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透析患者生化检验结果的影响因素研究

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目的 分析透析患者生化检验结果的影响因素,并结合研究结果提出相关解决措施。方法 采用整群分层抽样法进行抽样调查,将永煤集团总医院2021年12月至2022年12月接受透析治疗的110例患者设置为此次研究样本。所有患者均接受血液生化检查,依据血液生化检验准确性将其110份样本分为检验准确组(104份)、检验错误组(6份),比较两组检验学相关资料(血样性别、标本采集是否合格、检验人员工作年限、检验人员学历、仪器操作是否得当、采集血液量是否充足、血样放置时间、采血方法、操作环境是否无菌)差异情况,将其中的差异项代入Logistic回归方程进行计算,分析透析患者生化检验结果的影响因素。结果 检验准确组、检验错误组性别、检验人员工作年限、检验人员学历对比差异无统计学意义(P>0。05),仪器操作是否得当、采集血液量是否充足、血样放置时间、采血方法是否得当、操作环境是否无菌对比差异有统计学意义(P<0。05);将相关有差异的因素带入Logistic回归方程计算发现,仪器操作不得当、采集血液量不足、血样放置时间>3 h、采血方法不得当、操作环境无菌执行效果差均是透析患者生化检验结果的影响因素。结论 透析患者生化检验结果的影响因素包括仪器操作不得当、采集血液量不足、血样放置时间>3 h、采血方法不得当、操作环境无菌执行效果差,在实际检查过程需给予更多关注,提升生化检验的准确性。
The Influence Factors of Biochemical Test Results for Hemodialysis Patients
Objective To analyze the influence factors of biochemical test results for hemodialysis patients,providing basis on the planning of the clinical solutions.Methods A cluster stratified sampling method was used for sampling survey,and 110 patients who received dialysis treatment at Yongmei Group General Hospital from December 2021 to December 2022 were selected as the study sample.All patients undergo blood biochemistry tests.According to the accuracy of blood biochemical tests,110 samples were assigned to accurate group(n=104)and false group(n=6).Compare the differences in data related to laboratory science between two groups(blood sample gender,qualified collection procedure,the tester's work experience and education background,instrument operation,collected blood volume,storage time,blood sampling method and sterile operation environment).The differences were substituted into the logistic regression equation for calculation,and the influencing factors of the biochemical test results of dialysis patients were analyzed.Results There was no statistically significant difference(P>0.05)between the gender of the testing accuracy group and the testing error group,the years of work of the testing personnel,and the educational background of the testing personnel.However,there were statistically significant differences(P<0.05)in whether the instrument operation was appropriate,whether the blood collection volume was sufficient,whether the blood sample was placed for a long time,whether the blood collection method was appropriate,and whether the operating environment was sterile;By incorporating relevant differential factors into the logistic regression equation calculation,it was found that improper instrument operation,insufficient blood collection volume,blood sample placement time>3 h,inappropriate blood collection methods,and poor sterile execution effect in the operating environment are all influencing factors on the biochemical test results of dialysis patients.Conclusion The influence factors of biochemical test results are the improper instrument operation,insufficient blood volume,storage time>3 h,improper blood sampling method and poor sterile execution effect in the operating environment.More attention needs to be paid in the actual examination process to improve the accuracy of biochemical tests.

hemodialysisbiochemical testinfluence factors

王娇

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永煤集团总医院 检验科,河南 商丘 476600

血液透析 生化检验 影响因素

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(5)
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