摘要
目的探究临床血液生化检验标本分析中对检验结果准确性造成影响的因素,以提高临床生化检验过程的规范性。方法选取病例时间为2022年1月至2023年6月,将在此期间收治的78例接受血液生化检查的患者作为本次研究对象,对所有患者的一般资料、检查结果进行回顾性分析,根据检验准确情况分为检验准确组与检验错误组,分析在不同标本采集过程、检验方式、存储条件与操作方式下患者血液生化检查结果情况,将其中有差异项代入logistic回归方程中进行计算,分析影响生化检验结果准确性的因素。结果78例接受血液生化检查的患者中共有78份血液标本,检验准确的有66例,其占比为84.62%,检验错误的有12例,占比为15.38%。两组检验结果在标本采集、送检时间、送检的血液量充足情况、条形码粘贴情况、储存条件、检验过程、仪器操作程序、操作环境、检验人员工作年限、患者饮食、运动情况与心理状态上差异具有统计学意义(P<0.05),在检验人员年龄与学历上差异无统计学意义(P>0.05)。同时,经过Logistic回归方程分析,发现标本采集、送检时间、血液量、条形码粘贴情况、储存条件、检验过程、仪器操作程序、操作环境、检验人员工作年限、患者饮食、运动情况与心理状态均是影响患者血液生化检验结果准确性的因素。同时,经过Logistic回归方程分析,发现标本采集、送检时间、血液量、条形码粘贴情况、储存条件、检验过程、仪器操作程序、操作环境、检验人员工作年限、患者饮食、运动情况与心理状态均是影响患者血液生化检验结果准确性的因素。结论在血液生化检验标本分析过程中,标本采集、送检时间、血液量、条形码粘贴情况、储存条件、检验过程、仪器操作程序、操作环境、检验人员工作年限、患者饮食、运动情况与心理状态均对检验结果准确性有着重要影响,故在今后检验工作中应当加强监督与管理,尽可能降低检验结果的误差,保证检验结果的准确性。
Objective To analyze the influence factors of blood sample examination accuracy in the clinical biochemical test and standardize the test procedures.Methods A total of 78 patients who underwent blood biochemical tests during the period of January 2022 to June 2023 were selected as research subjects.The general data and examination results were retrospectively analyzed.According to the examination results,patients were assigned to accurate group and error group.The blood biochemical test results of patients were analyzed under different sample collection processes,testing methods,storage conditions,and operating methods,Substitute the differential terms into the logistic regression equation for calculation,and analyze the factors that affect the accuracy of biochemical test results.Results Among the 78 patients who underwent blood biochemistry tests,there were a total of 78 blood samples,of which 66 were accurately tested,accounting for 84.62%,and 12 were incorrectly tested,accounting for 15.38%.The results showed that there were significant differences between the two groups in sample collection,time of sending for examination,adequacy of blood volume for testing,barcode sticking,storage condition,examination process,instrument operating procedure,operating environment,working years of the examiners,diet and exercise of the patients,and psychological status(P<0.05),there was no significant difference in the age and educational background of the examiners(P>0.05).Logistic regression equation indicated that the influence factors of examination accuracy included the sample collection,submission time,blood volume,bar code adhesion,storage conditions,examination procedures,instrument operation procedures,operating environment,the inspector’s working years,the patient’s diet,exercise and mental states(P<0.05).Conclusion In the process of analyzing blood biochemical test specimens,the collection and delivery time,blood volume,bar code adhesion,storage conditions,testing process,instrument operating procedures,operating environment,working years of testing personnel,patient diet,exercise status,and psychological state all have important impacts on the accuracy of test results.Therefore,in future testing work,supervision and management should be strengthened to minimize errors in test results,Ensure the accuracy of the inspection results.
作者
王东
李娟
王艳
WANG Dong;LI Juan;WANG Yan(Department of Laboratory,Nanyang Second People's Hospital,Nanyang Henan 473000,China;Department of Urology,Nanyang Second People's Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2024年第4期5-8,共4页
Clinical Research
关键词
血液生化检验
准确性
检验方法
影响因素
biochemical test
accuracy
examination modes
influence factors
