中国医院统计
中國醫院統計
중국의원통계
CHINESE JOURNAL OF HOSPITAL STATISTICS
2015年
3期
194-196
,共3页
血常规检验%影响因素%误差%临床分析
血常規檢驗%影響因素%誤差%臨床分析
혈상규검험%영향인소%오차%림상분석
Blood routine examination%Influencing factor%Error%Clinical analysis
目的：探讨血常规检验中的误差以及影响因素。方法选取2014年7月至2015年1月在我院治疗的患者血常规检查标本304例,在不同储存温度、放置时间、抗凝剂浓度等条件下检测血常规标本。结果当储存温度条件为常规温度(6~25℃)时,白细胞含量为(4.42±0.63)×109/L,明显高于4℃时,而血小板含量为(210.41±7.93)×109/L,明显低于4℃时(P<0.05)；常规温度和4℃条件下红细胞和血红蛋白含量差异比较无统计学意义(P>0.05)；放置4h后白细胞含量为(2.92±0.77)×109/L,明显低于即时和2h后检测数值,而血小板含量为(303.22±21.04)×109/L,明显高于即时和2h后检测数值(P<0.05)；即时检测红细胞和血红蛋白含量分别为(4.45±0.52)×109/L和(119.02±23.06)g/L,明显低于2h和4h后检测数值(P<0.05)；抗凝剂浓度为2.4mg/ml时,MCV和Hct分别为(89.32±7.05)fl和(0.441±0.012),明显高于抗凝剂浓度为1.6mg/ml和2.0mg/ml时。结论血液标本保存温度、测定时间以及抗血凝剂浓度均会影响血常规标本检测值,故医护人员应严格按照相关规定进行检测。
目的：探討血常規檢驗中的誤差以及影響因素。方法選取2014年7月至2015年1月在我院治療的患者血常規檢查標本304例,在不同儲存溫度、放置時間、抗凝劑濃度等條件下檢測血常規標本。結果噹儲存溫度條件為常規溫度(6~25℃)時,白細胞含量為(4.42±0.63)×109/L,明顯高于4℃時,而血小闆含量為(210.41±7.93)×109/L,明顯低于4℃時(P<0.05)；常規溫度和4℃條件下紅細胞和血紅蛋白含量差異比較無統計學意義(P>0.05)；放置4h後白細胞含量為(2.92±0.77)×109/L,明顯低于即時和2h後檢測數值,而血小闆含量為(303.22±21.04)×109/L,明顯高于即時和2h後檢測數值(P<0.05)；即時檢測紅細胞和血紅蛋白含量分彆為(4.45±0.52)×109/L和(119.02±23.06)g/L,明顯低于2h和4h後檢測數值(P<0.05)；抗凝劑濃度為2.4mg/ml時,MCV和Hct分彆為(89.32±7.05)fl和(0.441±0.012),明顯高于抗凝劑濃度為1.6mg/ml和2.0mg/ml時。結論血液標本保存溫度、測定時間以及抗血凝劑濃度均會影響血常規標本檢測值,故醫護人員應嚴格按照相關規定進行檢測。
목적：탐토혈상규검험중적오차이급영향인소。방법선취2014년7월지2015년1월재아원치료적환자혈상규검사표본304례,재불동저존온도、방치시간、항응제농도등조건하검측혈상규표본。결과당저존온도조건위상규온도(6~25℃)시,백세포함량위(4.42±0.63)×109/L,명현고우4℃시,이혈소판함량위(210.41±7.93)×109/L,명현저우4℃시(P<0.05)；상규온도화4℃조건하홍세포화혈홍단백함량차이비교무통계학의의(P>0.05)；방치4h후백세포함량위(2.92±0.77)×109/L,명현저우즉시화2h후검측수치,이혈소판함량위(303.22±21.04)×109/L,명현고우즉시화2h후검측수치(P<0.05)；즉시검측홍세포화혈홍단백함량분별위(4.45±0.52)×109/L화(119.02±23.06)g/L,명현저우2h화4h후검측수치(P<0.05)；항응제농도위2.4mg/ml시,MCV화Hct분별위(89.32±7.05)fl화(0.441±0.012),명현고우항응제농도위1.6mg/ml화2.0mg/ml시。결론혈액표본보존온도、측정시간이급항혈응제농도균회영향혈상규표본검측치,고의호인원응엄격안조상관규정진행검측。
Objective To investigate clinical blood test error and influencing factors. Methods Selected from 2014 Ju-ly to 2015 January in our hospital treatment of 304 cases of patients blood routine examination samples, and detected blood rou-tine samples in the different storage temperature, storage time, anticoagulant concentration conditions. Results When the stor-age temperature conditions for the normal temperature(6~25℃), white blood cell content was (4. 42±0. 63) ×109/L, signifi-cantly higher than that of 4℃ and platelet content was (210. 41±7. 93)×109/L, significantly lower than that of 4℃(P<0. 05). The differences of red blood cell and hemoglobin in the conventional temperature and 4℃ was no statistical significance ( P>0. 05). After placing 4h white blood cell content was (2. 92±0. 77)×109/L, significantly lower than that of real-time and 2h de-tection value, and platelet content was (303. 22±21. 04)×109/L, significantly higher than that of real-time and 2h detection val-ue (P<0. 05). Real-time detection of red blood cell and hemoglobin content were (4. 45±0. 52)×109/L and (119. 02±23. 06) g/L, significantly lower than that of 2h and 4h(P<0. 05). When the anticoagulants concentration was 2. 4mg/ml, MCV and Hct were (89. 32±7. 05) fl and (0. 441±0. 012), significantly higher than that of the concentration of 1. 6mg/ml and 2. 0mg/ml. Conclusion Blood samples storage temperature, determination time and the anti coagulant concentration will affect the blood samples detection value, so the medical staff should test strictly in accordance with the relevant provisions.
