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目的了解昭通市回族同胞血小板减少的发生率以及相关参数的流行病学变化。方法全自动血细胞分析仪对非血液病就医及健康体检者回族1 326例,汉族872例的血小板数(PLT)、血小板平均体积(MPV)、血小板压积(PCT)、血小板分布宽度(PDW)进行检测并比较。结果回族1 326例中血小板减少者597例,检出率45.02%;以30岁以上年龄段为高发;汉族872例中血小板减少者69例,检出率7.91%,2者比较χ2=341(P<0.01)具统计学意义,回族与汉族比较PCT降低,PDW增加。结论昭通市回族血小板减少多见,与性别、免疫因素、移居和海拔高度无明显相关性;与年龄、饮食营养、血小板生成相关。回族血小板相关指数异常警示临床,提高回族患者、孕妇的用药和手术安全。
Objective To understand the prevalence of thrombocytopenia among the Hui nationality in Zhaotong City and the epidemiological changes of related parameters. Methods Total number of platelets (PLT), platelet volume (MPV), platelet pressure (PCT) and platelet distribution width (PDW) of 1 326 Hui patients and 872 Han patients were measured by automatic hematology analyzer. Test and compare. Results A total of 597 cases of thrombocytopenia were detected in 1 326 cases of Hui nationality, with a detection rate of 45.02%. The prevalence of thrombocytopenia was higher in those over 30 years of age. 69 cases of thrombocytopenia were found in 872 Han cases, with a detection rate of 7.91% P <0.01) with statistical significance, the PCT lower Hui and Han, PDW increased. Conclusion The incidence of thrombocytopenia in Zhaotong Hui people is more common than gender, immune factors, migration and altitude, but not related to age, dietary nutrition and platelet production. Hui platelet-related index abnormal warning clinics to improve the Hui patients, pregnant women medication and surgical safety.