[1]余梅香,杨爱红,彭林英.血涂片细胞形态学检测联合全自动血液细胞分析仪在血常规检验中的应用价值[J].医学信息,2022,35(24):157-159.[doi:10.3969/j.issn.1006-1959.2022.24.035]
 YU Mei-xiang,YANG Ai-hong,PENG Lin-ying.Application Value of Blood Smear Cell Morphology Combined with Automatic Blood Cell Analyzer in Routine Blood Test[J].Journal of Medical Information,2022,35(24):157-159.[doi:10.3969/j.issn.1006-1959.2022.24.035]
点击复制

血涂片细胞形态学检测联合全自动血液细胞分析仪在血常规检验中的应用价值()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年24期
页码:
157-159
栏目:
诊疗技术
出版日期:
2022-12-15

文章信息/Info

Title:
Application Value of Blood Smear Cell Morphology Combined with Automatic Blood Cell Analyzer in Routine Blood Test
文章编号:
1006-1959(2022)24-0157-03
作者:
余梅香杨爱红彭林英
(1.乐平大连医院检验科,江西 乐平 333300;2.乐平市疾控中心性艾科,江西 乐平 333300;3.乐平市骨科医院药剂科,江西 乐平 333300)
Author(s):
YU Mei-xiangYANG Ai-hongPENG Lin-ying
(1.Department of Laboratory,Leping Dalian Hospital,Leping 333300,Jiangxi,China;2.AIDS Department of Leping Center for Disease Control and Prevention,Leping 333300,Jiangxi,China;3.Department of Pharmacy,Leping Orthopedic Hospital,Leping 333300,Jiangxi,Ch
关键词:
血常规检验血涂片细胞形态学检测全自动血液细胞分析仪白细胞分类嗜碱性细胞
Keywords:
Routine blood testBlood smear cell morphology detectionAutomatic blood cell analyzerWhite blood cell classificationBasophilic cells
分类号:
R446.1+1
DOI:
10.3969/j.issn.1006-1959.2022.24.035
文献标志码:
A
摘要:
目的 研究血涂片细胞形态学检测联合全自动血液细胞分析仪在血常规检验中的应用价值。方法 选取2019年1月-2021年5月于江西省景德镇市乐平大连医院行血常规检验的68例受检者,进行血涂片细胞形态学镜检、全自动细胞分析仪进行检测及联合检测,分析其检验结果。结果 细胞仪检测阳性率高于联合检测(P<0.05);细胞仪检测与联合检测在单核细胞、中性粒细胞、嗜酸性细胞及淋巴细胞中的阳性检出率比较,差异无统计学意义(P>0.05),但联合检测对嗜碱性细胞的阳性检出率低于细胞仪检测(P<0.05);以单独血涂片镜检结果为金标准,细胞仪检测与联合检测在非发热受检者中的检验准确率比较,差异无统计学意义(P>0.05),但联合检测对发热受检者的检验准确率高于细胞仪检测(P<0.05)。结论 在全自动血液细胞分析仪检验基础中联合血涂片细胞形态学检测,可实现优势互补,纠正其假阳性结果,提高血常规检验的准确性。
Abstract:
Objective To study the application value of blood smear cell morphology detection combined with automatic blood cell analyzer in blood routine test.Methods From January 2019 to May 2021, 68 subjects who underwent routine blood test in Leping Dalian Hospital of Jingdezhen City, Jiangxi Province were selected for blood smear cell morphology microscopy, automatic cell analyzer and combined detection, and the test results were analyzed.Results The positive rate of cell analyzer was higher than that of combined detection (P<0.05). There was no significant difference in the positive detection rate of monocytes, neutrophils, eosinophils and lymphocytes between cell analyzer and combined detection (P>0.05), but the positive detection rate of basophils by combined detection was lower than that by cell analyzer (P<0.05). With the results of single blood smear microscopy as the gold standard, there was no significant difference in the accuracy of cell analyzer detection and combined detection in non-fever subjects (P>0.05), but the accuracy of combined detection in fever subjects was higher than that of cell analyzer detection (P<0.05).Conclusion The combination of automatic blood cell analyzer and blood smear cell morphology detection can realize complementary advantages, correct false positive results and improve the accuracy of blood routine test.

参考文献/References:

