全自动血液分析仪分析后血涂片选择性复检方案的建立与评价  

Establishment and evaluation of the selective re-inspection plan of blood smear after fully automatic blood analyzer analysis

作　　者：邓明凤[1] 王昌富[1] 陈永玲[1] 肖秀林[1] 王长征[1] 黄俊[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院检验医学部,湖北荆州434020

出　　处：《中国卫生检验杂志》2013年第10期2298-2300,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的建立全自动血液分析仪分析后以筛查血液中异常血细胞(原始/幼稚细胞)为重点的复检方案(简称选择性复检方案),评价其实效性。方法通过双盲法对1 048份标本进行仪器分析和显微镜观察,对血液分析及临床信息进行分析、筛选,建立选择性复检方案;然后检测347份患者标本进行验证。结果与国际41条复检规则相比较,1 048份标本以选择性复检方案进行分析时,假阳性率和复检率明显减少;347例标本验证,各诊断性试验指标与建立方案时表现一致。结论运用循证医学策略,建立的选择性复检方案,保证了血涂片复检的实效性。Objective To establish the review plan （hereinafter referred to selective review scheme） to screen ab- normal blood cells （original/childish cells） in the blood after a fully automatic blood analyzer analysis and evaluate its effectiveness. Methods Using double blind methods, one thousand and forty - eight specimens were carried out instrumental analysis and microscope observation. By analyzing and screening blood and clinical information, a selective review was established to validate specimens of 347 patients. Results Compared with the 41 international rules of re - inspection, selective review scheme analysis showed less false positive rate and re - inspection rate of 1048 specimens; the diagnostic test index of 347 cases were consistent with the previous results through validation. Conclusion Based on the evidence - based medicine strategy, establishment of the selective re - inspection plan can ensure the effectiveness of blood smear re - inspection.

关 键 词：血细胞分析 复检 选择性 循证医学 策略 

分 类 号：R446.11[医药卫生—诊断学]