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老年人的血液学实验室检查结果:年龄和性别的影响。

Haematological laboratory findings in the elderly: influence of age and sex.

作者信息

Mattila K S, Kuusela V, Pelliniemi T T, Rajamäki A, Kaihola H L, Juva K

出版信息

Scand J Clin Lab Invest. 1986 Sep;46(5):411-5. doi: 10.3109/00365518609083691.

Abstract

The effects of age and sex on haematological laboratory parameters were studied in connection with a population study in people over the age of 65 years (n = 347). Serum vitamin B12 was the only parameter which decreased significantly with advancing age. Blood leucocyte count, haemoglobin concentration, haematocrit, erythrocyte count, mean erythrocyte volume, mean erythrocyte haemoglobin and serum ferritin values were significantly higher in males than in females. Serum iron, serum transferrin, and plasma and erythrocyte folate levels did not differ between males and females. Thirteen subjects were anaemic and three of them had iron deficiency anaemia. Five subjects had iron deficiency based on serum iron and transferrin but no anaemia. Serum ferritin measurement did not reveal any further subjects with iron deficiency. No case of folate deficiency anaemia was revealed. Although many of the participants were on medication, most of them were living at home and taking care of themselves and represent relatively fit elderly people. Therefore we suggest that these laboratory data can also serve as reference values for the elderly people.

摘要

结合一项针对65岁以上人群(n = 347)的群体研究,对年龄和性别对血液学实验室参数的影响进行了研究。血清维生素B12是唯一随年龄增长而显著降低的参数。男性的血白细胞计数、血红蛋白浓度、血细胞比容、红细胞计数、平均红细胞体积、平均红细胞血红蛋白和血清铁蛋白值显著高于女性。男性和女性的血清铁、血清转铁蛋白以及血浆和红细胞叶酸水平没有差异。13名受试者贫血,其中3人患有缺铁性贫血。5名受试者根据血清铁和转铁蛋白检测结果存在缺铁但无贫血。血清铁蛋白检测未发现其他缺铁受试者。未发现叶酸缺乏性贫血病例。尽管许多参与者正在服药,但他们中的大多数人居家生活且能自理,代表了相对健康的老年人。因此,我们建议这些实验室数据也可作为老年人的参考值。

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