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1、红细胞分布宽度在慢性阻塞性肺疾病中的诊断价值[摘要]目的探讨红细胞分布宽度(RDW)对慢性阻塞性肺疾病(COPD)的诊断价值,为COPD的早期诊断发掘新的标志物。方法采集2015年11〜12月成都中医药大学附属医院COPD患者(204例)、肺恶性肿瘤患者(96例)及健康体检者(71例)的静脉血2mL,检测三组的RDW值,one-wayANOVA法比较三组间RDW值变化。绘制RDW诊断COPD的受试者工作曲线(ROC曲线),计算灵敏度、特异度和约登指数,诊断界值cut-off值。结果与健康体检者比较,RDW在COP
2、D患者及肺恶性肿瘤患者中均显著升高(P[关键词]红细胞分布宽度;慢性阻塞性肺疾病;诊断标志物;诊断价值[中图分类号]R563.9[文献标识码]A[文章编号]1673-7210(2016)04(a)-0123-04DiagnosticvalueofredbloodcelldistributionwidthonchronicobstructivepulmonarydiseaseHUQiongyingZHANGShuangZENGYuZHANGChaomingDepartmentofLaboratoryMedicine
3、,TeachingHospitalofChengduUniversityofTraditionalChineseMedicine,SichuanProvince,Chengdu610072,China[Abstract]ObjectiveTodiscussthediagnosticvalueofredbloodcelldistributionwidth(RDW)onchronicobstructivepulmonarydisease(COPD),andexploreanewdiagnosticmarkerforC
4、OPD.MethodsFromNovembertoDecember2015,inTeachingHospitalofChengduUniversityofTraditionalChineseMedicine,venousblood2mLofCOPDpatients(204cases),pulmonarymalignanttumorpatients(96cases)andhealthpeople(71cases)werecollected,theRDWlevelsweredetectedandcomparedbyo
5、ne-wayANOVA.Thereceiveroperatorcharacteristiccurve(ROC)wasdrew,sensitivity,specificityandYoudenfsindex(YI),cut-offvaluewerecalculated.ResultsRDWlevelsrosesignificantlyinCOPDpatientsandpulmonarymalignanttumorpatientscomparedwithhealthgroup(P综上所述,RDW预测COPD具有较高的
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