比最高为27.72%;临夏州、甘南州、定西市的RBC和HGB升高人数,陇南市、天水市的PLT降低人数和MCV升高人数与其余地区相比差异均有统计学意义(P<0.01);且RBC和HGB与海拔呈正相关(P<0.01),PLT和MCV与海拔呈负相关(P<0.01)。结论在甘肃朝觐人群不同性别、年龄和地区间4种血液指标分布有差异,应根据不同情况制定适宜的参考值范围。 Objective To analyze the distribution and the influencing factors of blood indicators among pilgrimages from Gansu province in 2015,so as to provide the scientific basis for establishing the reference range. Methods Detection was conducted on indicators of RBC,HGB,PLT and MCV of 3 080 pilgrimages who received health checkups in 2015 in Gansu International Travel Healthcare Center. Results A total of 3 080 were detected,the increase proportions of RBC/HGB and the decrease proportion of PLT/MCV in females were higher than those in males（P〈 0.01）;The increase proportions of RBC/HGB and the decrease proportion of MCV in each age group were statistically significant（P〈 0.01）,the highest increase proportion in 41-50 years age group was 27.72%;The increase proportion of RBC and HGB in Linxia,Gannan prefectures and Dingx city,the decrease proportion of PLT and the increase of MCV in Longnan and Tianshui cities compared with that of other regions were statistically significant（P〈 0.01）;The values of RBC and HGB were positively correlated with altitude（P〈 0.01）,the values of PLT and MCV were negatively correlated with altitude（P〈 0.01）. Conclusion There are differences in indicators of RBC,HGB,PLT and MCV in in gender,age and area among pilgrimages in Gansu province,and appropriate reference range should be developed according to different conditions.

关 键 词： 朝觐 红细胞计数 血红蛋白浓度 血小板计数 平均红细胞体积