床旁血气分析仪与生化仪测定动静脉血钾浓度差异的检测

摘要

Objective To explore the difference between blood potassium measured by a bedside blood gas analyzer (Abbott i-STAT) and an automatic biochemical analyzer (ROCHE DDP). Methods In this study, arterial and venous blood samples are collected from 130 patients admitted to the intensive care unit (ICU). The concentrations of potassium and pHs in arterial samples are detected by Abbott i-STAT, while the concentrations of serum potassium in paired venous samples are detected by ROCHE DDP. All samples are divided into three groups. The difference between arterial and venous values are calculated according to different pH groups and made for analysis of variance. Results There is significant difference between results of blood potassium of Abbott i-STAT and ROCHE DDP (P<0.05). Blood potassium measured by the two devices is gradually rising when the pH is decreasing. There is no significant difference of blood potassium under different pH between the two groups. Conclusion The arterial potassium tested by bedside blood gas analyzer could not replace the venous potassium tested by biochemical analyzer, pH can affect the value of blood potassium, but the pH would not enlarge the difference of blood potassium measured by two methods above.%目的 分别采用床旁血气分析仪(Abbott i-STAT)和全自动生化仪(ROCHE DDP)测定重症患者动脉全血及静脉血清中的钾离子,分析在不同pH值下两种方法测定钾离子浓度的差异.方法同时采集130例ICU患者的动静脉血标本,采用Abbott i-STAT分析动脉全血的pH值和钾离子,ROCHE DDP测定静脉血清钾.按pH值分组计算动静脉血钾浓度差值,分析不同pH值情况下两种方法检测血钾的差异.结果 Abbott i-STAT测定动脉全血钾在各组均低于ROCHE DDP测定的静脉血清钾,差异有统计学意义(P ＜0.05).随着pH的降低,测得的动静脉钾离子浓度升高,但其浓度差在组间无统计学差异.结论床旁血气分析仪测得的动脉全血钾不能替代生化仪检测的静脉血清钾,血钾浓度受pH值影响,但pH值的变化不会增大两者所测钾离子浓度的差异.