阴道分泌物对尿常规临床检验结果的影响(1)

http://www.100md.com 2019年7月5日 《中外医疗》 2019年第19期

     [摘要] 目的 探究和分析阴道分泌物对尿常规临床检验结果的影响。方法 方便选择自2017年8月—2018年8月在该院行尿常规临床检验的82例体检患者作为研究对象，采用随机数字表法将其分成对照组和研究组，每组41例，对照组采用常规方法采集尿液，研究组采用抑制阴道分泌物流出方法采集尿液，对比两组患者尿糖、蛋白质、pH值等尿常规指标水平检出情况及尿液标本中白细胞、红细胞、亚硝酸盐及上皮细胞的检出率。 结果 研究组患者尿糖、pH值、蛋白质水平(3.1±1.2)mmol/L、(7.6±2.3)g/mol、(7.1±1.0)均顯著低于对照组(6.2±2.3)mmol/L、(10.3±3.4)g/mol、(7.5±1.3)，统计学分别为(t=8.924，P=0.001、t=7.153，P=0.008、t=7.827，P=0.005);研究组患者尿液标本中白细胞、红细胞、亚硝酸盐及上皮细胞的检出率(4.9%、43.9%、2.4%、2.4%)均显著低于对照组(24.4%、70.7%、19.5%、12.2%)，统计学分别为(χ2=15.205，P=0.000、χ2=14.678，P=0.000、χ2=7.928，P=0.002、χ2=7.021，P=0.008)。 结论 阴道分泌物会直接影响尿常规临床检验结果，为保证尿常规检验结果的准确性，可采用抑制阴道分泌物流出方法采集其尿液进行尿常规检查。

    [关键词] 阴道分泌物;尿常规;临床检验;影响

    [中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)07(a)-0165-03

    Effect of Vaginal Secretion on Routine Clinical Test Results of Urine

    WU Yi

    Department of Clinical Laboratory， West China Guang'an Hospital， Sichuan University， Guang'an Sichuan Province， 638000 China

    [Abstract] Objective To investigate and analyze the effect of vaginal secretions on routine urine test results. Methods Convenient select eighty-two physical examination patients who underwent routine urinalysis in our hospital from August 2017 to August 2018 were enrolled in the study. They were randomly divided into a control group and a study group， with 41 patients in each group. The control group collected urine by routine methods. The study group used urine to inhibit the secretion of vaginal secretions. The urine samples， urine， protein， pH and other urine routine indicators were compared and the white blood cells and red blood cells， detection rate of nitrite and epithelial cells in urine samples were compared. Results Urine， pH and protein levels (3.1±1.2) mmol/L， (7.6±2.3) g/mol， and (7.1±1.0) were significantly lower in the study group than in the control group (6.2±2.3) mmol/L， (10.3±3.4) g/mol， (7.5±1.3)， statistically (t=8.924， P=0.001， t=7.153， P=0.008， t=7.827， P=0.005); the detection rate (4.9%， 43.9%， 2.4%， 2.4%) of leukocytes， red blood cells， nitrite and epithelial cells in the urine samples of the study group were significantly lower than those in the control group (24.4%， 70.7%， 19.5%， 12.2%)， the statistics were (χ2=15.205， P=0.000， χ2=14.678， P=0.000， χ2=7.928， P=0.002， χ2=7.021， P=0.008). Conclusion The vaginal secretions will directly affect the routine urine test results. In order to ensure the accuracy of the urine routine test results， the urine can be collected by the method of inhibiting vaginal secretion.(吴熠)

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