新生儿高胆红素血症对血糖检测结果影响.docVIP

新生儿高胆红素血症对血糖检测结果影响 　　[摘要] 目的 探讨新生儿高胆红素血症对其血糖检测结果的具体影响，为提高此类患儿血糖检测准确性提供可靠依据。方法 两组患儿均于清晨6点抽取静脉血液样本，研究组血液样本平均分为两份（A、B），将血液样本实施每分钟3000r离心10min后，分离血清并测定其葡萄糖含量，指定同一名具有专业知识及丰富经验的临床检验人员完成血糖检测。记录对照组、研究组A、研究组B血液样本中葡萄糖含量测定结果，进行统计学分析后得出结论。 结果 A、B研究组患儿血液样本去胆红素前，应用GOD-POD法血糖检测，与对照组比较，差异具有统计学意义（P0.05）；A、B研究组患儿血液样本去胆红素前后，应用HK法血糖检测与对照组比较差异均无统计学意义（P0.05）。 结论 临床医师应在实际工作中选用特异性较高的HK法对高胆红素血症新生儿进行血糖检测，可以获得准确检测结果，能够及时确诊患儿是否发生低血糖等并发症，并给予正确临床治疗措施，保障患儿疗效及生活质量，值得临床推广应用。 　　[关键词] 新生儿；高胆红素血症；血糖检测；影响分析 　　[中图分类号] R722.1 [文献标识码] B [文章编号] 2095-0616（2014）04-193-03 　　The impact of neonatal hyperbilirubinemia on blood glucose test results 　　ZHAO Chunping LIANG Yaorong WANG Caiyou ZHOU Qing 　　The Fifth Affiliated Hospital of Zunyi Medical College，Zhuhai 519100，China 　　[Abstract] Objective To investigate the effects of neonatal hyperbilirubinemia on blood glucose test results ， and improve the accuracy of these childrens blood glucose test. Methods The venous blood samples were drawn from two groups of patients at 6：00a.m，and were divided into two groups（A，B）.Centrifuged the blood samples for ten minutes by 3000r per minute，separated serum，and measured glucose levels，specified a clinical laboratory person who had a rich expericence to complete the two groupsblood glucose test. Recorded the glucose assay test results of control group，study group A and study group B，and analyzed the results. Results Before clearing bilirubin， there were signal differences （P0.05）between study group A and study group B in blood glucose test by HK method.Before and after clearing bilirubin，there was no difference（P0.05）between study group（A，B）and control group in blood glucose test by HK method. Conclusion Using the HK method to test the neonatal hyperbilirubinemia patients blood glucose level can help doctor gain the accurate result and help doctor to diagnose whether children have hypoglycemia or other complications，and also children can obtain the correct treatment，so It is worth promoting in clinical. 　　[Key word