外周血细胞形态学在血常规检验中的应用价值分析

Analysis on application value of peripheral blood cell morphology in blood routine test

目的探讨外周血细胞形态学检查用于血常规检验中的价值。方法选择2020年11月—2022年10月在泰安市中医院进行血常规检验的120例血液系统疾病患者作为研究对象,其中60例纳入对照组,进行常规血液检查;另外60例纳入试验组,进行外周血细胞形态学检查。比较两组患者的血液细胞指标异常特征和不同疾病的异常症状,评价预后效果并比较使用两种方法评估预后的准确率。结果试验组血细胞异常总检出率以及中性粒细胞异常、红细胞形态异常的检出率均明显高于对照组,漏检误检率明显低于对照组[血细胞异常总检出率:93.33%(56/60)比76.67%(46/60),中性粒细胞异常检出率:33.33%(20/60)比16.67%(10/60),红细胞形态异常检出率:33.33%(20/60)比16.67%(10/60),漏检误检率:6.67%(4/60)比23.33%(14/60),均P<0.05]。感染性疾病患者主要检出中性粒细胞异常,出血性疾病患者主要检出血小板数目异常,贫血患者主要检出红细胞形态异常,白血病患者主要检出淋巴细胞异常,淋巴瘤患者主要检出淋巴细胞异常。试验组的预后效果评估准确率明显高于对照组[83.33%(50/60)比66.67%(40/60),P<0.05]。结论将外周血细胞形态学检查应用于血常规检验中,能够为疾病诊断和治疗提供有效依据,并对患者的预后效果进行评估。

Objective To explore the value of morphological examination of peripheral blood cells in routine blood test.Methods The 120 patients with hematological diseases undergoing routine blood test in Tai’an Traditional Chinese Medicine Hospital from November 2020 to October 2022 were selected as research objects.The 60 patients were included in control group for blood routine tests,the other 60 cases were included in the experimental group for morphological examination of peripheral blood cells.The abnormal characteristics of blood cell indexes and abnormal symptoms of different diseases in the two groups were compared,the prognosis was evaluated,and the accuracy of the two methods were compared.Results The total detectable rate of blood cell abnormality and detectable rates of abnormal neutrophils and abnormal red blood cell morphology in experimental group were higher than those in control group,and the misinspection rate was lower than that in control group[total detectable rate of blood cell abnormality:93.33%(56/60)vs.76.67%(46/60),detectable rate of abnormal neutrophils:33.33%(20/60)vs.16.67%(10/60),detectable rate of abnormal red blood cell morphology:33.33%(20/60)vs.16.67%(10/60),misinspection rate:6.67%(4/60)vs.23.33%(14/60),all P<0.05].The main symptoms of patients with infectious diseases were abnormal neutrophils,the main symptoms of patients with hemorrhagic diseases were abnormal platelets,the main symptoms of patients with anemia were abnormal red blood cells,the main symptoms of patients with leukemia were abnormal lymphocytes,and the main symptoms of patients with lymphoma were abnormal lymphocytes.The evaluation accuracy of prognosis in experimental group was higher than that in control group[83.33%(50/60)vs.66.67%(40/60),P<0.05].Conclusion The application of morphological examination of peripheral blood cells in routine blood test could provide effective basis for diagnosis and treatment,and also evaluate the prognosis of patients.