AVE-562全自动粪便分析仪的临床应用评价

doi:10.3969/j.issn.1673-8640.2018.02.012

检验医学 ›› 2018, Vol. 33 ›› Issue (2): 152-155.DOI: 10.3969/j.issn.1673-8640.2018.02.012

• 技术研究与评价_论著 • 上一篇下一篇

AVE-562全自动粪便分析仪的临床应用评价

鲍蕴文¹, 顾孔珍², 徐克前²

1. 中山大学孙逸仙纪念医院检验科,广东广州 510120
2. 中南大学湘雅医学院医学检验系,湖南长沙 410013;

收稿日期:2016-11-08 出版日期:2018-02-28 发布日期:2018-03-02
作者简介:null
作者简介：鲍蕴文,女,1964年生,主管技师,主要从事临床血液及体液细胞学研究。

Application of AVE-562 automated feces analyzer

BAO Yunwen¹, GU Kongzhen², XU Keqian²

1. Department of Clinical Laboratory,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,Guangdong,China
2. Department of Laboratory Medicine,Xiangya School of Medicine,Central South University,Changsha 410013,Hunan,China;

Received:2016-11-08 Online:2018-02-28 Published:2018-03-02

摘要/Abstract

摘要：

目的评价AVE-562全自动粪便分析仪检测粪便标本的临床应用价值。方法采用手工镜检法和AVE-562全自动粪便分析仪同时检测3 028例患者的粪便标本,以手工镜检法为金标准[仪器自动隐血（OB）检测与武汉康珠OB试纸条人工检测结果比较],对粪便常规检测结果进行比较分析,计算AVE-562全自动粪便分析仪检测的敏感性、特异性、准确率。结果仪器自动OB检测与武汉康珠OB试纸条一致率为97.85%（kappa=0.918）。以手工镜检法为金标准,AVE-562全自动粪便分析仪检测红细胞（RBC）、白细胞（WBC）、寄生虫虫卵和脂肪球的敏感性分别为86.05%、80.95%、72.00%和91.89%;特异性分别为99.63%、99.80%、99.73%和99.86%;准确率分别为99.44%、99.54%、99.50%和99.67%;kappa值分别为0.810、0.827、0.703和0.930。结论 AVE-562全自动粪便分析仪粪便常规检测RBC、WBC等指标与手工镜检法一致性较好,仪器操作简单,自动化程度高,有较高的临床应用价值。

关键词: 粪便检测, 粪便分析仪, 手工镜检

Abstract:

Objective To evaluate the application of AVE-562 automated feces analyzer. Methods A total of 3 028 feces specimens were determined by manual microscopy and AVE-562 automated feces analyzer. The results of manual microscopy were as gold standard. Occult blood（OB） test results determined automatically by AVE-562 were compared with those of manual microscopy by OB test strip of Kangzhu Company. The sensitivity,specificity and accuracy were calculated. Results The coincidence rate was 97.85% for OB test of AVE-562 and OB test strip（kappa=0.918）. The sensitivities of red blood cell（RBC）,white blood cell（WBC）,parasite and fat globule were 86.05%,80.95%,72.00% and 91.89%,respectively. The specificities of RBC,WBC,parasite and fat globule were 99.63%,99.80%,99.73% and 99.86%,respectively. The accuracies of RBC,WBC,parasite and fat globule were 99.44%,99.54%,99.50% and 99.67%,respectively. The kappa values of RBC,WBC,parasite and fat globule were 0.810,0.827,0.703 and 0.930,respectively. Conclusions The results of RBC,WBC and other indices by AVE-562 automated feces analyzer and manual microscopy have good consistency. It is easy to operate for AVE-562 automated feces analyzer with application value.

Key words: Feces examination, Feces analyzer, Manual microscopy

中图分类号:

R446.1

鲍蕴文, 顾孔珍, 徐克前. AVE-562全自动粪便分析仪的临床应用评价[J]. 检验医学, 2018, 33(2): 152-155.

BAO Yunwen, GU Kongzhen, XU Keqian. Application of AVE-562 automated feces analyzer[J]. Laboratory Medicine, 2018, 33(2): 152-155.

图/表 6

参考文献 12

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AVE-562	OB试纸条		合计
AVE-562	阳性	阴性	合计
阳性	439	35	474
阴性	30	2 524	2 554
合计	469	2 559	3 028

AVE-562	OB试纸条		合计
AVE-562	阳性	阴性	合计
阳性	439	35	474
阴性	30	2 524	2 554
合计	469	2 559	3 028

AVE-562	手工镜检法		合计
AVE-562	阳性	阴性	合计
阳性	37	11	48
阴性	6	2 974	2 980
合计	43	2 985	3 028

AVE-562	手工镜检法		合计
AVE-562	阳性	阴性	合计
阳性	37	11	48
阴性	6	2 974	2 980
合计	43	2 985	3 028

AVE-562	手工镜检法		合计
AVE-562	阳性	阴性	合计
阳性	34	6	40
阴性	8	2 980	2 988
合计	42	2 986	3 028

AVE-562全自动粪便分析仪的临床应用评价

Application of AVE-562 automated feces analyzer

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Metrics

项目	阳性率		敏感性	特异性	准确率
项目	AVE-562	手工镜检法	敏感性	特异性	准确率
RBC	1.59	1.42	86.05	99.63	99.44
WBC	1.32	1.39	80.95	99.80	99.54
虫卵	0.86	0.83	72.00	99.73	99.50
脂肪球	2.38	2.44	91.89	99.86	99.67