凝聚胺法与微柱凝胶法交叉配血阳性结果研究
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摘要
目的研究凝聚胺法与微柱凝胶法交叉配血阳性结果。方法方便选择申请输血患者2 000例,选择时间:2016年3月—2017年3月,所有供血者均为无偿献血者,均按照《输血技术学》、产品说明书中所规定的操作流程进行实验操作,急诊进行凝聚胺法配血,其他配血类型则采用微柱凝胶法。比较记录凝聚胺法与微柱凝胶法交叉配血阳性结果。结果凝聚胺法操作耗时(12.09±2.11)min低于微柱凝胶法(32.22±2.31)min,但微柱凝胶法的阳性标本检出率(90.00%)均高于凝聚胺法(50.00%),差异有统计学意义(χ~2=38.10、t=64.34、P=0.00)。结论微柱凝胶法具有较高的敏感性,但操作耗时较长,并不适合应用于急诊配血过程中;而凝聚胺法相对更为快速,但存在一定的漏检率,适合应用于急诊配血过程中。
Objective To research the crossmatching positive results of polybrene and microtubes gel test. Methods 2 000 cases of blood transfusion patients were convenient selected from March 2016 to March 2017, and all blood donors were the voluntary blood donation, and the patients were for experimental operation according to the Transfusion technology and operation procedures of product instruction, and the crossmatching positive results of polybrene and microtubes gel test were compared and recorded. Results The operation time of polybrene was lower than that of microtubes gel test[(12.09±2.11)min vs(32.22±2.31)min], but the test rate of positive specimens of microtubes gel test was higher than that of polybrene and the difference was obvious(90.00% vs 50.00%),(χ~2=38.10, t=64.34, P=0.00). Conclusion The sensitivity of microtubes gel test is higher, but the operation time is longer, and it is not suitable for the emergency blood matching, and the polybrene is relatively rapid, with a certain missed diagnosis rate, and it is suitable for the emergency blood matching course.
Objective To research the crossmatching positive results of polybrene and microtubes gel test. Methods 2 000 cases of blood transfusion patients were convenient selected from March 2016 to March 2017, and all blood donors were the voluntary blood donation, and the patients were for experimental operation according to the Transfusion technology and operation procedures of product instruction, and the crossmatching positive results of polybrene and microtubes gel test were compared and recorded. Results The operation time of polybrene was lower than that of microtubes gel test[(12.09±2.11)min vs(32.22±2.31)min], but the test rate of positive specimens of microtubes gel test was higher than that of polybrene and the difference was obvious(90.00% vs 50.00%),(χ~2=38.10, t=64.34, P=0.00). Conclusion The sensitivity of microtubes gel test is higher, but the operation time is longer, and it is not suitable for the emergency blood matching, and the polybrene is relatively rapid, with a certain missed diagnosis rate, and it is suitable for the emergency blood matching course.
引文
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[7]张伟军,王杰敏,胡少媚.盐水介质法、凝聚胺法、微柱凝胶法3种交叉配血法在新生儿输血安全中的应用价值研究[J].黑龙江医学,2016,40(2):124-125.
[8]刘潘,夏琳.凝聚胺法与微柱凝胶法交叉配血阳性结果分析[J].临床血液学杂志:输血与检验,2017,30(4):631-633.
[2]Kemal,Ozgur,Muderris,Togay,Sevil,Ergun et al.Relation of Mean Platelet Volume and Red Blood Cell Distribution Width With Epistaxis[J].The Laryngoscope:A Medical Journal for Clinical and Research Contributions in Otolaryngology,Head and Neck Medicine and Surgery,Facial Plastic and Reconstructive Surgery,2015,125(4):788-790.
[3]邱慧英.凝聚胺法与微柱凝胶法在临床输血配血试验准确性比较[J].医学理论与实践,2017,30(3):431-432.
[4]顾宗伟.对比分析凝聚胺法与微柱凝胶法在交叉配血中的应用价值[J].心理医生,2017,23(21):132-133.
[5]马强虎,王新栋,唐兆海.两种交叉配血法在基层医院临床输血中的应用探讨[J].甘肃科技纵横,2016,45(6):84-85.
[6]张层山,高国庆,韩玉双,等.3种交叉配血方法对儿童输血安全的影响[J].临床合理用药杂志,2016,(4):103-104.
[7]张伟军,王杰敏,胡少媚.盐水介质法、凝聚胺法、微柱凝胶法3种交叉配血法在新生儿输血安全中的应用价值研究[J].黑龙江医学,2016,40(2):124-125.
[8]刘潘,夏琳.凝聚胺法与微柱凝胶法交叉配血阳性结果分析[J].临床血液学杂志:输血与检验,2017,30(4):631-633.