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血常规标本临检前混匀静置时间对结果的影响分析

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目的 探究血常规(CBC)标本临检前混匀静置时间对检测结果的影响。方法 选取2021年7月~2022年6月期间于本院进行健康体检的人员作为研究对象,采集其外周静脉血液标本进行CBC检测,在血液标本临检前,将标本进行抗凝处理后静置一段时间,以静置时间作为变量为受检人员进行分组,对比经15 min、30 min、1 h、2 h、3 h、5 h、7 h、9 h、11 h静置的血液标本CBC检验结果——红细胞计数(RBC)、血小板计数(PLT)、血红蛋白(Hb)、血红蛋白压积(HCT)、白细胞计数(WBC)、中性粒细胞(Neu)、淋巴细胞(Lym)。结果 不同时间段血液标本RBC、Hb、HCT、Lym指标差异无统计学意义(P > 0。05),但随着静置时间的延长,PLT指标呈现明显下降趋势,WBC、Neu指标则呈现提升趋势,差异具备明显统计学意义(P < 0。05)。PLT、WBC、Neu指标均于2~3 h期间变化明显。结论 经本次研究发现,混匀静置时间的延长,在一定程度上会导致检测结果出现差异,对于RBC、Hb、HCT、Lym指标的影响较小,但对于PLT、WBC、Neu指标的影响则较为明显。因而医务人员在实际工作过程中,应对检验时间进行控制,避免立即检测,同时也应避免2 h后对血液标本进行检测,尽可能将检测时间控制在0。5~2 h之间,以提升检验的准确度。
Analysis of the influence of mixing and resting time on the results of routine blood samples before examination
Objective To explore the effect of mixing and resting time on the test results of blood routine (CBC) specimens. Methods The patients who underwent physical examination in our hospital from July 2021 to June 2022 were selected as the research objects. Peripheral venous blood samples were collected for CBC testing. Before the blood samples were examined, the samples were left for a period of time after anticoagulation treatment, and the patients were grouped with the resting time as the variable. The results were compared after 15 min, 30 min, 1 h, 2 h, 3 h, 5 h, 7 h, 9 h and 11 h CBC test results of stationary blood samples -- red blood cell count (RBC), platelet count (PLT), hemoglobin (Hb), hemoglobin hematocrit (HCT), white blood cell count (WBC), neutrophils (Neu), lymphocytes (Lym). Results There was no statistical significance in RBC, Hb, HCT and Lym indexes of blood samples at different time periods (P>0.05), but PLT indexes showed a significant downward trend with the increase of resting time, while WBC and Neu indexes showed an increasing trend, with significant statistical significance (P<0.05). The indexes of PLT, WBC and Neu all changed significantly during 2 ~ 3 h. Conclusion Through this study, it is found that the extension of mixing and standing time will lead to differences in test results to some extent, and the influence on RBC, Hb, HCT and Lym indexes is small, but the influence on PLT, WBC and Neu indexes is more obvious. Therefore, medical personnel should control the testing time in the actual work, avoid immediate testing, and also avoid testing blood samples 2 hours later, and try to control the testing time between 0.5 and 2 hours, so as to improve the accuracy of testing.

CBCspecimentemporary inspectionstanding timeinfluence

周苔

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杭州市余杭区良渚街道社区卫生服务中心检验科,浙江 杭州 310000

CBC 标本 临检 静置时间 影响

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(2)
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