镜检法与仪器分析法对尿液检测结果的临床效果观察

Observation on Clinical Effect of Microscopic Examination and Instrumental Analysis on Urine Test Results

目的:观察尿液检测中仪器分析法与镜检法的临床价值。方法:选取2020年12月~2022年12月本院尿液检验患者100例进行回顾性分析,统计分析仪器分析法与镜检法检测各指标阳性情况、对各类型疾病的检出情况、单独和联合检测的诊断价值。结果:仪器分析法检测红细胞阳性率低于镜检法(P<0.05),检测白细胞阳性率高于镜检法(P<0.05),但仪器分析法与镜检法检测蛋白、管型阳性率之间的差异均不显著(P>0.05)。仪器分析法与镜检法对内分泌疾病、肝胆疾病、循环疾病、泌尿系统疾病、其他疾病的检出率之间的差异均不显著(P>0.05)。仪器分析法与镜检法联合检测的灵敏性、特异性、准确性、阳性预测值、阴性预测值均高于单独检测(P<0.05),但仪器分析法与镜检法单独检测的灵敏性、特异性、准确性、阳性预测值、阴性预测值之间的差异均不显著(P>0.05)。结论:尿液检测中仪器分析法与镜检法的临床价值相当,但前者更适用于白细胞检测,后者更适用于红细胞检测,二者联合检测的诊断价值更高。

Objective:To observe the clinical value of instrumental analysis and microscopic examination in urine detection.Methods:100 patients with urine test in our hospital from December 2020 to December 2022 were selected retrospectively,and the positive status of each index,the detection of various types of diseases,and the diagnostic value of individual and combined tests were statistically analyzed.Results:The positive rate of red blood cells detected by instrumental analysis method was lower than that by microscopic examination method(P<0.05),and the positive rate of white blood cells detected by instrumental analysis method was higher than that by microscopic examination method(P<0.05),but there was no significant difference between the positive rate of protein and tube type detected by instrumental analysis method and microscopic examination method(P>0.05).There was no significant difference between the detection rates of endocrine diseases,hepatobiliary diseases,circulatory diseases,urinary system diseases and other diseases by instrumental analysis and microscopic examination(P>0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of the combined detection of instrumental analysis and microscopy were higher than those of the single detection(P<0.05),but the difference between the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of the combined detection of instrumental analysis and microscopy was not significant(P>0.05).Conclusion:The clinical value of instrumental analysis and microscopic examination in urine detection is equivalent,but the former is more suitable for white blood cell detection,the latter is more suitable for red blood cell detection,and the combined detection of the two has high diagnostic value.