高血脂对间接离子选择电极法检测电解质影响.docVIP

高血脂对间接离子选择电极法检测电解质影响 　　[摘要]目的 了解重度脂血对间接离子选择电极法测定血清电解质K+、Na+、Cl-的影响。方法 取血脂正常、轻中度血脂升高和重度血脂升高血清标本，各20份，分别在日立7600全自动生化分析仪和罗氏cobas b 123血气分析仪检测K+、Na+、Cl-，对结果进行比较分析。结果 对于血脂正常和轻、中度血脂升高的标本，日立7600全自动生化分析仪和罗氏cobas b 123血气分析仪检测的结果比较，差异无统计学意义（P0.05）；重度脂血标本日立7600全自动生化分析仪的检测结果低于罗氏cobas b 123血气分析仪的检测结果，差异有统计学意义（P0.05）。结论 对于重度脂血?吮荆?直接离子选择电极法检测K+、Na+、Cl-的结果更为真实可靠。 　　[关键词]直接离子选择电极法；间接离子选择电极法；K+、Na+、Cl-；重度脂血 　　[中图分类号] R446.11 [文献标识码] A [文章编号] 1674-4721（2018）1（c）-0148-03 　　Influence of hyperlipidemia on the detection of electrolyte by indirect ion selective electrode 　　JIA Li-sha 　　Clinical Laboratory，People′s Hospital of Zitong County of Mianyang City in Sichuan Province，Zitong 622150，China 　　[Abstract]Objective To understand the influence of severe hyperlipidemia on the detection of serum electrolyte K+，Na+，Cl- by indirect ion selective electrode method.Methods Serum samples of normal blood lipid，mild to moderate blood lipid and severe blood lipid were selected ，20 case in each group.K+，Na+，Cl- were detected by Hitachi 7600 automatic biochemical analyzer and the Roche cobas b 123 blood gas analyzer，comparing the results.The results were compared and analyzed.Results For specimens of normal and mild and moderate blood hyperlipidemia，there was no significant difference in the detection results between the Hitachi 7600 automatic biochemical analyzer and the Roche cobas b 123 blood gas analyzer （P0.05）.The detection results of severe hyperlipidemia of the Hitachi 7600 automatic biochemical analyzer was lower than that of the Roche cobas b 123 blood gas analyzer，with significant difference （P0.05）.Conclusion The results of direct ion selective electrode method for detecting K+，Na+，Cl- are more true and reliable for severe lipid blood samples. 　　[Key words]Direct ion selective electrode method；Indirect ion selective electrode method；K+，Na+，Cl-；Severe lipoprotein 　　在临床工作中，脂血标本时有出现，特别是在急诊检验工作中无法避免，时常干扰检验科工作人员快速、准确地出具检验报告。电解质检测在临床诊疗工作中具有重要的指导意义，往往作为急诊检验项目要求检验科快速给出结果。目前，测定电解质常用的方法有离子