联合转铁蛋白(Tf)与血红蛋白检测对消化道出血的诊断价值研究

Diagnostic Value of Combined Transferrin(Tf)and Hemoglobin in Gastrointestinal Hemorrhage

分析了消化道出血病例检测转铁蛋白、血红蛋白的有效性。选取2020年1月1—2021年10月国药同煤总医院收治的92例消化道出血患者作为研究对象,检测患者胃液、粪便中转铁蛋白、血红蛋白,观察检测结果。分别将生理盐水、蒸馏水、稀盐酸调节生理盐水为pH=1.5稀释胃液,发现酸性环境会影响结果检测的准确性,检测胃液潜血采用胶体金法联合检测双联血红蛋白/转铁蛋白更可靠。将潜血测定为阳性的胃液放置于温度为37℃水浴中,25h内检测可保证检测结果的准确性。研究发现,伴消化道出血的消化系统疾病采取联合血红蛋白/转铁蛋白测定明显优于单纯血红蛋白测定,临床针对消化道出血患者采取胶体金法联合检测双联血红蛋白/转铁蛋白检测更可靠。

This paper analyzes the effectiveness of the case study of gastrointestinal haemorrhagic disease in detecting transferrin and hemoglobin.92 patients with gastrointestinal bleeding admitted by Sinopharm Tongmei General Hospital from January 1,2020 to October 2021 were selected as the research objects,and the transferrin and hemoglobin in gastric juice and stool were detected,and the detection results were observed.Adjust the normal saline,distilled water and diluted hydrochloric acid to pH=1.5 respectively to dilute gastric juice.It is found that the acid environment affects the accuracy of the results.The colloidal gold method is more reliable for the detection of double hemoglobin/transferrin in the detection of occult blood in gastric juice.The gastric juice with positive occult blood test is placed in a water bath at 37℃,and the accuracy of the test results can be guaranteed within 25 hours.The study found that the combined hemoglobin/transferrin test was significantly better than the simple hemoglobin test for digestive system diseases with gastrointestinal bleeding,and the colloidal gold method combined with the dual hemoglobin/transferrin test for patients with gastrointestinal bleeding was more reliable.