脂血对Sysmex XT―1800i检测血液分析结果影响.docVIP

脂血对Sysmex XT―1800i检测血液分析结果影响 　　[摘要]目的 探讨脂血对Sysmex XT-1800i检测血液分析指标的影响。 方法 取无溶血、脂血和黄疸的全血标本40例，每例标本分装成4管，每例第1管组成对照组（n=40），其余3管分别添加脂肪乳剂制成低水平脂血标本组（n=40）、中水平脂血（n=40）和高水平脂血（n=40）。用Sysmex XT-1800i测定各组血液分析指标。结果 低水平脂血组 血标本WBC、RBC、Hb、MCV、MCH、MCHC、PLT测定结果与对照组比较，差异无统计学意义（P0.05）。中水平脂血组Hb、MCH、MCHC测定结果与对照组比较，差异有统计学意义（P0.05）。高水平脂血组Hb、MCV、MCH、MCHC测定结果与对照组比较，差异有统计学意义（P0.05）。结论 中度或重度脂血可影响Sysmex XT-1800i检测血液分析结果。 　　[关键词]脂血；Sysmex XT-1800i；血液分析；影响 　　[中图分类号]R4 [文献标识码]A [文章编号]1674-0742（2015）04（b）-0182-02 　　The Effect of Lipohemia on the Detection Results of Blood Analysis by Sysmex XT-1800i 　　WANG Yu 　　Clinical Laboratory， Civil Aviation College Hospital of China， Guanghan， Sichuan Province， 618307 China 　　[Abstract] Objective To discuss the effect of lipohemia on the detection results of blood analysis by Sysmex XT-1800i. Methods 40 cases of blood samples were selected without hemolysis， lipohemia and jaundice. Each case was packed into 4 tubes. The first tube of each case was used for control group（n=40）， and the remaining 3 tubes are respectively added by fat emulsion and prepared for low level of lipohemia samples group（n=40）， the middle level of lipohemia（n=40） and high the level of lipohemia （n=40）. Blood analysis markers in each group were detected by Sysmex XT-1800i. Results The values of RBC， Hb， MCV， WBC， MCH， MCHC， PLT showed no significant differences in low level of lipohemia group when compared to the control（P0.05）. The values of Hb， MCH， MCHC showed significant differences in middle level of lipohemia group when compared to the control（P0.05）. The values of Hb， MCV，MCH， MCHC showed significant differences in high level of lipohemia group when compared to the control（P0.05）. Conclusion Middle or high level of lipohemia has an effect on the detection results of blood analysis by Sysmex XT-1800i. 　　[Key words] Lipohemia； Sysmex XT-1800i； Blood analysis； Effect 　　Sysmex XT-1800i 是一台先进的全自动血液分析仪，采用半导体流式细胞分析系统、结合细胞化学染色技术、荧光检测技术，性能稳定，在临床检验中得到了广泛应用[1]。由于血液成分复杂，溶血和脂血因素对血清生