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目的探讨机体在择期手术后应激状态下白细胞VCS参数的变化.方法使用Beckman Coulter LH780全自动血细胞分析仪检测70例健康人和70例择期手术患者手术前后的外周血,记录血常规及VCS参数各项参数,进行统计学计算,阐明术后应激患者VCS参数的变化.结果术前组与术后组进行T检验的结果为术后组的MNV、MLS、MMV、MMS、NVSD、NCSD、LVSD、MVSD和MSSD均高于术前组,将术前组和术后组的数据与健康对照组进行LSD检验,结果显示,术前组的MNC、MNS、MLC、MLS、MMC及MMS均低于健康对照组,术前组的NSSD、LSSD、MVSD及MSSD均高于健康对照组,术后组的MNV、MMV、中NVSD、NCSD、NSSD、LSSD、MVSD和MCSD均高于健康对照组,术后组的MNC、MNS、MLC、MLS、MMC及MMS均低于健康对照组.结论术后应激患者的外周血细胞不仅有数量的改变,体现形态学的VCS参数也会发生变化,这一研究结果显示手术应激因素会导致白细胞形态变化,并可由VCS参数体现,可应用于术后应激状态的监测.“,”Objective To investigate the changes of VCS parameters in postoperative patients.Methods 70 patients make the preoperative group and the postoperative group,70 healthy people in the healthy group.The blood routine test was conducted to get the VCS parameters.Then the data were analyzed with SPSS17.0 to find the statistical significance.Results The results of the T test between the groups before and after the operation patients indicate the MNV、MLS、MMV、MMS、NVSD、NCSD、LVSD、MVSD and MSSD of the postoperative patients are higher than the pre-operative patients.Conclusions The postoperative patients not only have a change in the number of WBC,but also in VCS parameters which give morphological messages.This research indicate that surgery is one of the reasons that can cause the change of VCS parameters,they can be used to monitor of the postoperative stress.