不同采血时间与采血方式对心血管疾病检验数据的影响

摘要

Objective:To study the different blood sampling time and the way blood effects on cardiovascular disease inspection data.Method:200 male patients with cardiovascular disease (CVD)(malignant tumor,blood disease,serious diseases such as liver and kidney and spleen) were selected,they were randomly divided into the group A and the group B,100 cases in each group.The group A was taken after fasting 12 hours,after dinner,after dinner two hours blood, and blood samples were analyzed,the different blood sampling time may influence on cardiovascular disease in patients with test data were compared,the group B was taken arterial blood,central venous blood,peripheral venous blood of three methods for blood,and compared the test results.The different way blood may affect cardiovascular disease inspection data were compared.Result:Postprandial blood,postprandial 2 h blood compared with fasting blood,white blood cell count increased,red blood cell count,hemoglobin content decreased at different degrees,the differences were statistically significant(P<0.05).Arterial blood experimental results compared with central venous,white blood cell count increased significantly,the platelet count decreased significantly,the differences were statistically significant (P<0.05),and the red blood cell count,hemoglobin count although had small changes,but the differences were not statistically significant(P>0.05).Peripheral circulation blood and central venous blood in comparison to the experimental results found that,white blood cell count,red blood cell count,platelet count were significantly improved,the differences were statistically significant(P<0.05),but there was no significant change in hemoglobin count(P>0.05). Conclusion:The different blood sampling time and way blood test data have an impact in patients with cardiovascular disease,clinical should adopt way of collecting the reliable and sampling time unified to improve cardiovascular disease inspection data accuracy and reliability.%目的：探讨不同采血时间与采血方式对心血管疾病检验数据的影响。方法：随机选取本院200例心血管疾病男性患者（无恶性肿瘤、血液疾病、肝肾脾等严重疾病者），按照随机数字表法分为A、B两组各100例，A组采取禁食12 h后，饭后、饭后2 h采血，并进行血样分析，从而比较不同采血时间可能会对患者心血管疾病检验数据的影响，B组采取动脉采血、中心静脉采血、末梢静脉采血三种采血方式，并比较检验结果。从而分析不同采血方式可能对心血管疾病检验数据的影响。结果：餐后采血、餐后2 h采血分别与空腹采血比较，白细胞计数增高，红细胞计数、血红蛋白含量、血小板计数均有不同程度的下降，差异均有统计学意义（P<0.05）；动脉采血与中心静脉的实验结果相比较可知，白细胞计数有明显升高，血小板计数明显下降，差异均有统计学意义（P<0.05），而红细胞计数、血红蛋白计数虽有小幅度变化，但差异均无统计学意义（P>0.05）；末梢循环采血与中心静脉采血的实验结果相比较可发现，白细胞计数、红细胞计数、血小板计数均有明显提高，差异均有统计学意义（P<0.05），而血红蛋白计数则无明显变化（P>0.05）。结论：不同采血时间、采血方式均可对心血管疾病患者检验数据产生一定影响，临床上应采用可靠的采血方式并统一的采血时间以提高心血管疾病检验数据的准确性和可靠性。