CAJ | 학술논문

目的：评价标本溶血、温度以及储存时间对肝功能生化检测效果的影响。方法选取2011年3月~2013年7月来我中心进行健康体检的正常人群90例，随机平均分为A、B、C三组，研究溶血、温度以及储存时间对ALT（谷丙转氨酶）、AST（谷草转氨酶）、TBiL（总胆红素）和DBiL（直接胆红素）的影响。结果A组中比较发现溶血组与不溶血组AST、TBiL和DBiL差异有统计学意义（P＜0.05），ALT比较差异无统计学意义（P＞0.05）；B组与C组中比较差异均无统计学意义（P＞0.05）。结论在肝功能生化检测中，溶血能影响AST、TBiL和DBiL水平，温度以及储存时间对检验结果无影响，所以在检验过程中应注意防止样本溶血。
목적：평개표본용혈、온도이급저존시간대간공능생화검측효과적영향。방법선취2011년3월~2013년7월래아중심진행건강체검적정상인군90례，수궤평균분위A、B、C삼조，연구용혈、온도이급저존시간대ALT（곡병전안매）、AST（곡초전안매）、TBiL（총담홍소）화DBiL（직접담홍소）적영향。결과A조중비교발현용혈조여불용혈조AST、TBiL화DBiL차이유통계학의의（P＜0.05），ALT비교차이무통계학의의（P＞0.05）；B조여C조중비교차이균무통계학의의（P＞0.05）。결론재간공능생화검측중，용혈능영향AST、TBiL화DBiL수평，온도이급저존시간대검험결과무영향，소이재검험과정중응주의방지양본용혈。
Objective To evaluate the impact of hemolysis, temperature and storage time on liver function biochemical test. Methods 90 healthy populations receiving physical examination in our center from Mar 2011 to Jul 2013 were selected and randomly assigned to Group A, Group B and Group C to study the impact of hemolysis, temperature and storage time on ALT(glutamic-pyruvic transaminase), AST(glutamic-oxalacetic transaminase), TBiL (total bilirubin) and DBiL (direct bilirubin). Results In Group A, the hemolysis subgroup and non-hemolysis subgroup had difference in AST, TBiL and DBiL, with statistical significance (P<0.05), but no statistical difference in ALT (P>0.05). The difference had no statistical significance in Group B or Group C (P >0.05). Conclusion Hemolysis can affect AST, TBiL and DBiL levels in liver function biochemical tests, but the temperature and storage time have no impact on test results. Therefore, it is proposed to prevent sample hemolysis during tests.