朱发术

【摘 要】 目的：探讨98例煤工尘肺患者血常规指标特点。方法：选择本院2017年1月至2019年1月收治的98例煤工尘肺患者作为本次研究的观察组，同时选择98名健康的体检者作为本次研究的对照组，对比两组血常规相关指标水平的实际变化情况。结果：观察组与对照组红细胞计数、血小板计数、红细胞比容以及血红蛋白计数水平比较差异无统計学意义（P>0.05）;Ⅰ期与Ⅱ期煤工尘肺患者其红细胞计数、血小板计数、红细胞比容以及血红蛋白计数水平与对照组相比，差异无统计学意义（P>0.05），但Ⅲ期煤工尘肺患者红细胞计数、血小板计数、红细胞比容以及血红蛋白计数水平明显高于对照组相关指标水平，差异形成统计学意义（P<0.05）。结论：随着患者病情的不断加重，Ⅲ期煤工尘肺患者的相关血常规指标水平的变化情况要明显高于健康者，所以，在临床中，应该对职工的体检进行高度的关注，做到早发现、早诊断以及早治疗，尽早采取有效的措施进行干预，从而防止患者病情加重。

【关键词】 煤工尘肺;血常规;指标;血红蛋白;红细胞

Discussion on the characteristics of blood routine indexes in 98 patients with coal worker's pneumoconiosis

Zhu Fashu

Health Management Section， Jianshi County People's Hospitalof Hubei Province， Enshi， Hubei 445300

[Abstract] Objective：To investigate the characteristics of blood routine indexes in 98 patients with coal worker pneumoconiosis. Methods： 98 cases of coal worker pneumoconiosis treated in our hospital from January 2017 to January 2019 were selected as the observation group， and 98 healthy physical examiners were selected as the control group to compare the actual changes of blood routine related indexes between the two groups. Results： There was no statisticallysignificant difference in erythrocyte count， platelet count， hematocrit and hemoglobin count between the observation group and the control group （P>0.05）. There was no statisticallysignificant difference in platelet count， hematocrit and hemoglobin count between the two groups （P>0.05）， but the levels of erythrocyte count， platelet count， hematocrit and hemoglobin count in stage Ⅲ coal worker pneumoconiosis patients were significantly higher than those in the control group （P<0.05）. Conclusion： With the continuous aggravation of the patient's condition， the changes of related blood routine indexes in stage Ⅲ coal worker pneumoconiosis patients are significantly higher than those in healthy people. Therefore， in clinical practice， high attention should be paid to the physical examination of workers， so that early detection， early diagnosis and early diagnosis should be paid attention to. Treatment， as soon as possible to take effective measures to intervene， so as to prevent the aggravation of the patient's condition.

[Key words]Coal worker pneumoconiosis; Blood routine; Index; Hemoglobin; Red blood cell

对于煤工尘肺疾病来说，其属于一种临床常见的职业类疾病，主要就是因为煤矿工人长期在分布大量尘埃的环境下工作，进而增加了粉尘的吸入量，导致其支气管下的肺泡中含有大量的粉尘，而后随着时间的推移，会导致煤矿工人的肺部发生很严重的变化，最后出现纤维化病灶，在煤矿这个特殊的环境中，粉尘主要由花岗石、沙子、土以及其他类的岩石所构成，从而增加了尘肺的发病率。对于煤工尘肺患者来说，其在早期发病时，无明显的症状，而当患者出现支气管炎或肺部感染等情况时，则会出现痰液、咳嗽、胸闷、胸痛以及咯血等症状，随着病情的发展，症状会越来越严重，部分患者还会出现呼吸困难等症状，同时也还会导致患者出现肺癌、肺结核以及慢性阻塞性肺疾病等，这样一来就会对患者的身心健康造成严重的影响。因此，选……