摘要
目的：比较无抗凝、肝素钠100 IU/ml氯化钠溶液抗凝、固态肝素锂抗凝采集同一患者同一部位动脉血标本行血气分析检测的结果。方法选取ICU需要行动脉血气检测的150例患者作为研究对象，采用3种不同的采血器采集动脉血标本行血气分析，检测血液pH、PaCO2、PaO2、HCT、Hb、BE、HCO3-、Na＋、K＋、Ca2＋、Lac。结果100例全麻大手术后患者用3种不同抗凝采血器采集的动脉血标本检测的pH、PaCO2、PaO2、HCT、Hb、BE、HCO3-、Na＋、K＋、Ca2＋、Lac结果比较，差异无统计学意义（ F值分别为0．150，0．298，0．052，0．193，0．163，0．364，0．375，0．874，0．205，2．313，0．059；P＞0．05）。50例危重症患者用3种不同抗凝采血器采集的动脉血标本检测的pH、PaCO2、PaO2、HCT、Hb、BE、HCO3-、Na＋、K＋、Ca2＋、Lac结果比较，差异无统计学意义（ F 值分别为0．007，0．014，0．023，0．006，0．003，0．008，0．009，0．150，0．023，0．012，0．002；P＞0．05）。所有检测项目ICC值最低为0．946，最高为0．999，95％可信区间为0．896～0．999。结论无抗凝、肝素钠100 IU/ml氯化钠溶液抗凝、固态肝素锂抗凝3种方法均适用于采集动脉血标本行血气分析检测。
Objective To compare the testing results of blood gas analysis collected from the same patients with the same blood sampling sites , by no anticoagulant , heparin sodium （100 IU/ml normal saline）and solid lithium heparin .Methods Randomly collected samples from 150 ICU patients by three different hemostix to implement arterial blood gas tests , detected the blood pH , PaCO2 , PaO2 , HCT, Hb, BE, HCO3-,Na＋,K＋, Ca2＋,Lac.Results The test results of arterial blood specimens （ pH, PaCO2 , PaO2 , HCT, Hb, BE, HCO3-, Na＋,K＋,Ca2＋,Lac） of 100 general anesthesia surgery patients in three groups were compared .There were no statistically significant differences between the test results （ F=0.150,0.298,0.052,0.193,0.163,0.364, 0.375,0.874,0.205,2.313,0.059, respectively; P＆gt;0.05）.The test results of arterial blood specimens of 50 critical patients showed no significant differences （ F=0.007,0.014,0.023,0.006,0.003,0.008,0.009, 0.150,0.023,0.012,0.002, respectively;P＆gt;0.05）.The lowest and the highest value of ICC were 0.946 and 0.999, with 95%CI （confidence interval） 0.896-0.999 （P〉0.05）.Conclusions The test results by three different anticoagulant methods show no statistically significant difference .Three methods are suitable for arterial blood samples to apply blood gas analysis .
出处
《中华现代护理杂志》
2014年第27期3503-3505,共3页
Chinese Journal of Modern Nursing
关键词
血气分析
抗凝方法
肝素钠
肝素锂
无抗凝
Arterial blood gas test
Anticoagulant method
Heparin sodium
Solid lithium
No anticoagulant
