摘要
目的研究全自动血细胞分析仪、血涂片细胞形态学检测在血常规检验中的应用。方法选取2020年2月—2023年2月沂水县人民医院疑似大细胞性贫血患者180例,统计分析单独与联合检测疾病阳性检出情况,并统计分析单独与联合检测中毒颗粒/空泡变性、异型淋巴细胞、有核红细胞阳性检出情况,统计分析单独与联合检测诊断效能。结果联合检测单核细胞、中性粒细胞、淋巴细胞、嗜酸性细胞、嗜碱性细胞阳性检出率、中毒颗粒/空泡变性、异型淋巴细胞、有核红细胞阳性检出率均高于单独检测(P<0.05)。联合检测的灵敏性、特异性、准确性、阴性预测值均高于单独检测(P<0.05)。结论全自动血细胞分析仪、血涂片细胞形态学联合检测在血常规检验中的价值较高,值得推广。
Objective To study the application of cell morphology in blood smear and automatic blood cell analyzer detection in blood routine examination.Methods A analys was was conducted on 180 patients with suspected Macrocellular anemia at Yishui County People’s Hospital from February 2020 to February 2023.The positive detection rates of disease were statwastically analyzed for individual and combined tests,and the positive detection rates of toxic particles/vacuolar degeneration,nucleated red blood cells,and atypical lymphocytes were also statwastically analyzed for individual and combined tests,statwastical analyswas of diagnostic efficacy for individual and joint testing.Results The positive detection rates of monocytes,neutrophils,lymphocytes,basophils,and eosinophils detected by the combination of blood smear cell morphology and fully automated blood cell analyzer were higher than those detected alone(P<0.05).The positive detection rates of toxic particle/vacuolar degeneration,nucleated red blood cells,and atypical lymphocytes detected by the combination of blood smear cell morphology and fully automated blood cell analyzer were higher than those detected alone(P<0.05).The sensitivity,specificity,accuracy,and negative predictive value of the combined detection of blood smear cell morphology and fully automated blood cell analyzer were higher than those of individual detection(P<0.05).Conclusion The value of combined detection of blood smear cell morphology and fully automated blood cell analyzer in blood routine examination is higher,so is worthy of promotion.
作者
李春静
孙万菊
张丽丽
LI Chun-Jing;SUN Wan-Ju;ZHANG Li-Li(Laboratory Department of Yishui County People’s Hospital,Linyi 276400,China)
出处
《实验室检测》
2024年第7期41-44,共4页
Laboratory Testing
关键词
血常规检验
全自动血细胞分析仪
血涂片细胞形态学
诊断效能
blood routine test
fully automatic blood cell analyzer
blood smear cell morphology
diagnostic efficacy
作者简介
通信作者:孙万菊,硕士,主管技师,研究方向为临床微生物学检验。E-mail:bysunwanjv@163.com;李春静,主管技师,研究方向为细胞形态学。
