离心沉淀对老年人血沉检验结果影响的初步观察.pdfVIP

老年医学与保健2012 年第 18 卷第 6 期 Geriatr Health Care ,2012 , Vo l. I8.No.6 离心沉淀对老年人血沉检验结果影响的初步观察 刘占文 戴兆云 [摘要]目的观察血液离心沉淀后对老年人血沉检验结果的影响。方法随机选取传染科结核病住院患者23 例， 静脉抽取新鲜血液常规抗凝后均分2 管，第 1 管常规魏氏法测定血沉值，第2 管3 000φm 离心 5 min 后，再予悬浮 均匀，以同样的方法测定血沉值。结果未作离心沉淀的自然血沉值、离心沉淀后再悬浮的血沉值分别为(37.70士4.29) mm/hr , (52.00士5 .40 ) mm1hr; 两者之间差别有统计学意义 (t=2.23 ， P0.05) ， 后者超出前者 27.5%; 散点图示 离心后血沉 (Y) 与自然血沉 (X) 呈线性正相关，经回归分析两者关系的回归方程为 X=0.75Y-1.45 (r=O.94 , F=192.35 , PO.OOI)。结论老年人新鲜血液离心沉淀再悬浮后测定的血沉值 (Y) 较自然血沉值 (X) 明显增快。 若不慎对老年人血沉测定管做了离心处理，可按回归方程加以补救，评估其实际的自然血沉值。 [关键字]老年人;血沉;离心 [中固分类号] R466 [文献标识码] A [文章编号] 1008-8296 (2012) -06-03 DOI: 1O .3969/j. issn. 1008-8296.2012-06-09 Preliminary study on variance of erytbrocyte sedimentation rate values in elderly patients after contrifugation of blood sample UU Zhan-wen , DAl Zhω-yun*. Tongren Hospital , Changning District, Shanghai 200050, China *Coπesponding author: DAI Zhao-yun: E-mail: daizhaoyun@ [Abstract] Objective To preliminarily investigate the variance of eηthrocyte sedimentation rate (ESR) values 础:er centrifugation of bl∞d sample in elderly patients. Methods 23 cases of TB inpatients were studied at random. The anti- coaguiant blood samples in all 阳tients were routinely collected , divided into intact group 阳be and centrifugation group tube with each 2.5 mL , the former was measured to test ESR by westergren method , the latter was centrifuged in 3ωOrpm for 5 min , then suspended to test ESR in the same way. Results The ESR values of both intact bloods and the suspended bloods after centrifugation were (37.70 土4.29) mmI尬， (52.00 士5.40) mm1hr , respectively , There was markedly statistical differences between them with latter elevated up to 27.5% (t=2.23 , P0.05). The both ESR values ofthe intact bloods and the suspended bloods after centri句gation were signi