[1]罗萍,颜雪莹,王婷,等.急性发热患儿血液常规检验指标的临床诊断分析[J].中华医院感染学杂志,2016,26(15):3548-3550.[2]Faisal M,Howes R,Steyerberg EW,et al.Using routine blood test results to predict the risk of death for emergency medical admissions to hospital: an external model validation study[J].Qjm Monthly Journal of the Association of Physicians,2016,110(1):27-31.[3]高鹏辉.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应用效果[J].中国农村卫生,2020,12(20):44.[4]赵杰,赵春阳.高倍镜视野下血涂片估测法在血小板计数检测中的价值[J].检验医学,2018,33(11):1030-1031.[5]Diakonov DA,Rosin VA,Fedorovskaya NS.Distinctions of the results of automated analysis and microscopic blood investigation (examples of clinical cases)[J].Klinicheskaia Laboratornaia Diagnostika,2019,64(3):176-179.[6]仵高强,晏纪军,崔姣,等.血涂片复检在血常规检测中的重要性[J].贵州医药,2021,45(11):1799-1800.[7]韩梅林.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应用效果[J].中西医结合心血管病电子杂志,2020,8(8):101,108.[8]张蒙蒙.血细胞形态学检验在发热患者病因诊断中的应用价值[J].山西医药杂志,2020,49(9):1159-1160.[9]Aguadero V,Cano-Corres R,Berlanga E,et al.Evaluation of biological fluid analysis using the Sysmex XN automatic hematology analyzer[J].Cytometry B Clin Cytom,2017,94(5):680-688.[10]Ghosh P,Bhattacharjee D,Nasipuri M.Blood Smear Analyzer for White Blood Cell Counting: A Hybrid Microscopic Image Analyzing Technique[J].Applied Soft Computing,2016,46:629-638.[11]梁瑞碧.血常规检验中血液涂片细胞形态学联合全自动血细胞分析仪的应用效果[J].吉林医学,2022,43(1):83-84.[12]Mishra S,Majhi B,Sa PK.Texture feature based classification on microscopic blood smear for acute lymphoblastic leukemia detection[J].Biomedical Signal Processing and Control,2019,47:303-311.[13]张璐璐,刘芸,段文冰,等.血小板计数降低病例3045例手工复检分析及其意义[J].中国医药,2018,13(1):108-111.[14]方向,蒋婧.血液涂片细胞形态学联合全自动血细胞分析仪在血常规检验中的应用价值分析[J].黑龙江医学,2021,45(23):2549-2551.[15]孙彦平,王英辉,付振艳,等.全自动血细胞分析仪单核细胞增高筛选建立显微镜复检标准及价值[J].中国实验诊断学,2009,13(6):831-832.[16]占玲兰.全自动血细胞分析仪与血涂片细胞形态学在血常规检验中的联合应用价值评估[J].医学信息,2017,30(15):184-185.[17]李娜.探讨全自动血细胞分析仪与血涂片细胞形态学在血常规检验中的联合应用[J].中国卫生标准管理,2017,8(7):98-99.[18]李芳芳.全自动血细胞分析仪联合血涂片细胞形态在血常规检验中的应用研究[J].中国农村卫生,2021,13(7):84-85.[19]Merino A,Puigví L,Boldú L,et al.Optimizing morphology through blood cell image analysis[J].International Journal of Laboratory Hematology,2018,40(1):54-61.[20]张亮,吴振安,付慧哲.全自动血细胞分析仪白细胞分类计数与手工分类计数结果一致性的比较分析[J].中国临床医生杂志,2016,44(4):96-98.[21]Mundi I,Pankaj R,Bedi R,et al.Peripheral blood smear: beyond routine morphology[J].Tropical Doctor,2017,47(4):382-384.[22]李卫芳.使用全自动血细胞分析仪对发热患者进行血涂片人工镜检分析[J].中国药物与临床,2016,16(2):290-291.

相似文献/References:

[1]吴 云.血常规在缺铁性贫血和珠蛋白生成障碍性贫血鉴别诊断中的应用[J].医学信息,2019,32(08):171.[doi:10.3969/j.issn.1006-1959.2019.08.054]
 WU Yun.Application of Blood Routine in the Differential Diagnosis of Iron Deficiency Anemia and Globin-producing Anemia[J].Journal of Medical Information,2019,32(24):171.[doi:10.3969/j.issn.1006-1959.2019.08.054]
[2]吴 云.静脉采血与末梢采血方法在血常规检验中的应用效果比较[J].医学信息,2019,32(09):171.[doi:10.3969/j.issn.1006-1959.2019.09.058]
 WU Yun.Comparison of Application Results of Venous Blood Collection and Peripheral Blood Collection in Blood Routine Examination[J].Journal of Medical Information,2019,32(24):171.[doi:10.3969/j.issn.1006-1959.2019.09.058]
[3]尤婷玉.血常规检验中血细胞形态学检查在发热患者病因诊断中的应用价值[J].医学信息,2021,34(12):176.[doi:10.3969/j.issn.1006-1959.2021.12.048]
 YOU Ting-yu.The Application Value of Blood Cell Morphology in Routine Blood Test in the Diagnosis of the Etiology of Fever Patients[J].Journal of Medical Information,2021,34(24):176.[doi:10.3969/j.issn.1006-1959.2021.12.048]
[4]上官艳.血常规检验中的静脉血检验与末梢血检验结果比较[J].医学信息,2021,34(22):169.[doi:10.3969/j.issn.1006-1959.2021.22.052]
 SHANGGUAN Yan.Comparison of Results of Venous Blood Test and Peripheral Blood Test in Routine Blood Test[J].Journal of Medical Information,2021,34(24):169.[doi:10.3969/j.issn.1006-1959.2021.22.052]

更新日期/Last Update: 1900-01-01