全自动血细胞分析仪与血涂片细胞形态学在血常规临床检验中的应用效果  

The Application Effect of Automatic Blood Cell Analyzer and Blood Smear Cell Morphology in Blood Routine Clinical Examination

作　　者：黄婉真 骆惠燕 HUANG Wan-zhen;LUO Hui-yan(Department of Clinical Laboratory,the Third Hospital of Quanzhou City,Fujian Province,Fujian Quanzhou 362000)

机构地区：[1]福建省泉州市第三医院检验科,福建泉州362000

出　　处：《中国医疗器械信息》2024年第10期46-48,共3页China Medical Device Information

摘　　要：目的:研究全自动血细胞分析仪与血涂片细胞形态学在血常规临床检验中的应用效果。方法:选取2022年7月~2023年3月在本院行血常规检验的患者100例作为主要研究对象,所有研究对象均采取全自动血细胞分析仪、血涂片细胞形态学进行血常规临床检验,对单独检验和联合检验的结果进行统计和比较,同时对两种不同方法在血常规指标上的检出率进行比较。结果:全自动血细胞分析仪检验的灵敏度为87.18%,特异度为50.00%,准确度为78.00%;血涂片细胞形态学检验的灵敏度为84.72%,特异度为75.00%,准确度为72.00%;全自动血细胞分析仪联合血涂片细胞形态学的灵敏度为98.78%,特异度为85.00%,准确度为98.00%。全自动血细胞分析仪与血涂片细胞形态学在淋巴细胞、单核细胞、中性粒细胞、嗜酸性细胞上的检出率比较,无统计学意义(P>0.05),全自动血细胞分析仪在嗜碱性细胞上的检出率显著低于血涂片细胞形态学,有统计学意义(P<0.05)。结论:将全自动血细胞分析仪和血涂片细胞形态学联合运用在血常规临床检验上有显著性优势,灵敏度、特异度和准确度更高。Objective:To study the application of automatic blood cell analyzer and blood smear cell morphology in blood routine clinical examination.Methods:100 patients who underwent blood routine tests in our hospital from July 2022 to March 2023 were selected as the main study subjects.All study subjects underwent clinical blood routine tests using a fully automated blood cell analyzer and blood smear cell morphology.The results of individual and combined tests were statistically analyzed and compared,and the detection rates of the two different methods on blood routine indicators were compared.Results:The sensitivity,specificity and accuracy of automatic blood cell analyzer were 87.18%,50.00%and 78.00%respectively.The sensitivity,specificity and accuracy were 84.72%,75.00%and 72.00%respectively.The sensitivity,specificity and accuracy of automatic blood cell analyzer combined with blood smear cell morphology were 98.78%,85.00%and 98.00%respectively.There was no statistical significance in the detection rates of lymphocytes,monocytes,neutrophils and eosinophils between automatic blood cell analyzer and blood smear cell morphology(P>0.05).The detection rate of basophil by automatic blood cell analyzer was significantly lower than that of blood smear cell morphology,which was statistically significant(P<0.05).Conclusion:The combination of automatic blood cell analyzer and blood smear cell morphology has significant advantages in blood routine clinical examination,with higher sensitivity,specificity and accuracy.

关 键 词：全自动血细胞分析仪 血涂片细胞形态学 血常规 临床检验 

分 类 号：R446.1[医药卫生—诊断学]