UF-1000i尿沉渣分析仪参数RBC-INFORMATION值分析及应用.docxVIP

UF-1000i尿沉渣分析仪参数RBC-INFORMATION值分析及应用 　　作者：姜志凤 李慧菊 杨一斐 周军　　【摘要】 目的　本文旨在通过对UF-1000i尿沉渣分析仪红细胞形态(RBC-INFORMATION)这一参数与镜检结果的比对分析，研究探讨UF-1000i尿沉渣分析仪RBC-INFO的干扰因素以及该参数临床应用价值。方法　　对1000例住院病人的晨尿用UF-1000i尿沉渣分析仪测定得出RBC-INFO结果，同时在显微镜下进行红细胞形态分析，再进行两者之间的比对。结果　　两者在均一型结果符合率为%，出现假阳性为%;在非均一型结果符合率为%，出现假阳性为%;在混合型结果符合率为%，出现假阳性为%;阴性结果符合率为%，出现假阳性为%。结论　　当尿液中有非晶形尿酸盐、小圆上皮细胞、大量破碎上皮细胞、大量酵母菌和滴虫存在时，会大大增加假阳性的几率，当尿液中有影红细胞、红细胞碎片、酵母菌、红细胞高度异形性或聚集、荧光染料时则增加了假阴性的几率。总而言之，由于RBC-INFO在阴性结果有着较高的符合率和较低的假阳性率和假阴性率，因此在临床上可作为初筛实验。若RBC-INFO结果为阳性(均一型、非均一型、混合型)，则必须通过镜检来分析细胞形态。　　【关键词】 UF-1000i尿沉渣分析仪;红细胞形态(RBC-INFORMATION)　　[Abstract]　Objective　Our study aims based on to compare the results of RBC-INFORMATION with UF-1000i urinary sediment analyzer to the check by the microscope. Study the interference factors of UF-1000i urine dreg analyzer RBC-INFORMATION and the parameter value of clinical 　　According to the results of 1000 hospitalized patients morning urine analyzation and determinated results of RBC-INFORMATION, at the same time analyzed under a microscope on red blood cells, then carries on the comparison between the two 　　Both in same type results accuracy was %， false positive rate was %;In inhomogeneous type results accuracy was %, false positive rate was %, in mixed results accuracy rate was %, false positive rate was %, negatie result accuracy rate was %, false positive for %.Conclusion　　When urine have amorphous urate, small garden epithelial cells, large crushing epithelial cells, a large number of yeast and trichomonad exists, will greatly increase the chances of false positives when urine has its shadow red, red chips, yeast, highly special-shaped sex or red blood cells are gathered, fluorescent increased false negatie probability. In short, because RBC-results-related areas in negatie result with a high accuracy and lower false-positive rate and the false negative rate, therefore in the early clinical can be used as screening the RBCs result is positive(results-related areas are unifal and inhom