CAJ | 학술논문

目的：分析标本血量不足对患者凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）检测结果的影响。方法选择58例血量不足标本，要求血细胞比容在20％～55％，离心后无溶血、脂血及黄疸。按血量与抗凝剂比例分为8∶1组与7∶1组两组，再分别抽取两组患者合格血量（2．7 mL ）标本作为各自对照组，检测4个组血样的PT、APTT。结果 PT在血量与抗凝剂比例为8∶1组和8∶1对照组相比差异无统计学意义（P＞0．05），在血量与抗凝剂比例为7∶1组与7∶1对照组相比差异有统计学意义（P＜0．05）；APTT在血量与抗凝剂比例为8∶1、7∶1组与相应的对照组相比差异有统计学意义（P＜0．05）。结论凝血项目的检测中，PT、APTT 的结果受血液和抗凝剂比例的影响。
목적：분석표본혈량불족대환자응혈매원시간（PT）、활화부분응혈활매시간（APTT）검측결과적영향。방법선택58례혈량불족표본，요구혈세포비용재20％～55％，리심후무용혈、지혈급황달。안혈량여항응제비례분위8∶1조여7∶1조량조，재분별추취량조환자합격혈량（2．7 mL ）표본작위각자대조조，검측4개조혈양적PT、APTT。결과 PT재혈량여항응제비례위8∶1조화8∶1대조조상비차이무통계학의의（P＞0．05），재혈량여항응제비례위7∶1조여7∶1대조조상비차이유통계학의의（P＜0．05）；APTT재혈량여항응제비례위8∶1、7∶1조여상응적대조조상비차이유통계학의의（P＜0．05）。결론응혈항목적검측중，PT、APTT 적결과수혈액화항응제비례적영향。
Objective To demonstrate the influence of blood samples volume on the prothrombin time ( PT ) and activated partial thromboplastin time (APTT) results .Methods Fifty eight cases were chosen whose HCT was 20% -55% .After centrifugation ,there was no hemolysis ,lipemia or icterus .According to the proportion of blood and anticoagulant ,samples were divided into 2 groups ,8∶ 1 group and 7∶ 1 group .Then re-extracted sufficient blood(2 .7 mL) for each control group(9 ∶ 1) respectively ,blood samples of these 4 groups were detected PT , APTT .Results The PT results of 8∶ 1 group and the control group was not statistically different ,and the PT re-sults of 7∶1 group and the control group was statistically different .The APTT results of 8∶1 ,and 7∶1 were statis-tically different with the control group .Conclusion The detection of coagulation project PT and APTT′s results were affected by the proportion of blood and anticoagulant .