论文部分内容阅读
近年来,日本平均寿命的延长使老年人的医院门诊人次显著增加。因此,有必要按老年人的特征来解释临床检验数值。以前的所谓正常值是根据青年人的数值而定的,极少见到所谓的“老年人的正常(参考)值”,由于年龄的增长临检参数值发生了变化,因而有必要制定老年人的正常(参考)值。年龄增长引起正常(参考)值的改变作者曾报导通过Hoffmann法求出标准值或标准范围,并阐述了年龄增长引起的临床检验参数值变化。他用了大约一年半的时间,对自己所在医院的老年患者按年龄和性别检查其临床检验参数值,并随机选择各组约1500例,用上述Hoffmann法去掉M±2SD以外的数值,经反复操作把不能除去的M±SD的数值作为标准值(范围)。该法没有考虑到检查对象的生理变化〔即采血的季节、时间(一般是早晨空腹)、体位、生活环境,特别是饮食及服
In recent years, the extension of Japan’s average life expectancy has significantly increased the number of hospital outpatient visits for the elderly. Therefore, it is necessary to interpret the clinical test values according to the characteristics of the elderly. The so-called “normal (reference) value of the elderly” is seldom seen in the so-called “normal values” of the former so-called normal values according to the values of young people. Since the clinical parameter values have changed as a result of aging, it is necessary to formulate the guidelines for the elderly The normal (reference) value. Changes in Normal (Reference) Values Caused by Age Growth The authors have reported the standard values or standard ranges obtained by the Hoffmann method and described the changes in clinical test parameters caused by age. He spent about a year and a half on the age of the elderly patients in their own hospital and check the clinical test parameters, and randomly selected about 1500 cases in each group, using the Hoffmann method to remove the M ± 2SD values other than Repeatedly set the value of M ± SD that can not be removed as a standard value (range). The law does not take into account the physical changes in subjects (ie blood sampling season, time (usually morning fasting), posture, living environment, especially diet and clothing