加强细胞形态学培训 有效提高检验人员专业素质的研究  

Enhancing the profession skill by strengthening the morphologic training

作　　者：刘劲松[1] 夏吉荣[1] 赖利华[1] 赖晓霏[1] 张莉萍[1] 

机构地区：[1]重庆医科大学附属第一医院检验科,400016

出　　处：《重庆医学》2009年第19期2441-2442,共2页Chongqing medicine

摘　　要：目的分析细胞形态学培训前后检验人员专业素质的情况。方法由具有丰富形态学工作经历和资质的老师事先在显微镜下选定人体血液细胞和尿液、分泌物及排泄物中的有形成分,让具有上岗资质的检验工作人员在显微镜下于规定的时间内辨认结果,并统计分析与参考结果的符合率。结果多数工作人员对形态典型的血液细胞和尿液中有形成分均能正确识别,符合率达80%以上;但是对形态不典型的血液细胞、血液寄生虫和尿液、分泌物及排泄物标本中的某些有形成分的识别符合率较低;经对相关人员多次培训后形态学辨认的符合率明显提高(P<0.01)。结论加强检验人员的形态学培训是提高专业素质的有效途径。Objective To investigate the effect on the microscopic examination skill of the staff,before and after the morphologic training. Methods Cells or visible components in blood, urine and secretion were identified by the qualified staffs using microscopic examination in limited time. Meanwhile, the coincidence rate between the results obtained by microscopic examination and the reference results was statistically analyzed. Results Normal blood cells and common urinary formed elements could be identified by most staff, and 80 % of coincidenee rate would be obtained by statistical analysis. However, atypical blood cells, parasites, and visible components could cause problems in accurate determination, and the lower coincidence rate was obtained. Through the training, the coincidence rate would be increased obviously （P〈0.01）. Conclusion The training of the staff with morphology could contribute to the enhancement of the skill.

关 键 词：显微镜检查 形态学检查 人员培训 

分 类 号：R329.24[医药卫生—人体解剖和组织胚胎学] R446.1[医药卫生—基础医学]