CAJ | 학술논문

目的：用Sysmex UF-1000i全自动尿液分析仪（Sysmex UF-1000i）、AX-4030全自动尿液化学分析仪（AX-4030）及手工光学显微镜3种仪器进行尿液有形成分检测比较其性能。方法采用以上3种仪器方法分别对2086例尿液标本中的红细胞（RBC）、白细胞（WBC）和管型（CAST ）进行检测，并分析3种仪器检出阳性率的差异敏感性。结果 Sysmex UF-1000i、AX-4030及显微镜3种仪器检出 RBC、WBC、CAST 阳性率分别为 Sysmex UF-1000i：20．4％、20．8％、6．4％；AX-4030：23．6％、16．5％（无CAST检测）；显微镜：15．2％、18．6％、2．4％，3种检测仪器比较RBC、CAST 的阳性率差异有统计学意义（P＜0．05）， WBC的差异无统计学意义（P＞0．05）。结论 Sysmex UF-1000i及AX-4030都不能完全替代尿沉渣手工显微镜检查这一“金标准”，应3种方法联合使用才能确保尿液分析结果的准确性。
목적：용Sysmex UF-1000i전자동뇨액분석의（Sysmex UF-1000i）、AX-4030전자동뇨액화학분석의（AX-4030）급수공광학현미경3충의기진행뇨액유형성분검측비교기성능。방법채용이상3충의기방법분별대2086례뇨액표본중적홍세포（RBC）、백세포（WBC）화관형（CAST ）진행검측，병분석3충의기검출양성솔적차이민감성。결과 Sysmex UF-1000i、AX-4030급현미경3충의기검출 RBC、WBC、CAST 양성솔분별위 Sysmex UF-1000i：20．4％、20．8％、6．4％；AX-4030：23．6％、16．5％（무CAST검측）；현미경：15．2％、18．6％、2．4％，3충검측의기비교RBC、CAST 적양성솔차이유통계학의의（P＜0．05）， WBC적차이무통계학의의（P＞0．05）。결론 Sysmex UF-1000i급AX-4030도불능완전체대뇨침사수공현미경검사저일“금표준”，응3충방법연합사용재능학보뇨액분석결과적준학성。
Objective To perform Quality comparative study of urine visible components tests by using Sysmex UF-1000i auto-mated urine analyzer (Sysmex UF-1000i) ,AX-4030 automated urine chemistry analyzer (AX-4030) ,and three kinds of manual opti-cal microscope instrument .Methods Applying the above three kinds of instrumental methods respectively to 2 086 case of RBC , WBC and the CAST test and their positive rate and sensitivity difference were analyzed .Results SysmexUF-1000i ,AX-4030 and microscopic three kinds of instrument detection RBC ,WBC ,CAST positive rates were as follows ,Sysmex UF-1000i:20 .4% 、20 .8% 、6 .4% ;AX-4030 :23 .6% 、16 .5% (no CAST );microscope:15 .2% 、18 .6% 、2 .4% .Among the 3 kinds of tests ,RBC ,CAST detection rate were significantly different (P<0 .05) ,WBC was not significant difference (P>0 .05) .Conclusion Sysmex UF-1000i and AX-4030 can not completely replace the gold standard manual microscopic examination of urine sediment should be three kinds of methods used in combination to ensure the accuracy of the urine analysis results .