季节变化对血液指标的影响
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Influence of seasonal variation on blood parameters
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    目的:基于大量健康体检者的检测数据评估季节对血液指标的影响。方法:所有研究数据均随机抽取自四川省人民医院健康管理中心体检数据库。用非参数秩和检验比较各个指标在不同季节之间的差异。结果:丙氨酸转氨酶(alanine amino-transferase,ALT)在冬季达到最高值;血糖(glucose,Glu)、总胆固醇(total cholesterol,TC)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol,HDL-C)、红细胞计数(red blood cell,RBC)、血细胞压积(hematocrit,HCT)、血红蛋白(hemoglobin,HGB)夏季较低、冬季较高;尿酸(uric acid,UA)、甘油三酯(triglyceride,TG)、直接胆红素(direct bilirubin,Dbil)、总胆红素(total bilirubin,Tbil)、肌酐(creatinine,CRE)均在夏季达到最高值,冬季达到最低值。结论:季节变化对ALT、Glu、TC、HDL-C、RBC、HCT、HGB、UA、TG、DBIL、TBIL、CRE等指标的检测有影响。本分析结果为不同季节疾病的诊断、治疗和监测提供了依据。

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    Objective:To investigate the influence of season on blood parameters based on the data of healthy individuals undergoing physical examination. Methods:The research data were randomly selected from the physical examination database of healthy individ-uals at the Health Management Center & Physical Examination Center of Sichuan Provincial People’s Hospital. A nonparametric rank sum test was used to compare related indices across seasons. Results:Alanine aminotransferase(ALT) reached the peak in winter. Glu-cose(Glu),total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),red blood cell count(RBC),hematocrit(HCT),and hemoglobin(HGB) were lower in summer and higher in winter. Uric acid(UA),triglyceride(TG),direct bilirubin(DBil),total biliru-bin(TBil),and creatinine(CRE) reached the highest values in summer and the lowest values in winter. Conclusion:Seasonal varia-tion has influence on ALT,Glu,TC,HDL-C,RBC,HCT,HGB,UA,TG,DBil,TBil,and CRE. The results of this analysis provides a basis for the diagnosis,treatment,and monitoring of diseases in different seasons.

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林婷,帅平,刘玉萍,黄璐琳,杨正林.季节变化对血液指标的影响[J].重庆医科大学学报,2019,(6):820-

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  • 在线发布日期: 2019-07-02
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