红细胞冷凝集对全自动血细胞分析仪检验结果的作用分析

Analysis of the Effect of Red Blood Cell Cold Agglutination on the Test Results of Automatic Hematology Analyzer

目的:分析全自动血细胞分析仪进行血液检验时,红细胞(Red Blood Cell,RBC)冷凝集对检验结果的影响。方法:选择2017年4月~2019年9月本院收治的10例住院患者作为研究对象,观察检验结果、温度影响两项指标。结果:凝血速度为RBC(4.11±0.58)×10^(12)/L、白细胞(White Blood Cell,WBC)(4.87±0.54)×109/L、血小板(Platelet,PLT)(246.21±40.14)×109/L;RBC、WBC、PLT三项比对项目中,37℃水浴前与37℃水浴15min均有显著差异性,P<0.05;37℃水浴前与37℃水浴30min均有显著差异性,P<0.05;37℃水浴30min与37℃水浴15min均有显著差异性,P<0.05;37℃水浴30min与稀释后30min,P<0.05。结论:RBC冷凝集对于全自动血细胞分析仪检验结果有直接影响,采集血液标本时要对标本温度、标本浓度进行合理控制,能够改善RBC冷凝集对检验结果的影响。

Objective:To analyze the main effect and influence of red blood cell condensation on the automatic blood cell analyzer for blood testing.Methods:Ten patients in our hospital from April 2017 to September 2019 were selected as the research objects,and the test results and the influence of temperature were observed.Results:The coagulation speed is RBC(4.11±0.58)×10^(12)/L,WBC(4.87±0.54)×109/L,PLT(246.21±40.14)×109/L;Ratio of RBC,WBC,PLT For the items,there are significant differences between 37℃ water bath and 37℃ water bath for 15 minutes,P<0.05;37℃ water bath before and 37℃ water bath for 30 minutes are significantly different,P<0.05;37℃ water bath for 30 minutes and 37℃ water bath There are significant differences in 15min,P<0.05;30min after 37℃ water bath and 30min after dilution,P<0.05.Conclusion:Condensation of red blood cells has a direct impact on the test results of the automatic blood cell analyzer.If the blood samples are not tested in time,it will cause large errors in the test results.