血常规检验中静脉血检验与末梢血检验差异比较  

Comparison of venous blood test and peripheral blood test in routine blood test

作　　者：姚晓 YAO Xiao(Department of Laboratory,Shuiji Town Central Hospital of Jianyang District,Nanping 354200,China)

机构地区：[1]南平市建阳区水吉镇中心卫生院检验科,354200

出　　处：《中国现代药物应用》2023年第6期99-101,共3页Chinese Journal of Modern Drug Application

摘　　要：目的研究静脉血和末梢血在血常规检验中的差异。方法145例疑似病变需要开展血常规检验的患者作为调查对象,常规抽取每例患者末梢血和静脉血的血液标本开展血常规检验,并将复检确诊结果作为金标准,比较末梢血和静脉血在血常规检验中的诊断效能及各项指标的差异。结果145例疑似病变最终确诊血常规异常112例,33例经过最终确诊结果因为查出血常规异常表现,叮嘱其回家休养,未开展具体的治疗工作。经末梢血检查出血常规异常105例,经静脉血检查检出血常规异常110例。末梢血在血常规检验中的敏感度为86.61%(97/112)、特异度为75.76%(25/33)、准确度为84.14%(122/145);静脉血在血常规检验中的敏感度为96.43%(108/112)、特异度为93.94%(31/33)、准确度为95.86%(139/145)。静脉血和末梢血检出血常规异常结果比较,差异无统计学意义(P>0.05);静脉血和确诊结果比较差异无统计学意义(P>0.05);末梢血和确诊结果比较差异无统计学意义(P>0.05)。静脉血的血红蛋白、红细胞、白细胞、血小板及中间细胞百分比分别为(106.03±20.71)g/L、(3.67±0.72)×10^(12)/L、(6.45±1.23)×10^(9)/L、(242.99±47.47)×10^(9)/L、(63.15±12.34)%;末梢血分别为(111.45±21.22)g/L、(3.89±0.74)×10^(12)/L、(6.82±1.33)×10^(9)/L、(226.36±43.11)×10^(9)/L、(63.58±12.11)%。静脉血血红蛋白、红细胞、白细胞低于末梢血,血小板高于末梢血,差异有统计学意义(P<0.05);静脉血与末梢血中间细胞百分比比较差异无统计学意义(P>0.05)。结论末梢血和静脉血开展血常规诊断没有太大差异,但经过静脉血检查出的各项血液指标更接近于患者的实际病症。Objective To study the differences between venous blood test and peripheral blood test in routine blood tests.Methods 145 patients with suspected lesions requiring routine blood tests were investigated,and blood specimens of peripheral blood and venous blood were routinely drawn from each patient for routine blood tests,and the confirmatory results of retesting were used as the gold standard to compare the diagnostic efficacy of peripheral blood and venous blood in routine blood tests and the differences of various indexes.Results Out of 145 suspected cases,112 cases were finally confirmed to have abnormal blood routine,and 33 cases were advised to go home to recuperate because of abnormal blood routine findings after final confirmation,but no specific treatment was carried out.105 cases of abnormal blood routine were detected by peripheral blood test and 110 cases by venous blood test.The sensitivity of peripheral blood in routine blood test was 86.61%(97/112),specificity was 75.76%(25/33),and accuracy was 84.14%(122/145).The sensitivity of venous blood in routine blood test was 96.43%(108/112),specificity was 93.94%(31/33),and accuracy was 95.86%(139/145).There was no statistically significant difference(P>0.05)in the comparison of abnormal blood results by venous blood and peripheral blood.There was no statistically significant difference between the venous blood test results and the confirmatory results(P>0.05).There was no statistically significant difference between the venous blood test results and the confirmatory results(P>0.05).The percentages of hemoglobin,erythrocyte,leukocyte,platelet,and intermediate cell in venous blood were(106.03±20.71)g/L,(3.67±0.72)×10^(12)/L,(6.45±1.23)×10^(9)/L,(242.99±47.47)×10^(9)/L,and(63.15±12.34)%,respectively,and those in peripheral blood were(111.45±21.22)g/L,(3.89±0.74)×10^(12)/L,(6.82±1.33)×10^(9)/L,(226.36±43.11)×10^(9)/L,and(63.58±12.11)%,respectively.The hemoglobin,erythrocyte and leukocyte values of venous blood were lower than those of peripheral

关 键 词：血常规检验 末梢血 静脉血 敏感度 特异度 准确度 

分 类 号：R446.11[医药卫生—诊断学]