[1]王艳荣.生化检验中样本溶血对检验准确性的影响[J].医学信息,2019,32(15):173-174.[doi:10.3969/j.issn.1006-1959.2019.15.059]
　WANG Yan-rong.Effect of Sample Hemolysis on Test Accuracy in Biochemical Tests[J].Journal of Medical Information,2019,32(15):173-174.[doi:10.3969/j.issn.1006-1959.2019.15.059]
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生化检验中样本溶血对检验准确性的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年15期
页码:
173-174
栏目:
诊疗技术
出版日期:
2019-08-01

文章信息/Info

Title:
Effect of Sample Hemolysis on Test Accuracy in Biochemical Tests
文章编号:
1006-1959（2019）15-0173-02
作者:
王艳荣
佳木斯市中医院检验科，黑龙江 佳木斯 154002
Author(s):
WANG Yan-rong
Department of Laboratory,Jiamusi Chinese Medicine Hospital,Jiamusi 154002,Heilongjiang,China
关键词:
生化检验; 溶血; 检验准确性
Keywords:
Key words：Biochemical test; Hemolysis; Test accuracy
分类号:
R446.1
DOI:
10.3969/j.issn.1006-1959.2019.15.059
文献标志码:
A
摘要:
目的 分析生化检验中样本溶血对检验准确性的影响。方法 选取2018年1月~12月我院进行体检的317名健康人群的血液样本作为研究对象，随机分为观察组160名和对照组157名。对照组采取常规存放标本，观察组采取人工溶血处理，比较两组高密度脂蛋白（HDL）、甘油三酯（TG）、总蛋白（TP）、白蛋白（ALB）、乳酸脱氢酶（LDH）、肌酸激酶同工酶（CK-MB）、肌酸激酶（CK）、天冬氨酸氨基转移酶（AST）、总胆红素（TBIL）、直接胆红素（DBIL）、乳酸脱氢酶（LDH）。结果 两组HDL、TG、ALB指标比较，差异无统计学意义（P＞0.05）；观察组TP、LDH、CK-MB、CK、AST、TBIL、DBIL分别为（58.95±6.87）g/L、（395.56±11.69）U/L、（84.69±6.84）U/L、（175.69±6.97）IU/L、（84.51±3.69）U/L、（14.23±1.21）μmol/L、（4.21±0.84）μmol/L，优于对照组的（86.64±5.96）g/L、（172.66±10.36）U/L、（6.88±0.78）U/L、（124.46±6.32）IU/L、（70.36±2.36）U/L、（9.71±2.12）μmol/L、（10.58±2.54）μmol/L，差异有统计学意义（P＜0.05）。结论 标本在出现溶血现象后会导致生化检验结果出现偏差，影响其准确度，提高检查人员对标本的重视程度，才能有效的保证生化检测结果真实可靠。
Abstract:
Abstract：Objective To analyze the effect of sample hemolysis on the accuracy of the test.Methods Blood samples from 317 healthy people who underwent physical examination in our hospital from January to December 2018 were randomly divided into observation group 160 and control group 157. The control group was routinely stored, and the observation group was treated with artificial hemolysis. The two groups were compared with high-density lipoprotein (HDL), triglyceride (TG), total protein (TP), albumin (ALB), and lactate dehydrogenase (LDH), creatine kinase isoenzyme (CK-MB), creatine kinase (CK), aspartate aminotransferase (AST), total bilirubin (TBIL), direct bilirubin (DBIL), lactate Hydrogenase (LDH).Results There were no significant differences in HDL, TG, ALB between the two groups (P>0.05). The observation group TP, LDH, CK-MB, CK, AST, TBIL, DBIL were (58.95±6.87) g/L, (395.56±11.69) U/L, (84.69±6.84) U/L, (175.69±6.97) IU/L, (84.51±3.69) U/L, (14.23±1.21) μmol/L, (4.21±0.84) μmol/L, superior to the control group (86.64±5.96) g/L, (172.66 ±10.36) U/L, (6.88±0.78) U/L, (124.46±6.32) IU/L, (70.36±2.36) U/L, (9.71±2.12) μmol/L, (10.58±2.54) μmol/ L, the difference was statistically significant (P<0.05).Conclusion After the hemolysis phenomenon occurs, the specimen will lead to deviation of biochemical test results, affecting its accuracy, and improving the attention of the inspectors to the specimens, in order to effectively ensure the biochemical test results are true and reliable.

参考文献/References:

[1]李会学.生化检验中样本溶血对检验准确性影响分析[J].临床检验杂志(电子版),2019,8(1):104-105. [2]张保.标本溶血对生化检验中电解质、心肌酶、肝功能、血脂水平的影响[J].临床医药文献电子杂志,2018,5(46):131. [3]王茜.探讨溶血对生化检验结果准确性的影响及校正方法的分析[J].吉林医学,2018,39(3):479-480. [4]姜黎黎.标本溶血对生化检验结果的干扰和影响及对策分析[J].中国冶金工业医学杂志,2018,35(1):109-110. [5]吴红霞.标本溶血对生化检验中电解质、心肌酶、肝功能、血脂水平的影响[J].国际检验医学杂志,2017,38(24):3486-3488. [6]梁鹏.溶血现象对临床生化检验项目影响的观察及预防研究[J].现代诊断与治疗,2017,28(13):2473-2474. [7]瞿志杰.新生儿溶血样本对生化检验结果的作用及优化措施[J].中国医药指南,2016,14(36):47.

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更新日期/Last Update: 2019-08-01