动脉血气分析与急诊血常规检查中血红蛋白红细胞压积水平对比分析研究.docVIP

动脉血气分析与急诊血常规检查中血红蛋白红细胞压积水平对比分析研究 　　doi：10.3969/j.issn.1007-614x.2014.22.65 　　摘要目的：对比分析动脉血气分析和急诊血常规检查中血红蛋白、红细胞压积水平的差异和相关性。方法：2013年1月1日-2013年11月1日收治行动脉血气分析和急诊血常规检查患者115例，对比分析两种检查方法所得血红蛋白浓度、红细胞压积值。结果：动脉血气分析中血红蛋白浓度明显高于急诊血常规检查，二者的成对差分（9.26±17.21），t=5.77，P=0.00，差异有统计学意义；红细胞压积值明显高于急诊血常规检查的水平，二者的成对差分（2.27±4.89），t=5.01，P=0.00，差异有统计学意义。动脉血气分析、急诊血常规检查中血红蛋白浓度的相关系数r= 0.78，P=0.00，呈明显正相关，红细胞压积的相关系数r=0.77，P=0.00，呈明显正相关。结论：在临床实践中，要考虑到上述情况，合理分析上述结果，在紧急情况下血气分析中的血红蛋白、红细胞压积水平可以作为参考，但要得到更准确的血红蛋白、红细胞压积水平，仍需要进一步行血常规检查。 　　关键词动脉血气分析；血常规；血红蛋白；红细胞压积 　　Comparative analysis research of hemoglobin，hematocrit level in arterial blood gas analysis and emergency blood routine examination 　　Su Shuhong1，Liu Zhiqiang1，Li Shilin1，Zhang Fucheng1，Gao Peng2，Zhao Lipei1，Wang Zhifang1 　　The first department of cadre，the Central Hospital of Xinxiang City，Henan 4530001 　　Department of Cardiology，the Second People’s Hospital of Xinxiang City，Henan 4530022 　　AbstractObjective：To comparatively analyze the difference and correlation between hemoglobin，hematocrit level in arterial blood gas analysis and emergency blood routine examination.Methods：115 cases with arterial blood gas analysis and emergency blood routine examination were selected from 1 January 2013 to 1 November 2013.The hemoglobin concentration and hematocrit value of two methods of inspection were comparatively analyzed.Results：The hemoglobin concentration of arterial blood gas analysis was significantly higher than that of the emergency blood routine examination.The paired difference score of two was（9.26±17.21），t=5.77，P=0.00，and the difference had significance.The hematocrit value was significantly higher than that of the emergency blood routine examination.The paired difference score of two was （2.27±4.89），t=5.01，P=0.00，and the difference had significance.The correlation coefficient of hemoglobin concentration in arterial blood gas analysis and emergency blood routine examination was 0.78，P=0.00，and there was a significant positive correla