血液标本采集对ICU住院患者生化检验结果的影响.docVIP

血液标本采集对ICU住院患者生化检验结果的影响 　　【摘要】 目的：探讨血液标本采集对ICU住院患者生化检验结果的影响。方法：选择2014年1月-2015年1月本院ICU住院患者300例作为研究对象，分别从不同采血部位、不同采血时间及是否使用促凝管方面对检验指标进行对比分析。结果：输液同侧总胆红素、总蛋白、尿素氮、肌酐、总胆固醇、甘油三酯均显著低于输液另侧，比较差异有统计学意义（P0.05）。输液后2 h钾、钠浓度均显著高于输液后半小时（P0.05）。采用EDTA-K2抗凝管钙浓度显著低于采用促凝管检验结果，比较差异有统计学意义（P0.05）。结论：血液生化检验需注重采血部位、采血时间。除钙浓度外，采用EDTA-K2抗凝管不影响生化检验结果。 　　【关键词】 血液标本； 生化检验； 采集 　　Influence of Blood Samples Collection on the Results of Biochemical Detection in ICU Patients/LIU Fa-quan，SONG Gang.//Medical Innovation of China，2015，12（24）：023-025 　　【Abstract】 Objective： To investigate the influence of blood samples collection on the results of biochemical detection in ICU patients.Method：300 patients in the ICU of our hospital from January 2014 to January 2015 were selected as the research objects.The laboratory test parameters of different blood collecting locations，different collection time and whether using pro-coagulation or not were compared and analyzed.Result：The TBil，TP，BUN，Cr，TC and TG of the same side with the infusion were significantly lower than those of the other side，the differences were statistically significant（P0.05）.K+ and Na+ of two hours after infusion were significantly higher than those of half an hour after infusion，the differences were statistically significant（P0.05）. Ca2+ of EDTA-K2 tube was significantly lower than that of pro-coagulation tube，the difference was statistically significant（P0.05）.Conclusion：Blood collecting location and time have an effect on the results of biochemical detection.Using EDTA-K2 tubes for collecting blood samples has no effect on the results of biochemical detection except Ca2+. 　　【Key words】 Blood sample； Biochemical detection； Collection 　　First-author’s address：Dalingshan Hospital of Dongguan City，Dongguan 523820，China 　　doi：10.3969/j.issn.1674-4985.2015.24.008 　　血液生化检验是各级医院开展最为广泛，也是临床最重要的检验项目之一。血液生化检验结果的时效性和准确性关系到临床诊疗的科学性。快速、准确地进行血液生化检验可以为临床医师最大程度提供实验室诊断依据和治疗反馈，具有重要的临床意义。ICU住院患者病情危重、血管条件差、往往需同时进行多项血液生化检验，对血液生化检验结果准确性的需求较高。血液生化检验质