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尿沉渣分析与干化学法检测尿红细胞、白细胞临床应用 被引量:6

Clinical Application of Urinary Sediment Analysis and Dry Chemical Detection of Urinary Red Blood Cells and White Blood Cells
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摘要 目的分析尿沉渣分析与干化学法检测尿红细胞、白细胞的临床应用价值,从而确保检测水平及准确性的提升。方法分别利用显微镜检查、干化学法及尿沉渣分析对我院2012年6月~2013年6月收治的200例患者的尿液标本进行检测,并对尿沉渣分析与干化学法检测尿红细胞、白细胞的阳性率及漏诊率进行比较。结果 200份尿液标本经显微镜检法检测,检出红细胞58份,白细胞53份。尿沉渣分析检出白细胞阳性70份,红细胞阳性73份;干化学法检出尿白细胞阳性51份,尿红细胞阳性47份;两者检测尿红细胞及白细胞阳性的比较差异具有统计学意义(P〈0.05)。尿沉渣分析检测尿白细胞的漏诊率为1.5%,红细胞漏诊率为1.0%;干化学法检测尿白细胞漏诊率为5.0%,红细胞漏诊率为6.0%;两者检测尿红细胞和白细胞漏诊率的比较差异具有统计学意义(P〈0.05)。结论尿沉渣分析与干化学法检测尿红细胞、白细胞的临床应用价值高,其中在尿红细胞、白细胞检测阳性及漏诊方面,尿沉渣分析优于干化学法检测。临床建议联合尿沉渣分析与干化学法对尿红细胞、白细胞进行检测,以提高检测结果的准确性。 Objective To analyze the application value of urinary sediment analysis and dry chemical detection. Methods 200 urine samples were detected by three methods. Results 200 urine specimens by microscopy detection,red blood cell was positive in 58,white blood cells was detected in 53 samples. Urinary sediment detection of leukocyte was detected in 70 samples,the red blood cells was detected in 73 samples. Dry chemical method detected leukocyte positive was 51 samples,urine red blood cell positive was in 47 samples,and the difference with statistical significance(P 0.05). Urinary sediment analysis of leukocytes missed diagnosis rate was 1.5%,red cell missed diagnosis rate was 1.0%,dry chemical method for the detection of leukocyte misdiagnosis rate was 5.0%, red cell missed diagnosis rate was 6.0%,and the difference has statistical significance(P 0.05). Conclusion The combined use of recommended urinary sediment analysis and detection by dry chemistry method can improve the accuracy of detection.
作者 何丽波
出处 《中国卫生标准管理》 2015年第21期126-127,共2页 China Health Standard Management
关键词 白细胞 红细胞 干化学法 尿沉渣分析 White blood cell Red blood cell Dry chemical method Urine sediment analysis
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