联合应用尿液干化学法与尿沉渣镜检法进行白细胞检验的临床价值分析

The clinical value of combined use of urine dry chemistry method and urinary sediment microscopy method in white blood cell examination

目的探讨联合应用尿液干化学法与尿沉渣镜检法进行白细胞检验的临床价值。方法选取接受治疗并需要做尿检的患者1 100例,将其平均分为实验组和对照组两组,每组均为550例患者。对照组用单纯的尿液干化学法进行尿液白细胞检测;实验组在尿液干化学法检验的基础上,联合应用尿沉渣镜检法进行尿液白细胞检测。对比两组检验结果,分析两组检验结果的错误率与尿液白细胞检验结果。结果实验组的尿液白细胞检验的总错误率(0.18%)明显低于对照组(2.54%),差异有显著性(P<0.05)。实验组患者尿液白细胞检验的阳性率(60.91%)和对照组(57.64%)无显著差异(P>0.05)。结论联合应用尿液干化学法与尿沉渣镜检法进行白细胞检验时,检验结果的准确性高,总错误率小,明显比单纯应用尿液干化学法检验的效果好,降低了误诊率和漏诊率,准确可靠,值得在临床上广泛应用。

Objective To explore the clinical value of combined use of urine dry chemistry method and urinary sediment microsco-py in white blood cell（ WBC）examination. Methods 1 100 patients who received urine test were divided into experimental group（ n =550）and control group（ n = 550）. Control group was examined by simple urine dry chemistry method for detecting WBC in urine,experi-mental group was examined by urinary sediment microscopy method on the basis of urine dry chemistry method. The error rate and urine WBC test results were compared and analyzed. Results The general error rate of experimental group（0. 18% ）was significant lower than that of control group（2. 54% ）,the difference was statistically significant（ P 〈 0. 05）. There was no significant difference（ P ﹥ 0. 05） in urine WBC positive rate between experimental group（60. 91% ）and control group（57. 64% ）. Conclusion Combined use of urine dry chemistry method and urinary sediment microscopy method has high accuracy and low general error rate in WBC examination.