Objective To compare the result of microscopic method with that of instrumental method in urine routine examination. Methods 220 cases of patients underwent urinalysis from August, 2012 to October, 2013 were randomly divided into the control group and the observation group with 110 cases in each. The control group adopted instrumental method of routine urine examina-tion, and the observation group adopted microscopic of urine routine examination. The results of examination of two groups were compared. Results The positive rate of the observation group (98.2%) and clinical diagnosis coincidence rate (94.5%) were signifi-cantly higher than those of the control group (P<0.05); the positive rate of nitrite, occult blood and white blood cell (which was 18.8%, 44.5%, 25.5%, respectively) and the clinical diagnosis coincidence rate(which was 18.3%, 42.7%, 24.5%, respectively ) of the observation group were obviously higher than those of the control group (P<0.05), the positive rate of red blood cell (10.0%) was lower than that of the control group(P<0.05), the difference in coincidence rate (9.1%) was not statistically significant(P>0.05). Conclusion In urine routine examination, compared with the instrumental method, microscopic method has more advantages in the detection of nitrite, occult blood and leukocyte, and higher clinical value.%目的：对尿常规检查中镜检法与仪器法的检查结果进行对比。方法选取2012年8月—2013年10月接受尿常规检查者220例，随机分为对照组与观察组各110例，对照组采取仪器法展开尿常规检查，观察组采取镜检法展开尿常规检查，对比两组检查结果。结果观察组阳性检出率（98.2%）及临床诊断符合率（94.5%）显著高于对照组（P＜0.05）；观察组亚硝酸盐、潜血及白细胞阳性率（分别为18.8%、44.5%、25.5%）及临床诊断符合率（分别为18.3%、42.7%、24.5%）均显著高于对照组（P＜0.05），红细胞阳性率（10.0%）低于对照组（P＜0.05），符合率（9.1%）间差异无统计学意义（P＞0.05）。结论在尿常规检查中，与仪器法相比，镜检法在亚硝酸盐、潜血及白细胞等检测中更具优势，临床应用价值更高。
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