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红细胞压积对血糖仪与全自动生化仪检测末梢血和静脉血血糖一致性的影响 被引量:10

The influence of hematocrit on the consistency between blood glucose meters and automatic biochemical analyzer for testing blood glucose of peripheral blood and venous blood
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摘要 目的探讨红细胞压积对血糖仪与全自动生化仪检测末梢血和静脉血血糖-致性的影响.方法:选取在医院就诊的200例内分泌代谢疾病患者,其中124例糖尿病患者和76例非糖尿病患者,采用西门子ADVIA1800全自动生化分析仪与瑞特GM300、爱科莱GT-1920及强生One Touch3款血糖仪对所有入选患者的静脉血和末梢血进行血糖检测,对比分析全自动生化分析仪与3款血糖仪的-致性.结果:红细胞压积范围在35.1%~51.6%的患者182例,占91.0%,25.0%~35.0%的患者18例,占9.0%,平均红细胞压积为(42.3±4.2)%.当红细胞压积处于35.1%~51.6%时全自动生化分析仪和瑞特GM300血糖仪的相关性高且稳定,其次是爱科莱GT-1920和强生One Touch.当红细胞压积为25.0%~35.0%时全自动生化分析仪和3款血糖仪的相关性均比红细胞压积为35.1%~51.6%时高.西门子ADVIA1800全自动生化分析仪所监测的血糖结果和瑞特GM300无明显差异,强生One Touch所检测的血糖结果则与爱科莱GT-1920有显著差异.结论:全自动生化分析仪和3款血糖仪均具有较好的相关性,且红细胞压积〉35%时,全自动生化分析仪和血糖仪的相关性较低;当红细胞压积〈35%时,全自动生化分析仪和血糖仪的相关性升高. Objective To study the influence of hematocrit on the consistency between blood glucose meters andautomatic biochemical analyzer for testing blood glucose of peripheral blood and venous blood. Methods: 200 cases ofdiabetic and non-diabetic patients were selected in our hospital from January 2013 to September 2015, in which 124 caseswere diabetics and 76 cases were non-diabetics. All the selected patients were treated with venous blood and peripheralblood glucose testing by the SIEMENS ADVIA1800 full automatic biochemical analyzer and three brand of blood glucosemeters (Reiter GM300, Arkray GT-1920, Johnson & Johnson One Touch), comparing their consistency. Results: Thehematocrit range was 35.1~51.6%, accounted for 91.0%(182), 25.0~35.0% of patients accounted for 9.0%(18), andaverage hematocrit was (42.3±4.2). When hematocrit was 35.1~51.6%, the correlation of automatic biochemical analyzerand Reiter GM300 blood glucose meter was high and stable, followed by Arkray GT-1920 and Johnson &Johnson OneTouch. When hematocrit was 25.0~35.0%, the correlation of automatic biochemical analyzer and three blood glucosemeters were high than hematocrit was 35.1~51.6%. There was no significant difference between SIEMENS ADVIA1800automatic biochemical analyzer and Reiter GM300 about monitoring the blood glucose results, but there were significantdifferences between Johnson and Johnson One Touch and Arkray GT-1920. Conclusion: The automatic biochemicalanalyzer and three blood glucose meters have good correlation. When hematocrit is greater than 35%, the correlation islower; when hematocrit is less than 35%, the correlation increases.
作者 陈雪梅 CHEN Xue-mei
出处 《中国医学装备》 2016年第10期92-95,共4页 China Medical Equipment
关键词 血糖仪 全自动生化仪 血糖 红细胞压积 静脉血 Blood glucose meter Automatic biochemical analyzer Blood glucose Hematocrit Vein blood
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