全自动血液分析仪与血涂片镜检在血常规检验中的准确性对比研究  

A Comparative Study on the Accuracy of Automatic Hematology Analyzer and Blood Smear Microscopy in Blood Routine Examination

作　　者：王茜 WANG Qian(Xinxiang College 3D Printing College Biomedical Engineering,Henan Xinxiang 453003)

机构地区：[1]新乡学院3d打印学院,河南新乡453003

出　　处：《中国医疗器械信息》2024年第4期66-68,共3页China Medical Device Information

摘　　要：目的:比较全自动血液分析仪与血涂片镜检在血常规检验中的准确性差异。方法:选取2021年4月~2022年4月112例在本院行血常规检查的患者,所有患者行静脉采血后将血液标本进行全自动血液分析仪检测与血涂片镜检,比较两种检查方法对白细胞(WBC)、红细胞(RBC)和血小板(PLT)检测阳性率及白细胞分类(嗜碱性细胞、嗜酸性细胞、中性粒细胞、单核细胞、淋巴细胞)的准确性差异。结果:全自动血液分析仪检测,有报警提示为70例,无报警提示为42例。有报警提示中血涂片镜检WBC、RBC和PLT阳性率分别为92.86%、97.14%、88.57%,均比全自动血液分析仪检测WBC阳性率75.71%、RBC阳性率81.43%、PLT阳性率72.86%高(P<0.05)。无报警提示中血涂片镜检对嗜酸性细胞、中性粒细胞、单核细胞及淋巴细胞检出情况与全自动血液分析仪检测结果比较无显著差异(P>0.05),血涂片镜检对嗜碱性细胞检出率10.00%高于全自动血液分析仪检测结果(P<0.05)。结论:与全自动血液分析仪相比,血涂片镜检在血常规检验中更具有优势,但两种检测方法可以取长补短,互相弥补不足,提升整体检测准确性与临床应用价值。Objective:To compare the accuracy of automatic hematology analyzer and blood smear microscopy in blood routine examination.Methods:A total of 112 patients who underwent blood routine examination in our hospital from April 2021 to April 2022 were selected.After venous blood sampling,the blood samples were examined by automatic hematology analyzer and microscopic examination of blood smear.The positive rates of white blood cell(WBC),red blood cell(RBC)and platelet(PLT)detection and the accuracy of white blood cell classification(basophils,eosinophils,neutrophils,monocytes,lymphocytes)were compared between the two examination methods.Results:In the automatic hematology analyzer,70 cases had alarm and 42 cases had no alarm.The positive rates of WBC,RBC and PLT in blood smear microscopy were 92.86%,97.14%and 88.57%,respectively,which were higher than those in automatic hematology analyzer(75.71%,81.43%and 72.86%)(P<0.05).There was no alarm indicating that there was no significant difference in the detection of eosinophils,neutrophils,monocytes and lymphocytes between blood smear microscopy and automatic hematology analyzer(P>0.05),and the detection rate of basophils by blood smear microscopy was 10.00%,higher than by automatic hematology analyzer(P<0.05).Conclusions:Compared with automatic hematology analyzer,blood smear microscopy has more advantages in blood routine examination,but the two detection methods can complement each other and make up the disadvantages,improving the overall detection accuracy and clinical application value.

关 键 词：全自动血液分析仪 血涂片镜检 血常规检验 准确性 

分 类 号：R446.1[医药卫生—诊断学]