肝素抗凝血浆用于急诊生化检验的效果分析

Effect Analysis of Heparin Anticoagulant Plasma for Emergency Biochemical Test

目的对肝素抗凝血浆在急诊生化检验中的应用效果进行探讨分析。方法采用常规方法对2016年10月至2017年6月在我院急诊门诊接受治疗的72例患者进行静脉血抽取,抽取静脉血6m L,其中3m L不加入抗凝剂作为对照组进行血清提取(血清样品组),3m L加入肝素抗凝作为试验组(肝素抗凝血血浆组)。应用HITACHI7080全自动生化分析仪对两组标本的急诊常规生化指标进行检测和比较。结果对两组标本的急诊常规生化指标检测结果显示,除K+外,其余指标检测结果(Na+、Cl-、GLU、AMY、Cr、BUN、AST、LDH、CK、CK-MB)两组比较差异均无统计学意义(P>0.05),而试验组K+则显著低于对照组,差异有统计学意义(P<0.05)。两组急诊检验项目测定结果间的相关性和回归方程显示二者之间存在很好的相关性,两者血钾浓度相关系数r=0.990。结论肝素抗凝血浆在急诊生化项目的检验中其结果具有较高的准确性和可靠性,同时其还具有血浆分离快速、结果回报时间短等优点,能够及时为急诊患者提供准确的检验报告,为临床干预提供更多时间和机会。

Objective To analyze the effect of heparin anticoagulant plasma in the emergency biochemical test.Methods Routine method was used to extract venous blood from 72 patients receiving emergency treatment in our hospital from October 2016 to June 2017,venous blood was drawn in 6ml,3ml without anticoagulant were selected as control group(serum sample),3ml with heparin anticoagulant were selected as experimental group(heparin anticoagulant plasma).The HITACHI7080 automatic biochemical analyzer was used to detect and compare the routine biochemical indexes of two groups of specimens.Results The results of biochemical tests showed that except for K+,there were no significant differences in the other indicators(Na+,Cl-,GLU,AMY,Cr,BUN,AST,LDH,CK and CK-MB)between the two groups(P>0.05),the concentration of K+in the experimental group was significantly lower than that in the control group(P<0.05).The correlation and regression equation between the two groups of emergency test items showed that there was a good correlation between the two groups,the correlation coefficient of blood potassium concentration between the two groups was 0.990.Conclusion The results of heparin anticoagulant plasma have high accuracy and reliability in the test of emergency biochemical project.It also has the advantages of fast plasma separation,short decompression time and short return time.It can provide accurate inspection report for emergency patients in time,and provide more time and opportunity for clinical intervention.