血液分析仪测定静脉血和末梢血血常规结果的差异
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摘要
目的探讨血液分析仪测定静脉血和末梢血血常规检测结果的差异。方法 100例进行血常规检验的患者,按照数字随机方式将患者分成对照组和实验组,每组50例。对照组患者采集末梢血,实验组患者则采集静脉血,对血常规测定结果进行观察比较。结果对照组患者的白细胞(WBC)为(6.4±1.3)×10~9/L、红细胞(RBC)为(5.2±0.6)×10~(12)/L、平均红细胞容积(MCV)为(89.7±7.7)fl、红细胞压积(HCT)为(0.52±0.18)、血红蛋白(H b)为(10.6±5.3)g/L、平均红细胞血红蛋白含量(MCH)为(21±7)Pg、平均红细胞血红蛋白浓度(MCHC)为(335±17)g/L、血小板(PLT)为(185±70)×10~9/L。实验组患者的WBC为(4.9±1.1)×10~9/L、RBC为(5.0±0.8)×10~(12)/L、MCV为(88.9±8.4)fl、HCT为(0.46±0.21)、Hb为(8.7±3.6)g/L、MCH为(18±10)pg、MCHC为(333±16)g/L、PLT为(184±68)×10~9/L。两组患者HCT、Hb、WBC比较差异有统计学意义(P<0.05);PLT、MCHC、MCH、MCV以及RBC比较差异无统计学意义(P>0.05)。结论在血常规检查中,末梢血和静脉血对检查结果的影响差别较小,但选择末梢血进行血常规检查不能对检验质量进行有效控制,部分检验指标不如静脉血准确,因此建议在选择血液分析仪进行血常规检验时应尽可能选择静脉血。
Objective To investigate result differences by blood analyzer in detection of blood routine in venous blood and peripheral blood.Methods A total of 100 patients receiving blood routine test were divided by random number table into control group and experimental group,with 50 cases in each group.Peripheral blood was taken from the control group,while venous blood was taken from the experimental group.Observation and comparison were made on their blood routine test outcomes.Results The control group had white blood cell(WBC)as(6.4±1.3)×10~9/L,red blood cell(RBC) as(5.2±0.6)×10~(12)/L,mean corpuscular volume(MCV) as(89.7±7.7) fl,hematocrit(HCT) as(0.52±0.18),hemoglobin(Hb) as(10.6±5.3) g/L,mean corpuscular hemoglobin(MCH)as(21±7) pg,mean corpuscular hemoglobin concentration as(MCHC) as(335±17) g/L,and platelets(PLT) as(185±70)×10~9/L.The experimental group had WBC as(4.9±1.1)×10~9/L,RBC as(5.0±0.8)×10~(12)/L,MCV as(88.9±8.4) fl,HCT as(0.46±0.21),Hb as(8.7±3.6) g/L,MCH as(18±10) pg,MCHC as(33±16) g/L and PLT as(184±68)×10~9/L.The differences of HCT,Hb and WBC had statistical significance between the two groups(P<0.05),while there was no statistically significant difference of PLT,MCHC,MCH,MCV and RBC between the two groups(P>0.05).Conclusion In blood routine test,detection of venous blood and peripheral blood shows slight difference in test outcomes,however,detection of peripheral blood in blood routine test may not provide effective control on test quality.Thus its detection shows less accuracy than detection of venous blood in some test indicators.Venous blood is recommended in blood routine test by blood analyzer.
Objective To investigate result differences by blood analyzer in detection of blood routine in venous blood and peripheral blood.Methods A total of 100 patients receiving blood routine test were divided by random number table into control group and experimental group,with 50 cases in each group.Peripheral blood was taken from the control group,while venous blood was taken from the experimental group.Observation and comparison were made on their blood routine test outcomes.Results The control group had white blood cell(WBC)as(6.4±1.3)×10~9/L,red blood cell(RBC) as(5.2±0.6)×10~(12)/L,mean corpuscular volume(MCV) as(89.7±7.7) fl,hematocrit(HCT) as(0.52±0.18),hemoglobin(Hb) as(10.6±5.3) g/L,mean corpuscular hemoglobin(MCH)as(21±7) pg,mean corpuscular hemoglobin concentration as(MCHC) as(335±17) g/L,and platelets(PLT) as(185±70)×10~9/L.The experimental group had WBC as(4.9±1.1)×10~9/L,RBC as(5.0±0.8)×10~(12)/L,MCV as(88.9±8.4) fl,HCT as(0.46±0.21),Hb as(8.7±3.6) g/L,MCH as(18±10) pg,MCHC as(33±16) g/L and PLT as(184±68)×10~9/L.The differences of HCT,Hb and WBC had statistical significance between the two groups(P<0.05),while there was no statistically significant difference of PLT,MCHC,MCH,MCV and RBC between the two groups(P>0.05).Conclusion In blood routine test,detection of venous blood and peripheral blood shows slight difference in test outcomes,however,detection of peripheral blood in blood routine test may not provide effective control on test quality.Thus its detection shows less accuracy than detection of venous blood in some test indicators.Venous blood is recommended in blood routine test by blood analyzer.
