探析镜检在干化学法尿液分析中的临床意义

Analysis of the Clinical Significance on Microscopic Examination in Urine Dry Chemistry Method

目的：进一步对镜检在干化学法尿液分析中的临床意义进行分析和探讨。方法选取我院2011年12月-2013年12月接收的门诊及住院患者100份尿液标本，将其作为本次的研究对象，分别采用显微镜检查和干化学法尿液分析仪检查，记录两种检验的结果，并进行比较。结果经尿液分析仪检验后，100例尿液标本全部为阴性，经显微镜检查后，有20例出现异常，包括白细胞阳性4例，红细胞阳性10例，霉菌阳性2例，滴虫阳性4例，漏诊率为20%，比较两种检验方法差异具有统计学意义（P〈0.05）。结论在使用干化学法尿液分析仪进行尿常规检查时，为了能够有效降低漏诊率，提高诊断结果，应使用显微镜检查。

Objective To analysis and discuss the clinical significance on microscopic examination in the dry chemistry method. Methods 100 urine specimens were chosen from outpatients and hospitalized patients received in our hospital from December 2011 to December 2013 as study objects,using microscopy and dry chemical method of examination of urine analyzer respectively,recording two kinds of test results,and compared them. Results After urine analyzer examination,100 cases of urine samples with all negative,by microscopic examination,there were 20 cases of abnormal,white blood cells,including red blood cells were positive in 4 cases,positive 10 cases were positive in 2 cases,mould,trichomonad was positive in 4 cases,the rate of misdiagnosis was 20%,compare the difference between the two test methods （ P〈0.05）,with statistical significance. Conclusion In the use of dry chemical method for routine examination combined with microscopic examination,microscopic examination should be used in order to reduce missed diagnosis rate and mprove the diagnostic results.