检验医学 ›› 2012, Vol. 27 ›› Issue (6): 454-456.

• 临床检验与血液学检验论著 • 上一篇    下一篇

可溶性转铁蛋白受体在缺铁性贫血诊断中的临床应用价值

柏晓松   

  1. 上海市杨浦区市东医院检验科,上海 200438
  • 收稿日期:2012-03-10 出版日期:2012-06-30 发布日期:2012-06-06
  • 作者简介:柏晓松,男,1968年生,主管技师,主要从事临床生化检验工作。

Clinical application significance of serum soluble transferrin receptor in diagnosis of iron deficiency anemia

  1. Department of Clinical Laboratory, Shidong Hospital,Shanghai 200438,China
  • Received:2012-03-10 Online:2012-06-30 Published:2012-06-06

摘要: 目的 探讨血清可溶性转铁蛋白受体(sTfR)在缺铁性贫血(IDA)诊断中的临床应用价值。方法 选择正常对照组和IDA患者组各58例,同等条件下对2组sTfR、血清铁(Fe)、总铁结合力(TIBC)、转铁蛋白饱和度(TS)、转铁蛋白(Tf)、血清铁蛋白(SF)、血红蛋白(Hb)、平均红细胞容积(MCV)、平均红细胞血红蛋白量(MCH)、平均红细胞血红蛋白浓度(MCHC)、红细胞体积分布宽度(RDW)等指标进行定量检测,并分别行t检验和ROC曲线分析。结果 IDA组血清sTfR浓度为(46.40±9.43)nmol/L,正常对照组的sTfR浓度为(15.45±2.95)nmol/L,与对照组比较,IDA组血清sTfR明显升高,差异具有统计学意义(P<0.01)。用于IDA诊断时,sTfR的ROC曲线下面积达0.971(P<0.01)。 结论 血清sTfR浓度可较准确反映铁贮存状况,对IDA的诊断具有一定的临床实用价值。

关键词: 可溶性转铁蛋白受体, 缺铁性贫血, 临床应用价值

Abstract: Objective To investigate the clinical application significance of serum soluble transferrin receptor (sTfR) in diagnosis of iron deficiency anemia (IDA). Methods A total of 58 controls and 58 patients with IDA were enrolled in the study. Iron metabolism related indices such as sTfR, serum iron(Fe), total iron binding capacity (TIBC), transferrin saturation (TS), transferrin (TF), serum ferritin (SF), hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC) and red blood cell volume distribution width (RDW) were detected quantitatively. The data were analyzed by t test between groups and receiver operating characteristic (ROC) curve. Results The levels of sTfR were (46.40±9.43) nmol/L in IDA group and (15.45±2.95) nmol/L in control group. There were statistical significances between the sTfR levels of IDA and control groups (P<0.01). The area under the ROC curve of sTfR was 0.971(P<0.01). Conclusions Serum sTfR can reflect iron storage in body correctly. The sTfR has a clinical application significance in the diagnosis of IDA.

Key words: Soluble transferrin receptor, Iron deficiency anemia, Clinical application significance