中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
11期
174-175
,共2页
质量控制%分析前%凝血四项
質量控製%分析前%凝血四項
질량공제%분석전%응혈사항
Quality control%Pre analysis%Coagulation four indices
目的：分析影响凝血四项测定结果的前因素。方法选取该院2013年6月—2014年5月不合格采血标本206份，与其重抽后合格标本，检测凝血四项指标；采集送检合格标本26份即刻、4°C放置8 h、室温下放置8 h再检测。结果采血量不足组的PT、APTT、TT显著高于重抽合格标本组，差异有统计学意义（P<0.05）；FIB显著低于重抽合格标本组，差异有统计学意义（P<0.05）；采血量过多组的PT、APTT、TT显著高于重抽合格标本组，差异有统计学意义（P<0.05）；FIB显著低于重抽合格标本组，差异有统计学意义（P<0.05）。溶血组的TT显著高于重抽合格标本组，差异有统计学意义（P<0.05）；PT、APTT显著低于重抽合格标本组，差异有统计学意义（P<0.05）；两组的FIB差异无统计学意义（P>0.05）；室温环境下即刻PT、APTT显著低于8 h后指标，差异有统计学意义（P<0.05）；而即刻、8 h后TT、FIB指标差异无统计学意义（P<0.05）；4°C下即刻PT、APTT、TT、FIB指标与8 h后比较，差异无统计学意义（P>0.05）。结论凝血四项检测结果分析前质量控制是确保实验室检查结果准确性的前提。
目的：分析影響凝血四項測定結果的前因素。方法選取該院2013年6月—2014年5月不閤格採血標本206份，與其重抽後閤格標本，檢測凝血四項指標；採集送檢閤格標本26份即刻、4°C放置8 h、室溫下放置8 h再檢測。結果採血量不足組的PT、APTT、TT顯著高于重抽閤格標本組，差異有統計學意義（P<0.05）；FIB顯著低于重抽閤格標本組，差異有統計學意義（P<0.05）；採血量過多組的PT、APTT、TT顯著高于重抽閤格標本組，差異有統計學意義（P<0.05）；FIB顯著低于重抽閤格標本組，差異有統計學意義（P<0.05）。溶血組的TT顯著高于重抽閤格標本組，差異有統計學意義（P<0.05）；PT、APTT顯著低于重抽閤格標本組，差異有統計學意義（P<0.05）；兩組的FIB差異無統計學意義（P>0.05）；室溫環境下即刻PT、APTT顯著低于8 h後指標，差異有統計學意義（P<0.05）；而即刻、8 h後TT、FIB指標差異無統計學意義（P<0.05）；4°C下即刻PT、APTT、TT、FIB指標與8 h後比較，差異無統計學意義（P>0.05）。結論凝血四項檢測結果分析前質量控製是確保實驗室檢查結果準確性的前提。
목적：분석영향응혈사항측정결과적전인소。방법선취해원2013년6월—2014년5월불합격채혈표본206빈，여기중추후합격표본，검측응혈사항지표；채집송검합격표본26빈즉각、4°C방치8 h、실온하방치8 h재검측。결과채혈량불족조적PT、APTT、TT현저고우중추합격표본조，차이유통계학의의（P<0.05）；FIB현저저우중추합격표본조，차이유통계학의의（P<0.05）；채혈량과다조적PT、APTT、TT현저고우중추합격표본조，차이유통계학의의（P<0.05）；FIB현저저우중추합격표본조，차이유통계학의의（P<0.05）。용혈조적TT현저고우중추합격표본조，차이유통계학의의（P<0.05）；PT、APTT현저저우중추합격표본조，차이유통계학의의（P<0.05）；량조적FIB차이무통계학의의（P>0.05）；실온배경하즉각PT、APTT현저저우8 h후지표，차이유통계학의의（P<0.05）；이즉각、8 h후TT、FIB지표차이무통계학의의（P<0.05）；4°C하즉각PT、APTT、TT、FIB지표여8 h후비교，차이무통계학의의（P>0.05）。결론응혈사항검측결과분석전질량공제시학보실험실검사결과준학성적전제。
Objective Analysis of factors affecting four before the determination results of blood coagulation.Methods 206 copies of unqualified blood specimens in our hospital from June 2013 to May 2014 were selected, With the qualified samples, detection coagulation four indicators; 26 inspection qualified samples immediately, 4 ° C placed 8 h, placed to 8 h at room temperature.Results TT, APTT, PT of Insufficient blood group were significantly higher than that of resampling qualified samples group, the difference was statistically significant (P<0.05); While the FIB was significantly lower than that of resampling qualified specimens, the difference was statistically significant (P<0.05); TT, APTT, PT of much blood volume group were significantly higher than that of resampling qualified samples group, the difference was statistically significant (P<0.05); While the FIB was significantly lower than that of resampling qualified specimens, the difference was statistically significant (P<0.05); TT of Hemolytic group was significantly higher than that of resampling qualified samples group, the difference was statistically significant (P<0.05); APTT, PT were significantly lower than those of re sampling qualified samples group, the difference was statistically significant (P<0.05); FIB had no statistically significant difference between the two groups (P>0.05); room temperature environment of immediate PT, APTT was significantly lower than that of 8h index, the difference was statistically significant (P<0.05); and immediately after 8h, TT, FIB index had no statistical difference (P<0.05);4°C immediate PT, APTT, FIB, TT index and 8h after comparison, he difference has no statistically significant(P>0.05). Conclusion Pre analysis quality control of the results of four items of blood coagulation detection is the premise to ensure the accuracy of laboratory results.
