摘要
目的研究肝素抗凝血浆用于急诊生化检验中干化学法的检测分析。方法选取我院行生化检验的90例患者作为研究对象,分别采集常规血清标本与肝素抗凝血浆各1份,应用全自动干化学生化分析仪分别检测两份标本的23项生化指标,比较两份标本检测结果差别。结果 23项生化指标中有13个项目对比,差异有统计学意义(P<0.05),分别为结合胆红素(DBIL)、丙氨酸氨基转移酶(ALT)、总蛋白(TP)、清蛋白(ALB)、胆固醇(CHOL)、甘油三酯(TG)、碱性磷酸酶(ALP)、乳酸脱氢酶(LDH)、钾离子(K+)、谷氨酰肽酶(GGT)、血清脂肪酶(LIP)、α-羟丁酸脱氢酶(HBDH)、钙离子(Ca2+)。在此13个项目中经临床分析发现除DBIL、ALT、K+等3项的检测结果临床不可接受外,其余10项临床均可接受,两种检测结果对比,差异不具有统计学意义(P>0.05)。结论肝素抗凝血浆用于急诊生化检验中干化学法检测上,多数项目检测结果都在临床可接受的范围中,可应用于急诊患者的生化检测,可是对于DBIL、ALT、K+这3项的肝素抗凝血浆参考值需重新建立。
Objective To study the application of heparin anticoagulant plasma in emergency biochemical test of dry chemical method. Methods 90 cases of patients with biochemical test were selected as the research objects, and 1 sample of routine serum samples and heparin anticoagulant plasma were collected respectively, 23 biochemical indexes of two samples were detected by automatic dry chemical biochemical analyzer, and the diferences of two samples were compared. Results There were 13 items in 23 biochemical indexes, and the diference was statistically signifcant （P 〈 0.05）, respectively with bilirubin （DBIL）, alanine aminotransferase （ALT）, total protein （TP）, albumin （ALB）, cholesterol （CHOL）, triglyceride （TG）, alkaline phosphatase （ALP）, lactate dehydrogenase （LDH）, potassium （K＋）, glutamyl endopeptidase （GGT）, serum lipase （LIP）, α- （HBHD）, calcium butyrate dehydrogenase （Ca^2＋）. In the 13 projects, clinical analysis found that except DBIL, ALT, K and other 3 test results were not acceptable, the remaining 10 were clinically acceptable, the difference between the two test results was not statistically signifcant （P 〉 0.05）. Conclusion Heparin anticoagulant plasma for emergency biochemical test in dry chemical detection, most of the project test results are in the clinical acceptable range, it can be used for biochemical detection in emergency patients, but the reference value of heparin anticoagulant plasma for DBIL, ALT and K^＋ should be re established in 3 cases.
出处
《中国继续医学教育》
2017年第33期29-30,共2页
China Continuing Medical Education
关键词
肝素抗凝血浆
急诊生化检验
干化学法
生化指标
生化检测
heparin anticoagulant plasma
emergency biochemical test
dry chemical method
biochemical index
biochemical test
