血常规红细胞参数干扰因素分析与对策

Blood routine RBC parameters interference factors analysis and countermeasures

目的探讨血常规检测中严重干扰红细胞参数的原因及纠正方法。方法 2012年1月至2014年3月连云港第一人民医院门诊及住院血常规结果红细胞参数明显异常的患者30例,根据分析其干扰因素分为四组:冷凝集组7例、严重溶血组13例、脂血组8例、高白细胞组2例,分别采取适当的纠正措施进行处理,纠正前后红细胞参数比较采用t检验。高白细胞组例数太少,未作比较。结果分析严重干扰红细胞参数的原因并加以适当纠正措施,可以使红细胞参数更加接近真实结果。结论应重视红细胞参数的变化,各组标本采取纠正措施前后结果比较差异均有统计学意义(P<0.05)。

Objective To explore the reason of serious interference red blood cell（RBC）parameters in blood routine test and correct method.Methods 30 cases of patients whose results of blood routine RBC parameters obviously abnormal ,According to the interference factors were divided into four groups：cold agglutination （7 cases）,severe hemolysis（13 cases）,high triglycerides （8 cases）,high white blood cell（WBC）（2 例）.Take appropriate corrective action for processing respectively.The difference of red blood cell parameters were compared with t test.Results To analysis of interference factors and take appropriate corrective meas-ures,RBC parameters could be more close to the real results.Conclusion We should pay attention to the changes of the RBC pa-rameters,analysis of interference factors,and to take appropriate measures to correct,in order to avoid clinical misdiagnosis and mi-stherapy.