全自动血细胞分析仪联合血涂片细胞形态学在血常规检验中的运用  

Application of Fully Automatic Blood Cell Analyzer Combined with Blood Smear Cell Morphology in Blood Routine Testing

作　　者：陈玉娜 黄鑫 CHEN Yu-na;HUANG Xin(Xiamen Haicang Hospital,Fujian Xiamen 361021;The Second Affiliated Hospital of Xiamen Medical College,Fujian Xiamen 361000)

机构地区：[1]厦门市海沧医院,福建厦门361021 [2]厦门医学院附属第二医院,福建厦门361000

出　　处：《中国医疗器械信息》2024年第14期67-69,共3页China Medical Device Information

摘　　要：目的:探究观察在血常规检验中应用全自动血细胞分析仪、血涂片细胞形态学联合检验的应用情况。方法:选择2022年11月~2023年11月厦门市海沧医院400例实施血常规检验患者,应用全自动血细胞分析仪、血涂片细胞形态学检验,对比分析单一检测和联合检测血细胞的阳性检出率、不同检查方式对患者血液标本中毒颗粒/空泡变性,异型淋巴、有核红细胞阳性率情况。结果:同单一全自动血细胞分析仪、血涂片细胞形态学检验方式对比,显示出联合诊断检验的检出率更高,淋巴差异有统计学意义(P<0.05),其余数值均无统计学意义(P>0.05);同单一血涂片细胞形态学、全自动血细胞分析仪检验方式对比,联合诊断后患者的中毒颗粒/空泡变性,异型淋巴、有核红细胞阳性率更高,但是差异无统计学意义(P>0.05)。结论:针对实施血常规检验患者,发现同单一检测方式进行对比,通过采用全自动血细胞分析仪与血涂片细胞形态学联合检验,有助于降低漏诊和误诊的发生,检验得到的阳性率更高,弥补不同检测方式存在的不足,成功提高了血常规检验准确率,有助于检测质量的提高,利于疾病早期治疗,为患者病情的诊断与治疗提供参考依据。Objective:To explore the application of a fully automated blood cell analyzer and a combined test of blood smear cell morphology in blood routine testing.Methods:From November 2022 to November 2023,400 patients in Xiamen Haicang Hospital who underwent blood routine tests were selected.A fully automated blood cell analyzer and blood smear cell morphology tests were used to compare and analyze the positive detection rates of single and combined blood cell tests,as well as the effects of different examination methods on the patient’s blood sample toxic particle/vacuolar degeneration,atypical lymphoid and nucleated red blood cell positive rates.Results:Compared with a single fully automated blood cell analyzer and blood smear cell morphology testing method,the detection rate of the combined diagnostic test was higher,and the lymphatic difference was statistically significant(P<0.05),while the other values were not statistically significant(P>0.05);Compared with the morphology of single blood smear cells and the detection method of fully automated blood cell analyzer,the positive rates of toxic particle/vacuolar degeneration,atypical lymph,and nucleated red blood cells were higher in patients after combined diagnosis,but the difference was not statistically significant(P>0.05).Conclusion:For patients undergoing blood routine testing,it was found that compared with a single testing method,the use of a fully automated blood cell analyzer and blood smear cell morphology combined testing can help reduce the occurrence of missed diagnosis and misdiagnosis.The positive rate obtained from the test is higher,making up for the shortcomings of different testing methods,successfully improving the accuracy of blood routine testing,helping to improve the quality of testing,and facilitating early treatment of diseases,provide reference basis for the diagnosis and treatment of patient’s condition.

关 键 词：血常规检验 全血涂片细胞形态学 自动血细胞分析仪 检验诊断 

分 类 号：R446.1[医药卫生—诊断学]