肝素锂抗凝血浆与血清中常规生化检测结果一致性探讨  

Study on Consistency of Routine Biochemistry Items Results Between Heparin Lithium Anticoagulant Plasma and Serum

作　　者：黄学梅[1] 喻垚[1] 郭变琴[1] 王云龙[1] 吴立翔[1] 

机构地区：[1]重庆市肿瘤研究所临检中心,重庆400030

出　　处：《中国医疗器械信息》2014年第10期11-15,共5页China Medical Device Information

摘　　要：为探讨肝素锂抗凝血浆与血清中常规生化检测结果的一致性,分析肝素锂抗凝血浆能否替代血清进行常规生化检测,避免由于标本类别的不同而影响检验结果的准确性。应用日立H7600-20全自动生化分析仪对随机抽取的111例病人肝素锂抗凝血浆和血清中35项生化项目进行测定。结果表明,在肝素锂抗凝血浆与血清的35项生化项目结果中,ALB、GGT、TBA、TBIL、CL、Ca、Mg、CRE、BUN、UA、CysC、β2-MG、CK、CKMB、LDH和HDL-C共16项结果无显著性差异(P>0.05),而Na、K、CO2、P、Fe、ALT、AST、ALP、TP、PA、AFU、TG、TCHO、LDL-C、ApoA1、ApoB、Lp(a)、GLU、DBIL共19项结果有显著性差异(P<0.05)。研究表明,肝素锂抗凝血浆与血清中35项常规生化项目结果并不完全一致,检验科在常规生化项目测定时应首选血清。To investigate the consistency of routine biochemistry items results between heparin lithium anticoagulant plasma and serum, further analyze plasma anticoagulated with heparin lithium or serum was used to detected routine biochemical items, avoid to affect the accuracy of test results with different categories of samples. The random 111 samples with lithium heparin anticoagulant plasma and serum were measured by Hitachi H7600-20 automatic biochemical analyzer. There was signiifcant difference for Na, K, CO2, P, Fe, ALT, AST, ALP, TP, PA, AFU, TG, TCHO, LP （a）, LDL-C, ApoA1, ApoB, GLU, DBIL （P＜0.05）;While there was no signiifcant difference for ALB, GGT, TBA, TBIL, CL, Ca, Mg, CRE, BUN, UA, CysC,β2-MG, CK, CK-MB, LDH, HDL-C between heparin lithium anticoagulant plasma and serum. 35 items of biochemical results are not entirely consistent between lithium heparin anticoagulant plasma and serum, serum is the ifrst choice in routine biochemical assay.

关 键 词：血浆 血清 常规生化 

分 类 号：R446.1[医药卫生—诊断学]