首页|标本溶血对生化检验中肝功能、血脂、电解质、心肌酶指标的影响

标本溶血对生化检验中肝功能、血脂、电解质、心肌酶指标的影响

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目的 分析标本溶血对生化检验中肝功能、血脂、电解质、心肌酶指标的影响.方法 选取 120 例接受生化检验的患者,以随机数字分配法分为参照组(常规存放标本)、研究组(轻度标本溶血处理),每组 60 例.在同等实验条件下,采用生化分析仪检测并比较两组的肝功能指标[(总胆红素(TBIL)、直接胆红素(DBIL)、谷草转氨酶(AST)]、血脂指标[总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)]、电解质指标(钾、钠、氯、钙)、心肌酶指标[肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)].结果 研究组钾(6.22±0.31)mmol/L、氯(104.84±3.26)mmol/L、钙(3.01±0.19)mmol/L及CK(144.10±15.02)U/L、CK-MB(19.85±2.98)U/L均高于参照组的(4.11±0.09)、(95.65±6.56)、(2.25±0.11)mmol/L及(85.46±7.88)、(8.32±1.01)U/L(P<0.05);两组钠水平无差异(P>0.05).研究组AST(84.45±3.62)U/L、TG(1.29±0.24)mmol/L、TC(9.74±1.03)mmol/L均高于参照组的(70.29±2.33)U/L、(0.78±0.07)mmol/L、(6.72±0.94)mmol/L,TBIL(8.22±1.08)μmol/L、DBIL(4.16±0.82)μmol/L低于参照组的(14.15±1.16)、(9.56±1.12)μmol/L(P<0.05);两组LDL-C和HDL-C水平无差异(P>0.05).结论 标本溶血可影响部分生化检验结果准确性,干扰临床对检验结果的判断,需要高度重视并尽量避免生化检验样本溶血,以保证其结果准确性.
Influences of specimen hemolysis on the liver function,blood lipid,electrolyte and myocardial enzyme in the biochemical test
Objective To analyze the influences of specimen hemolysis on the liver function,blood lipid,electrolyte and myocardial enzyme in the biochemical test.Methods 120 patients undergoing the biochemical test were selected.Patients were randomly assigned to a reference group(routine specimen storage)and a study group(light specimen hemolysis),each with 60 cases.The biochemical analyzer was applied to measure the laboratory indicators.Under the same experimental conditions,a biochemical analyzer was used to detect and compare the liver function indexes[total bilirubin(TBIL),direct bilirubin(DBIL),aspartare aminotransferase(AST)],lipid indexes[total cholesterol(TC),triglycerides(TG),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C)],electrolyte indexes(potassium,sodium,chloride,calcium),cardiac enzymes[creatine kinase(CK),creatine kinase isoenzyme(CK-MB)].Results The study group had potassium of(6.22±0.31)mmol/L,chlorine of(104.84±3.26)mmol/L,calcium of(3.01±0.19)mmol/L,CK of(144.10±15.02)U/L,CK-MB of(19.85±2.98)U/L,which were higher than(4.11±0.09),(95.65±6.56),(2.25±0.11)mmol/L,(85.46±7.88),(8.32±1.01)U/L in the reference group(P<0.05).There was no difference in sodium level between the two groups(P>0.05).The study group had AST of(84.45±3.62)U/L,TG of(1.29±0.24)mmol/L and TC of(9.74±1.03)mmol/L,which were higher than(70.29±2.33)U/L,(0.78±0.07)mmol/L and(6.72±0.94)mmol/L in the reference group;the study group had TBIL of(8.22±1.08)μmol/L and DBIL of(4.16±0.82)μmol/L,which were lower than(14.15±1.16)and(9.56±1.12)μmol/L in the reference group(P<0.05).There was no differences in LDL-C and HDL-C levels between the two groups(P>0.05).Conclusion The specimen hemolysis may affect the accuracy of some biochemical test results and interfere with clinical laboratory results.Thus the specimen hemolysis shall be concerned and avoided in clinical examination.

Specimen hemolysisBiochemical testLiver functionBlood lipidElectrolyteMyocardial enzyme

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430200 武汉市东湖新技术开发区豹澥街社区卫生服务中心

436000 鄂州市鄂州二医院检验科

标本溶血 生化检验 肝功能 血脂 电解质 心肌酶

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(12)