全自动血细胞分析仪与血涂片细胞形态学对血常规检测的干预分析

Intervention analysis of automatic blood cell analyzer and blood smear cell morphology on blood routine test

摘要:

目的 分析全自动血细胞分析仪与血涂片细胞形态学对血常规检测的应用效果。方法 选取北京中医药大学东直门医院洛阳医院2021年1月至2022年12月接受血常规检查的200例血液样本，患者均进行静脉血样采集，并使用全自动血细胞分析仪与血涂片细胞形态学两种方式对血液样本进行血常规检查，比较两种检查的效果。结果 联合检查阳性检出率高于单一检查（P<0.05）；联合检查淋巴细胞结果低于单一检查，中性粒细胞、嗜酸性粒细胞、单核细胞、嗜碱性粒细胞检查结果高于单一检查（P<0.05）；与联合检查的检出符合率比较，单一检查中中性粒细胞、淋巴细胞、嗜酸性粒细胞、单核细胞等检出符合率差异无统计学意义（P>0.05），单一检查中嗜碱性粒细胞检出符合率差异有统计学意义（P<0.05）。结论 全自动血细胞分析仪与血涂片细胞形态学联合进行血常规检测准确性更高，可为临床诊疗提供更加可靠的依据，值得推广。

Abstract:

Objective To analyze the effect of automatic blood cell analyzer and cell morphology on blood routine test.Methods Two hundred blood samples that received routine blood test from January 2021 to December 2022 were selected. All venous blood samples were collected by using automatic blood cell analyzer and blood smear cell morphology to compare the effects of the two tests.Results The positive detection rate of the combined test was higher than the detection rate of the single test (P<0.05). The result of lymphocyte of the combined test was lower than the single test, the neutrophil, eosinophils, monocytes and basophils tested by the combined test were higher than the single test (P<0.05). Compared with the detection compliance rate of the combined test, there was no statistically significant difference in the detection compliance rate of neutrophils, lymphocytes, eosinophils and monocytes in the single test (P>0.05), and the detection compliance rate of basophils in the single test was significantly different (P<0.05).Conclusion The combination of automatic blood cell analyzer and blood smear cell morphology in blood routine test has higher accuracy, which can provide more reliable basis for clinical diagnosis and treatment, and is worth popularizing.