临床检验中血细胞形态学检验的必要性研究

Research on the necessity of blood cell morphological examination in clinical test

目的在临床检验工作中对血细胞进行形态学检验的必要性进行分析研究。方法在2011年10月~2012年10月这一时期内因发热、贫血或血常规检查结果提示为危急值范围内而被收入本院各科接受治疗的患者中随机抽取200例，同时选择无上述疾病的健康体检人群200例作为本次研究的观察对象，分别标记为观察组(A组)与对照组(B组)，对两组观察对象行血细胞形态学检查，选择研究对象的红细胞压积(HCT)、平均细胞体积(MCV)、红细胞分布宽度标准差值(RDW-SD)、红细胞平均血红蛋白浓度(MCHC)以及红细胞平均血红蛋白数量(MCH)作为观察判定指标，计算观察对象的血细胞形态学检验结果的阳性概率，采用统计学软件分析处理，得到的结果以P<0.05为差异具有统计学意义。结果 A、B两组成员中，血细胞形态学检验结果提示为阳性的例数分别为182例和92例，两组成员的阳性率分别为91%与46%，经统计学处理后， A、B两组观察对象的血细胞形态学检验结果的差异具有统计学意义(P<0.05)。结论在临床检验中对患者的血细胞形态学进行检验能够有效地反映患者病情的变化，对于某些疾病的辅助诊断有着重要的意义，这一认知应在临床检验工作当中得到进一步的普及。

Objective To analyze the necessity of blood cell morphological examination in clinical inspection work. Methods from October 2011 to October 2012 in this period internal cause fever, anemia, or blood routine examination results suggested to critical value range and the income from various branches in patients undergoing treatment in 200 cases randomly, at the same time, select no healthy check-up group, 200 cases of the disease as the observation object of the present study were marked as observation group (group A) and control group (group B), blood cell morphological examination on two groups of observation object, choose the research object of red blood cells deposited (HCT), mean cell volume (MCV), red blood cell distribution width (RDW-SD) standard deviation value, average red blood cell hemoglobin concentration (MCHC) and red blood cells, the average number of hemoglobin (MCH) as A judge index observation, calculation of the observed objects of blood cell morphological examination results positive probability, USES statistical software analysis, the result with P<0.05 for statistically significant. Results A, B two group, the positive cases of blood cell morphological examination results indicate 182 cases and 92 cases respectively, and the positive rate of two groups were 91%and 46%, after statistics processing, A, B two groups of blood cell morphology test results of the objects of observation differences statistically significant (P<0.05). Conclusion For patients in the clinical test of blood cell morphology test can effectively reflect the change of the patients, is of great significance for auxiliary diagnosis of some diseases, the cognition should be further popularized in clinical inspection work.