血常規(guī)正常參考值與地理因素的非線性分析
[Abstract]:Significance: hemoglobin and normal reference values of red blood cell count play an important role in clinical practice, which can be used to determine whether or not people of different ages and sexes have anemia and the degree of anemia. Hemoglobin and red blood cell count are closely related to the geographical environment (temperature, humidity, altitude, sunshine, precipitation, water quality, soil, etc.) where people live for a long time. This paper studies the close relationship between the normal reference value of hemoglobin and red blood cell count of different ages and sexes and geographical factors, and reveals its distribution rule, which provides a reliable scientific basis for clinical diagnosis. The theoretical basis, method and process of the study: in order to explore the complex relationship between the normal reference value of each blood routine index and various geographical factors selected, this paper through a large number of retrieval literature, as well as the method of seeking purchase from relevant units, The normal reference values of hemoglobin and red blood cell count of different ages and sexes in all regions of China were collected, mainly for young men and elderly women. The normal reference value of hemoglobin in old men, the normal reference value of red blood cell count in young men, the normal reference value of red blood cell count in young women, the normal reference value of red blood cell count in middle-aged men, The normal reference value of red blood cell count in middle aged women and the normal reference value of red blood cell count in male in pre-old age were 8 indexes. According to the shared information provided by the data center of the State Survey and Mapping Bureau, the shared data provided by the data center of the National Meteorological Administration and relevant geographical works, dictionaries and related documents, Five geographical factors were collected: altitude (X _ 1), annual sunshine hours (X _ S _ 2), annual mean temperature (X _ S _ 3), annual average relative humidity (X _ 4), annual precipitation (X _ 5). In this paper, the linear and nonlinear models of medical indexes and these geographical indexes are studied, and the complex linear models and nonlinear BP neural network models between them are established. The linear model is mainly factor analysis model and trend surface analysis model, and the nonlinear model is BP neural network model. Using the above model and the parameters in the model, the corresponding geographical factor indexes of 1288 observation points were added to calculate the normal reference values of hemoglobin and red blood cell count for different ages and genders in these 128 places. With the help of geostatistical analysis module in GIS spatial analysis, the geographical distribution map of normal reference value of blood routine index is accurately interpolated by Kriging (Kriging) interpolation method. Conclusions and innovations of the study: if we know the geographical factors in a certain place in China, we can establish a model to estimate the normal reference values of hemoglobin and red blood cell count for different ages and genders in this area. Normal reference values for any part of China can also be obtained from geographical maps. Among the three models applied, it is found that the accuracy of the nonlinear model is the highest, which can provide the basis for clinical diagnosis. The innovation of this research method lies in the linear and nonlinear quantitative study of the normal reference values and geographical factors of hemoglobin and red blood cell count of people of different ages and different genders. Compared with the simple correlation analysis and regression analysis, the artificial interference is reduced and the simulation accuracy is improved. Taking the whole region of China as the research object, using the method of GIS spatial analysis and using the Kriging interpolation method in the geostatistical analysis module, the trend distribution map of the normal reference value is drawn accurately. The research methods and results of this paper will enrich the contents of clinical medicine, clinical laboratory, hematology, medical geography, environmental medicine and physiology.
【學(xué)位授予單位】:陜西師范大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2008
【分類號(hào)】:R188
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