溶血标本影响肝功能检验结果准确性的探讨
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摘要
目的分析溶血标本对肝功能检验结果准确性的影响。方法选取该院2015年1月—2016年1月来健康体检的50名受检者,对其未溶血标本、溶血标本采取肝功能各项低代谢指标检验,分析溶血标本对肝功能检验结果准确性的影响。结果溶血标本TBIL、TP、AST、ALB、ALT分别为(8.03±3.01)μmol/L、(85.34±10.22)g/L、(35.22±14.22)U/L、(56.43±4.77)g/L、(32.45±14.33)U/L,未溶血标本分别为(11.23±5.33)μmol/L、(70.34±4.23)g/L、(25.45±3.54)U/L、(42.55±5.24)g/L、(20.09±10.33)U/L,溶血标本TP、AST、ALB、ALT水平高于未溶血标本(P<0.05);溶血标本TBIL水平低于未溶血标本(P<0.05)。溶血标本GGT、DBLL、ALP水平低于未溶血标本(P<0.05);差异有统计学意义(P<0.05)。结论溶血标本会影响肝功能检验结果,检测时需要控制客观因素,确保检验结果准确性。
Objective To analyze the effect of hemolysis samples on the accuracy of liver function test results. Methods 50 cases of healthy subjects in our hospital from January 2015 to January 2016 were selected and the hemolysis samples were tested by the liver function various low metabolic indexes, and the effect of hemolysis samples on the accuracy of liver function test results was analyzed. Results The TBIL,TP,AST,ALB,ALT of the hemolysis samples were respectively(8.03±3.01)μmol/L,(85.34±10.22)g/L,(35.22±14.22)U/L,(56.43±4.77)g/L,(32.45±14.33)U/L and of the non-hemolysis samples(11.23±5.33)μmol/L,(70.34±4.23)g/L,(25.45±3.54)U/L,(42.55±5.24)g/L,(20.09±10.33)U/L,and the TP,AST,ALB,ALT levels of hemolysis samples were higher than those of the non-hemolysis samples(P<0.05);and the TBIL level of the hemolysis samples was lower than that of the non-hemolysis samples(P<0.05), and the GGT,DBLL,ALP levels of hemolysis samples were lower than those of non-hemolysis levels(P <0.05), and the differences had statistical significance(P<0.05). Conclusion The hemolysis samples can influence the liver function test results,and we need to control the objective factors in test and ensure the accuracy of test results.
Objective To analyze the effect of hemolysis samples on the accuracy of liver function test results. Methods 50 cases of healthy subjects in our hospital from January 2015 to January 2016 were selected and the hemolysis samples were tested by the liver function various low metabolic indexes, and the effect of hemolysis samples on the accuracy of liver function test results was analyzed. Results The TBIL,TP,AST,ALB,ALT of the hemolysis samples were respectively(8.03±3.01)μmol/L,(85.34±10.22)g/L,(35.22±14.22)U/L,(56.43±4.77)g/L,(32.45±14.33)U/L and of the non-hemolysis samples(11.23±5.33)μmol/L,(70.34±4.23)g/L,(25.45±3.54)U/L,(42.55±5.24)g/L,(20.09±10.33)U/L,and the TP,AST,ALB,ALT levels of hemolysis samples were higher than those of the non-hemolysis samples(P<0.05);and the TBIL level of the hemolysis samples was lower than that of the non-hemolysis samples(P<0.05), and the GGT,DBLL,ALP levels of hemolysis samples were lower than those of non-hemolysis levels(P <0.05), and the differences had statistical significance(P<0.05). Conclusion The hemolysis samples can influence the liver function test results,and we need to control the objective factors in test and ensure the accuracy of test results.
引文
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[2]张鹏,孙蕾蕾.溶血标本对检验结果的影响以及对策[J].世界最新医学信息文摘,2015,23(61):56-57.
[3]陈金有.对溶血标本影响肝功能检验结果准确性的分析[J].当代医药论丛,2014,5(1):602-603.
[4]夏丽娜.溶血标本对酶联免疫吸附试验检测乙型肝炎表面抗原影响的分析[J].中国伤残医学,2013,9(11):307-308.
[5]杨硕,陈琼.探讨溶血标本对临床肝功能准确性的影响[J].中国保健营养,2013,23(2):975-976.
[6]周梅芳.溶血标本对肝功能检验准确性的影响[J].白求恩军医学院学报,2011,9(2):108-109.
[7]党京丹.溶血标本对检测结果的影响[J].医疗装备,2011,24(9):35.
[8]张丽仙.溶血标本对活化部分凝血活酶时间测定的影响[J].检验医学与临床,2010,7(3):256-257.
[9]伊拉木江·沙吾尔.溶血标本对肝功能检验结果准确性的影响研究[J].当代医学,2013,13(21):24-25.
[10]蒋晓仪.溶血标本影响肝功能检验结果准确性的分析[J].检验医学与临床,2012,9(9):1109-1110.