引文
[1]赖清连.末梢血和静脉血在血常规检验中的应用价值比较.中国社区医师,2015(29):97-98.
[2]唐瑜梅,刘宏刚.末梢血和静脉血血常规检验的临床对比.医学信息,2016,29(10):100-101.
[3]韩丹丹.末梢血与静脉血进行血常规检验的准确性对比.中国继续医学教育,2015(30):27-28.
[4]胡艳林.末梢血与静脉血在皿常规检验中的临床价值.中国卫生标准管理,2015(10):19-20.
[5]王冰斌.末梢血与静脉血在血常规检验中的比较研究.中外医疗,2015(29):186-187,190.
[6]顾正航.血液分析仪测定静脉血和末梢血血常规结果的差异.中外健康文摘,2012,9(21):231-232.
[7]常永超,刘好,刘治平,等.血液分析仪测定静脉血和末梢血血常规的结果对照分析.河南科技大学学报:医学版,2000(2):111-113.
[8]马劲,蔺志强.血液分析仪测定静脉血与末梢血血常规的结果对比研究.中外医学研究,2012,10(22):60-61.
[9]钟惠香,周世娟,陈锦顺,等.血液分析仪测定静脉血与末梢血血常规的结果对照分析.中国医药指南,2013(17):621-622.
[10]赵敏.静脉血和末梢血在血常规检测中的结果差异.中国医药指南,2013(7):145-146.
[11]陈渝,王颖,黄程勇.静脉血与末梢血对血常规检测结果的差异分析.医学理论与实践,2013(16):2212.
[12]王兵.静脉血与末梢血在血常规检测中的临床分析.当代医学,2012,18(20):69.
[13]唐菁娟.静脉血与末梢血血常规结果分析.宜春学院学报,2010,32(12):102.
[14]王美瑞.静脉血与末梢血对血常规结果的影响分析.中国实用医药,2010,5(24):121-122.
[15]林菊.血液分析仪测定静脉血和末梢血血常规的结果对照分析.现代养生,2016(10):126.
[16]韩日红.静脉血和末梢血对血常规结果影响的比较分析.中国医药指南,2015(3):139-139.
[17]朱晶,鲍波.两种血管内血液的血常规结果分析.医学美学美容,2013(11):170-171.
[18]范丽娜,文蔚.140例血常规静脉血与末梢血检验结果的对比分析.齐齐哈尔医学院学报,2013,34(4):501-502.
[19]李红.静脉血与末梢血检验结果的对比分析.中国保健营养,2012,22(14):2947.
[20]李小霞.观察末梢血和静脉血在血常规检验中的应用.中国卫生产业,2014(27):160-161.
[2]唐瑜梅,刘宏刚.末梢血和静脉血血常规检验的临床对比.医学信息,2016,29(10):100-101.
[3]韩丹丹.末梢血与静脉血进行血常规检验的准确性对比.中国继续医学教育,2015(30):27-28.
[4]胡艳林.末梢血与静脉血在皿常规检验中的临床价值.中国卫生标准管理,2015(10):19-20.
[5]王冰斌.末梢血与静脉血在血常规检验中的比较研究.中外医疗,2015(29):186-187,190.
[6]顾正航.血液分析仪测定静脉血和末梢血血常规结果的差异.中外健康文摘,2012,9(21):231-232.
[7]常永超,刘好,刘治平,等.血液分析仪测定静脉血和末梢血血常规的结果对照分析.河南科技大学学报:医学版,2000(2):111-113.
[8]马劲,蔺志强.血液分析仪测定静脉血与末梢血血常规的结果对比研究.中外医学研究,2012,10(22):60-61.
[9]钟惠香,周世娟,陈锦顺,等.血液分析仪测定静脉血与末梢血血常规的结果对照分析.中国医药指南,2013(17):621-622.
[10]赵敏.静脉血和末梢血在血常规检测中的结果差异.中国医药指南,2013(7):145-146.
[11]陈渝,王颖,黄程勇.静脉血与末梢血对血常规检测结果的差异分析.医学理论与实践,2013(16):2212.
[12]王兵.静脉血与末梢血在血常规检测中的临床分析.当代医学,2012,18(20):69.
[13]唐菁娟.静脉血与末梢血血常规结果分析.宜春学院学报,2010,32(12):102.
[14]王美瑞.静脉血与末梢血对血常规结果的影响分析.中国实用医药,2010,5(24):121-122.
[15]林菊.血液分析仪测定静脉血和末梢血血常规的结果对照分析.现代养生,2016(10):126.
[16]韩日红.静脉血和末梢血对血常规结果影响的比较分析.中国医药指南,2015(3):139-139.
[17]朱晶,鲍波.两种血管内血液的血常规结果分析.医学美学美容,2013(11):170-171.
[18]范丽娜,文蔚.140例血常规静脉血与末梢血检验结果的对比分析.齐齐哈尔医学院学报,2013,34(4):501-502.
[19]李红.静脉血与末梢血检验结果的对比分析.中国保健营养,2012,22(14):2947.
[20]李小霞.观察末梢血和静脉血在血常规检验中的应用.中国卫生产业,2014(27):160-161.