CAJ | 학술논문

目的：探讨XE-5000血细胞分析仪体液模式(仪器法)在脑脊液细胞检测中的临床应用价值。方法分别应用仪器法和手工法对165例脑脊液标本进行白细胞(WBC)计数、分类及红细胞(RBC)计数的检测，并比较两种方法结果的差异；建立并验证仪器法脑脊液细胞检测的复检规则；分析仪器法对特殊病例的检测结果。结果当WBC>10×106/L 时,仪器法WBC计数、分类检测结果与手工法之间差异无统计学意义(P>0.05)；当RBC>0.5×109/L时，仪器法的RBC计数测定结果与手工法之间差异无统计学意义(P>0.05)；制定出了合理、切实可行的仪器法复检规则。结论通过制定合理的复检规则，XE-5000血细胞分析仪体液模式可有效满足临床对脑脊液细胞自动化检测的需要。
목적：탐토XE-5000혈세포분석의체액모식(의기법)재뇌척액세포검측중적림상응용개치。방법분별응용의기법화수공법대165례뇌척액표본진행백세포(WBC)계수、분류급홍세포(RBC)계수적검측，병비교량충방법결과적차이；건립병험증의기법뇌척액세포검측적복검규칙；분석의기법대특수병례적검측결과。결과당WBC>10×106/L 시,의기법WBC계수、분류검측결과여수공법지간차이무통계학의의(P>0.05)；당RBC>0.5×109/L시，의기법적RBC계수측정결과여수공법지간차이무통계학의의(P>0.05)；제정출료합리、절실가행적의기법복검규칙。결론통과제정합리적복검규칙，XE-5000혈세포분석의체액모식가유효만족림상대뇌척액세포자동화검측적수요。
Objective To explore the clinical application value of fluid mode of XE-5000 hematology analyzer in cere-brospinal fluid (CSF) cell assay. Methods White blood cell (WBC) count and differential count, red blood cell (RBC) count of 165 CSF samples were measured by XE-5000 hematology analyzer and handwork, respectively. Re-checked rules of CSF cell assay by XE-5000 hematology analyzer were established and then verified. Results of CSF cell assay on patients with specific disease by XE-5000 hematology analyzer were analyzed particularly. Results When WBC count was>10×106/L, there were no significant dif-ferences of WBC count and WBC classification between XE-5000 hematology analyzer and handwork (P>0.05). When RBC count was>0.5×109/L, there was no significant difference of RBC count between XE-5000 hematology analyzer and handwork (P>0.05). Re-checked rules of CSF cell assay by XE-5000 hematology analyzer were proved to be reasonable and feasible. Conclusion Combined with reasonable and feasible re-checked rules, the fluid mode of XE-5000 hematology analyzer might be an effective way to satisfy the clinical demand of automatic CSF cell assay.