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肝硬化患者网织血小板和血小板参数的临床应用价值
作者:王修石  冷小艳 
单位:四川省达州市中心医院 四川 达州 635000 
关键词:肝硬化 网织血小板 大血小板比率 平均血小板体积 血小板分布宽度 
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出版年,卷(期):页码:2016,8(2):82-85
摘要:

摘要:目的 探讨肝硬化患者网织血小板与血小板参数的临床应用价值及其与Child-Pugh肝功能分级
的关系。方法 选择2014年1月至2015年8月于本院住院并确诊为肝硬化的162例患者作为观察组,其
中Child-Pugh A级65例,Child-Pugh B级56例,Child-Pugh C级41例。选取同期于本院体检中心正常
健康体检者50例为对照组。应用Sysmex XN-9000全自动血球分析仪流水线检测所有受检者的网织血
小板(reticulated platelet,RP)、血小板(platelet,PLT)及其参数。结果 ①与健康对照组比较:观
察组RP和PT值显著降低,未成熟网织血小板比率(immature platelet fraction,IPF)、大血小板比率
(platelet-large cell ratio,P-LCR)、血小板体积分布宽度(platelet distribution width,PDW)和平均
血小板体积(mmean platelet volume,MPV)显著升高,差异有统计学意义(P值均为0.001);②按
Child-Pugh标准分级显示:随Child-Pugh分级的递增,IPF、MPV、PDW和P-LCR值逐渐升高,PLT和
RP值则逐渐降低,且3组间差异显著(P值均为0.001)。结论 网织血小板(RP、IPF)和血小板参数
(PLT、MPV、PDW、P-LCR)可以有效评估肝硬化程度,可判断和评估肝硬化实质损害程度及病
情,为临床医生制定合理的治疗方法及预防方案提供可靠依据。

Abstract: Objective To investigate the clinical value of reticulated platelet and platelet parameter in patients
with liver cirrhosis and its relationship with Child-Pugh. Methods Total of 162 patients with liver cirrhosis
from January 2014 to August 2015 in our hospital were selected as the observation group, of whom Child-Pugh
A grade were 65 cases, Child-Pugh B grade were 56 cases and Child-Pugh C grade were 41 cases. Fifty cases
of healthy controls were selected in the same period. XN-9000 Sysmex automatic blood cell analyzer was
used to detect the network of platelet, platelet and its parameters. Results ①Compared with healthy control
group, the reticulated platelet (RP) and platelet (PLT) values decreased significantly, but the value of immature
platelet fraction (IPF), mean platelet volume (MPV), platelet distribution width (PDW) and platelet-large cell
ratio (P-LCR) increased significantly, the differences were statistically significant (P = 0.001); ②According to
Child-Pugh standard grading display: with Child Pugh grade increasing, the IPF, MPV, PDW and P-LCR value
increased gradually, PLT and RP value decreased gradually and the differences were statistically significant
among the three groups (P = 0.001). Conclusion Reticulated platelet (RP and IPF) and platelet parameter
(PLT, MPV, PDW and P-LCR) can effectively evaluate the degree of liver cirrhosis and can be used as
clinical evaluation and assessment indicators of the severity of cirrhosis, which can provide a reliable basis for
clinicians to develop reasonable treatment and prevention.

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