首页|探讨分离胶促凝采血管的各组分对钾、钠、氯、钙、磷、镁离子检测结果的影响

探讨分离胶促凝采血管的各组分对钾、钠、氯、钙、磷、镁离子检测结果的影响

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目的 了解分离胶促凝采血管的分离胶、胶塞和管壁涂层对钾、钠、氯、钙、磷、镁离子检测结果的影响.方法 收集郑州大学第一附属医院2023年8月至9月100例献血者的混合血清,将其分装在不同试管中,试管进行不同的处理,试管分为4组:A组将血清放置在干燥玻璃管和黄色胶塞组成的试管中,并倒立放置;B组将血清放置在管壁涂有分离胶的干燥玻璃管中,并直立放置;C组将血清放置在红帽盖和去除分离胶的黄色管子中,并直立放置;D组将血清放置在红帽盖玻璃管中并直立放置作为实验对照组.以上各组试管均室温放置过夜并离心检测,以红帽盖干燥管的测定结果为参考,通过配对t检验分析,观察分离胶促凝采血管各组分对钾、钠、氯、钙、磷、镁离子检测结果的影响;以《临床生物化学检测常规项目分析质量指标》(WS/T403-2012)中允许总误差(TEa)的1/2评价分离胶采血管不同组分对检测结果的影响.结果 胶塞对镁离子的检测结果影响差异有统计学意义(P<0.01)、对钾、钠、氯、钙、磷离子的检测结果影响差异无统计学意义(P>0.05);分离胶和管壁涂层对钾、钠、氯、钙、磷、镁离子检测结果影响差异均无统计学意义(P>0.05);当以1/2TEa作为可接受的偏移时,胶塞浸泡的血清镁离子的检测结果偏移超出了范围.结论 分离胶采血管在临床检验中能发挥重要的作用,但在应用分离胶采血管前应根据检测项目选择合适的运输方式避免倒置以免影响镁离子的检测结果.
An Investigation on the Effect of Each Component of the Separating Gel Coagulation Blood Collection Tube on the Detection Results of Potassium,Sodium,Chloride,Calcium,Phosphorus and Magnesium Ions
Objective To study the effects of separating gels,rubber stoppers and tube wall coatings on the detection results of potassium,sodium,chloride,calcium,phosphorus and magnesium ions.Methods The serum samples of 100 blood donors from the First Affiliated Hospital of Zhengzhou University in August~September,2023 were collected and mixed in the same container and in different test tubes.The test tubes were processed differently,and the test tubes were divided into four groups:Group A:placed the serum in a test tube consisting of a dry glass tube and a yellow rubber stopper and placed it upside down;Group B:placed the serum in a dry glass tube with a separating gel on the wall and placed upright;Group C:placed the serum in a red cap and a yellow tube to remove the separating gel and was placed upright;Group D:placed the serum in a Red Hat desiccator and placed upright as an experimental control group.The above groups of test tubes were left at room temperature overnight and centrifuged for detection.The measurement results of ordinary red-headed dryers were used as a reference and analyzed by paired t-test.The effects of the components of the separating gel procoagulant blood collection tube on the detection results of potassium,sodium,chloride,calcium,phosphorus and magnesium ions were observed.The effect of different components of the separated rubber blood collection tubes on the test results was evaluated by 1/2 of the allowable total error (TEa)in the Quality Index of Routine Items of Clinical Biochemical Testing (WS/T403-2012).Results There was a significant difference in the detection results of magnesium ions in rubber stoppers (P<0.01 ).There was no significant difference in the detection results of potassium,sodium,chloride,calcium and phosphorus ions (P>0.05);There was no significant difference in the detection results of potassium,sodium,chloride,calcium,phosphorus and magnesium ions between the separating glue and the pipe wall coating (P>0.05 );When 1/2 TEa was used as an acceptable offset,the detection of gum-soaked serum magnesium was out of range.Conclusion Separated rubber blood collection tubes can play an important role in clinical testing,but before the application of separated rubber blood collection tubes,the appropriate transportation mode should be selected according to the test items to avoid inversion,so as not to affect the test results of magnesium ions.

Separating gelRubber stoppersPipe wall coatingBiochemical ions

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郑州大学第一附属医院检验科,河南 郑州 450052

分离胶 胶塞 管壁涂层 生化离子

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(4)
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