摘要
目的探究全自动血细胞分析仪对血常规检验的临床应用价值,从而为临床疾病诊疗提供可靠依据。方法选取2019年1月—2020年12月天津市河西区尖山街社区卫生服务中心行血常规检验的患者100例,根据检验方式的不同,分为研究组和对照组各50例。研究组接受全自动血细胞分析仪检验,对照组接受血涂片细胞形态学检验。对两组检验结果进行分析比较,分析两组检验方式阳性检出率情况。结果相较于对照组,研究组幼稚细胞、原始细胞阳性检出率相对更低,差异均有统计学意义(P<0.05)。两组中性粒细胞、嗜碱性粒细胞、嗜酸性粒细胞、淋巴细胞阳性检出率比较,差异无统计学意义(P>0.05)。结论在临床血常规检验中应用细胞形态学镜检及全自动血细胞分析仪,均有明显的检验价值,两种方法各具优势与不足,前者能直观、立体显示血细胞形态学特点,且检验准确性高,但操作相对复杂,而后者操作便捷、检验快速,但仍存在一定的假阳性率,在临床实际应用中可将两种检验方式联合应用,可进一步提高检验准确性。
Objective To explore the clinical application value of fully automated blood cell analyzer for blood routine test,in order to provide reliable basis for clinical disease diagnosis and treatment.Methods A total of 100 patients who underwent blood routine test at Tianjin Hexi District Jianshan Street Community Health Service Center from January 2019 to December 2020 were selected and divided into study group and control group according to different inspection methods,with 50 patients in each group.The study group received fully automated blood cell analyzer test,while the control group received blood smear cell morphology test.The results of the two groups were analyzed and compared,and the positive detection rate of the two test methods were analyzed.Results Compared with the control group,the positive detection rate of immature cells and primitive cells in the study group were relatively lower,and the differences were statistically significant(P<0.05);there were no statistically significant differences in the positive detection rates of neutrophils,basophils,eosinophils and lymphocytes between two groups(P>0.05).Conclusion The application of cell morphology microscopy and fully automated blood cell analyzer in clinical blood routine test had obvious testing value,with each having its own advantages and disadvantages.The former could intuitively and stereoscopically display the morphological characteristics of blood cells,and had high test accuracy,but the operation was relatively complex.The latter was convenient and fast to operate,but there was still a certain false positive rate.In clinical practical applications,the two test methods could be combined,which could further improve the accuracy of the test.
作者
高瑞
GAO Rui(Department of Clinical Laboratory,Tianjin Hexi District Jianshan Street Community Health Service Center,Tianjin 300042,China)
出处
《中国城乡企业卫生》
2024年第1期144-146,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
血常规检验
全自动血细胞分析仪
血涂片细胞形态学
Blood routine test
Fully automated blood cell analyzer
Cell morphology of blood smear
