论文部分内容阅读
目的:探讨不同程度溶血对常规生化检验结果的影响。方法:选取2015年6月至2015年8月本院接受体检的人员267例。采集受检人员静脉血,并制作未溶血、轻度溶血、重度溶血标本进行检验。结果:轻度溶血标本血清中总胆固醇、肌酸激酶、白蛋白、谷草转氨酶、乳酸脱氢酶及K+离子水平均明显升高,差异具有统计学意义(P<0.05);γ-谷氨酰转移酶、碱性磷酸酶、总胆红素与直接胆红素水平均显著降低;谷丙转氨酶、三酰甘油、血肌酐、葡萄糖、尿素氮、总蛋白、血尿酸、Ca~(2+)离子水平差异均无统计学意义(P>0.05)。重度溶血标本血清中总胆固醇、白蛋白、总蛋白、谷丙转氨酶、谷草转氨酶、乳酸脱氢酶、肌酸激酶、K+离子水平均明显升高(P<0.05);γ-谷氨酰转移酶、总胆红素、碱性磷酸酶、直接胆红素水平均明显降低(P<0.05);三酰甘油、血肌酐、葡萄糖、尿素氮、血尿酸、Ca~(2+)离子差异均无统计学意义(P>0.05)。结论:不同程度的溶血能够影响常规生化检验结果。通过循证医学理论与检验医师丰富的临床经验能够对轻度溶血标本进行常规生化检验,以提高工作效率。
Objective: To investigate the effect of different degrees of hemolysis on the results of routine biochemical tests. Methods: From June 2015 to August 2015, 267 cases of medical examination in our hospital were selected. Blood samples were collected venous blood, and production of hemolysis, mild hemolysis, severe hemolytic specimens for testing. Results: The levels of total cholesterol, creatine kinase, albumin, aspartate aminotransferase, lactate dehydrogenase and K + in serum of mild hemolysis specimens were significantly increased (P <0.05), γ-glutamyl The levels of AST, ALP, total bilirubin and direct bilirubin were significantly decreased; ALT, triglyceride, serum creatinine, glucose, urea nitrogen, total protein, There was no significant difference in ion level (P> 0.05). Serum levels of total cholesterol, albumin, total protein, alanine aminotransferase, aspartate aminotransferase, lactate dehydrogenase, creatine kinase and K + in severe hemolytic samples were significantly increased (P <0.05); γ-glutamyl transferase , The levels of total bilirubin, alkaline phosphatase and direct bilirubin were significantly decreased (P <0.05). There was no difference in triglyceride, serum creatinine, glucose, urea nitrogen, serum uric acid and Ca 2+ Statistical significance (P> 0.05). Conclusion: Different degrees of hemolysis can affect the results of routine biochemical tests. Through evidence-based medical theory and laboratory physicians rich clinical experience can be mild hemolytic specimens routine biochemical tests to improve work efficiency.