溶血对临床生化检验结果的影响

摘要

目的：分析溶血对临床生化检验结果所造成的影响。方法：随机选择2012年3-12月在笔者所在医院接受身体检查的70名健康受检者作为研究对象，每名受检者抽取10 ml的血液样本，分为两份分作溶血组和非溶血组进行分析比较。结果：受检者溶血的血样，其酸性磷酸酶(ALP)、血糖(GLU)测定值显著下降，差异有统计学意义(P<0.05)；而总胆红素(TBIL)、直接胆红素(DBIL)、谷氨酰转肽酶(γ-GT)、谷丙转氨酶(ALT)、谷草转氨酶(AST)、尿酸(UA)的测定值均比溶血前明显升高，差异有统计学意义(P<0.05)；尿素氨(BUN)、血清葡萄糖(GLU)、肌酐(Cr)的测定值则在溶血前后无显著变化，差异无统计学意义(P>0.05)。结论：临床血常规生化检验中，检验人员需要尽量避免受检者血样标本发生溶血，以防止检查结果出现较大误差，进一步提升检查结果的准确性，辅助医生对受检者作出准备、合理的诊断。%Objective:To analyse of the influence of hemolytic caused by clinical biochemical test results.Method:From March 2012 to December 2012 year in our hospital,70 healthy physical examinees as the object of study.Each subjects took a blood sample from 10 ml,were divided into two parts for hemolytic and non-hemolytic group.Result:Subjects hemolytic blood,the acid phosphates(ALP),blood glucose(GLU) determination value decreased significantly,there were significant differences(P<0.05),and total bilirubin(TBIL),direct bilirubin(DBIL),γ-glutamyl tranpeptidase(γ-GT), almandine aminotransferase(ALT),aspartame aminotransferase(AST),uric acid(UA) measurement value than the hemolytic elevated obviously,there were significant differences(P<0.05),urea nitrogen(BUN),serum glucose(GLU),cretonne(Cr) measured in hemolytic and did not change significantly,the difference was not significant(P>0.05).Conclusion:The clinical routine blood biochemical examination,inspection personnel need to avoid the subjects the blood specimen hemolytic test results,in order to prevent errors,accuracy and further enhance the examination results,doctor diagnosed preparation, reasonable subjects.