李紫英河南省郑州大学附属洛阳中心医院检验科，河南洛阳471000

阴道分泌物对尿常规检查结果的影响

李紫英
河南省郑州大学附属洛阳中心医院检验科，河南洛阳471000

目的分析阴道分泌物对尿常规临床检查结果的影响。方法选取2015年1月—2016年4月该院收治的妇科疾病患者96例，随机分为观察组（n=63）和对照组（n=33），观察组在责任护士的帮助下于阴道分泌物流出后采集中段尿液，对照组由自身采用常规尿液采集方式进行检查，对比两组中段尿液中红细胞、白细胞、上皮细胞、蛋白质检出率、尿液酸碱度、尿胆原和尿胆红素含量。结果观察组红细胞、白细胞、上皮细胞、蛋白质检出率低于对照组，差异具有统计学意义（P＜0.05）；两组尿液酸碱度分布比较差异具有统计学意义（P＜0.05）；两组尿胆原和尿胆红素含量比较差异无统计学意义（P＞0.05）。结论阴道分泌物会对常规尿检测结果造成影响，造成检测假阳性率升高。临床尿检时应告知患者正确的采集尿液标本方法，同时强化对医务人员的教育，提高尿检的准确率。

阴道分泌物；尿常规；检查结果

［Abstract］Objective To analyze the effect of vaginal secretions on urine routine clinical examination results.M ethods 96 cases of patientswith gynecological disease admitted and treated in our hospital from January 2015 to April 2016 were se‐lected and randomly divided into two groups,the observation group(n=63)collected midstream urine after the vaginal secre‐tions flowed outwith the help of primary nurses,the control group(n=33)were examined using the routine urine collection method by themselves,and the red cell,white cell,epithelial cell,protein detection rate,urine pH,urobilinogen and urine bilirubin content inmidstream urine were compared between the two groups.Results The red cell,white cell,epithelial cell and protein detection rate in the observation group were lower than those in the control group,and the differences had sta‐tistical significance,P《0.05,the difference in the urine pH distribution had statistical significance,P《0.05,but the differ‐ences in the urobilinogen and urine bilirubin content between the two groups had no statistical significance,P>0.05.Conclusion Vaginal secretions can impose an effect on urine routine examination results and increase the false detection posi‐tive rate.We should inform the patients of accurate urine specimen collectionmethods,strengthen the education formedical staff and improve the accurate rate of urine examination.

［Key words］Vaginal secretions;Urine routine;Examination results

尿常规检查是临床工作中常用的实验检查项目[1]。随着自动化尿液检测技术的不断更新，尿常规分析的参数亦随之增多，如白细胞、红细胞、病原体、管型等有形成分检查，尿蛋白、尿糖、尿胆原、胆红素等化学检查，电导率、透明度、颜色、比重等理学检查，通过不同的原理和方法对尿液进行相关项目分析，为临床提供有价值的参考信息[2]。尿液标本采集比较容易，但临床检验中常会出现检验结果与临床症状不符的情况，说明可能存在相关的因素干扰检验结果。该……