溶血对临床生化检验的影响

Discussion of the effect of hemolysis on clinical biochemical test

目的:探讨溶血对临床检验质量的影响。方法:选取体检者血液40例,对比溶血前和溶血后的生化检验结果。结果:生化检验16项,其中总胆红素(TBIL)、总蛋白(TP)、直接胆红素(DBIL)、白蛋白(ALB)、肌酸激酶(CK)、碱性磷酸(ALP)、尿酸(UA)、葡萄糖(GLU)、谷草转氨酶(AST)、谷氨酰转肽酶(GGT)、总胆固醇(TC)、甘油三酯(TG)、谷丙转氨酶(ALT)的检验数据在溶血前后的对比,差异具有统计学意义(P<0.05)。结论:标本发生溶血对生化检验的多项指标均有影响,临床上应防止标本溶血,确保临床生化检验指标的准确性。

Objective:To discuss the effect of hemolysis on clinical test quality.Methods:40 cases of blood of persons with physicalexamination were selected,and the biochemical test results were compared before and after hemolysis.Results:In 16 kinds ofbiochemical tests,the test data of total bilirubin(TBIL),total protein(TP),direct bilirubin(DBIL),albumin(ALB),creatine kinase(CK),alkaline phosphatase(ALP),uric acid(UA),glucose(Glu),aspartate aminotransferase(AST),valley ammonia acyl turn peptidase(GGT),total cholesterol(TC),triglyceride(TG),glutamic-pyruvic transaminase(ALT) were compared before and after hemolysis,and thedifferences were statistically significant(P<0.05).Conclusion:The specimen hemolysis has an impact on the many indicators ofbiochemical test.Clinical specimens should prevent hemolysis that ensure the accuracy of clinical biochemical tests.