摘要
目的研究血涂片细胞形态学检测联合全自动血液细胞分析仪在血常规检验中的应用价值。方法选取2019年1月-2021年5月于江西省景德镇市乐平大连医院行血常规检验的68例受检者,进行血涂片细胞形态学镜检、全自动细胞分析仪进行检测及联合检测,分析其检验结果。结果细胞仪检测阳性率高于联合检测(P<0.05);细胞仪检测与联合检测在单核细胞、中性粒细胞、嗜酸性细胞及淋巴细胞中的阳性检出率比较,差异无统计学意义(P>0.05),但联合检测对嗜碱性细胞的阳性检出率低于细胞仪检测(P<0.05);以单独血涂片镜检结果为金标准,细胞仪检测与联合检测在非发热受检者中的检验准确率比较,差异无统计学意义(P>0.05),但联合检测对发热受检者的检验准确率高于细胞仪检测(P<0.05)。结论在全自动血液细胞分析仪检验基础中联合血涂片细胞形态学检测,可实现优势互补,纠正其假阳性结果,提高血常规检验的准确性。
Objective To study the application value of blood smear cell morphology detection combined with automatic blood cell analyzer in blood routine test.Methods From January 2019 to May 2021,68 subjects who underwent routine blood test in Leping Dalian Hospital of Jingdezhen City,Jiangxi Province were selected for blood smear cell morphology microscopy,automatic cell analyzer and combined detection,and the test results were analyzed.Results The positive rate of cell analyzer was higher than that of combined detection(P<0.05).There was no significant difference in the positive detection rate of monocytes,neutrophils,eosinophils and lymphocytes between cell analyzer and combined detection(P>0.05),but the positive detection rate of basophils by combined detection was lower than that by cell analyzer(P<0.05).With the results of single blood smear microscopy as the gold standard,there was no significant difference in the accuracy of cell analyzer detection and combined detection in non-fever subjects(P>0.05),but the accuracy of combined detection in fever subjects was higher than that of cell analyzer detection(P<0.05).Conclusion The combination of automatic blood cell analyzer and blood smear cell morphology detection can realize complementary advantages,correct false positive results and improve the accuracy of blood routine test.
作者
余梅香
杨爱红
彭林英
YU Mei-xiang;YANG Ai-hong;PENG Lin-ying(Department of Laboratory,Leping Dalian Hospital,Leping 333300,Jiangxi,China;AIDS Department of Leping Center for Disease Control and Prevention,Leping 333300,Jiangxi,China;Department of Pharmacy,Leping Orthopedic Hospital,Leping 333300,Jiangxi,China)
出处
《医学信息》
2022年第24期157-159,共3页
Journal of Medical Information
关键词
血常规检验
血涂片细胞形态学检测
全自动血液细胞分析仪
白细胞分类
嗜碱性细胞
Routine blood test
Blood smear cell morphology detection
Automatic blood cell analyzer
White blood cell classification
Basophilic cells
