离心式静脉穿刺法采血对血细胞分析及凝血功能检测结果的影响研究  

Influence of blood sampling by away from heart veinpuncture on blood cell analysis and coagulation function test

作　　者：张翀旎[1] 黄闻 张世锟[2] 熊欢[1] 胡慧 ZHANG Chongni,HUANG Wen,ZHANG Shikun(The First Affiliated Hospital of Nanchcang University,Ncnchang,Jiangxi 330006, China)

机构地区：[1]南昌大学第一附属医院心身医学科,江西南昌330006 [2]南昌大学第一附属医院检验科,江西南昌330006 [3]九江学院附属医院康复科,江西九江332000

出　　处：《实验与检验医学》2018年第4期475-477,515,共4页Experimental and Laboratory Medicine

基　　金：江西省科学技术厅项目(编号:20151BBG70211)

摘　　要：目的探讨离心式静脉穿刺法采血对血细胞分析和凝血功能检验结果的影响。方法采用自身对照,将40例健康志愿者随机分为Ⅰ组和Ⅱ组,两组均采用常规静脉穿刺和离心式静脉穿刺,穿刺成功后分别扎与不扎止血带采集血标本,进行血细胞分析和凝血功能检测。结果 (1)"常规法"扎与不扎止血带采血,对白细胞计数有统计学意义(P<0.05);"离心法"扎与不扎止血带采血,对检验结果无统计学意义(P>0.05);(2)两种进针方法不扎止血带采血,对白细胞检验结果有统计学意义(P<0.05),"两种方法 "扎止血带采血,对检验结果无统计学意义(P>0.05);(3)"常规法"扎与不扎止血带采血,用时差异有统计学意义(P<0.001);"离心法"扎与不扎止血带采血,用时差异无统计学意义(P>0.05);两种方法不扎止血带采血,用时差异有统计学意义(P<0.001)。结论 "离心法"采血对止血带依赖小,可缩短采血时间,避免止血带使用对血标本检测结果的影响。Objective To investigate the effect of using away from heart venipuncture on blood cell analysis and coagulation function. Methods A total of 40 healthy volunteers were randomly divided into group Ⅰ and group Ⅱ,both groups were treated with conventional venipuncture and away from heart venipuncture;after venipuncture,by using tourniquet and not using tourniquet,the blood specimens were collected and then the blood cell analysis and coagulation function were detected. Results （1）Using conventional venipuncture,the result of white blood cell using tourniquet compared with not using tourniquet have significant difference（P〈0.05）;using away from heart venipuncture,all results were no statistic difference in using tourniquet or not（P〈0.05）.（2）Not using tourniquet,the result of white blood cell of two needling methods have significant difference（P〈0.05）;using tourniquet,all results of two needling methods were no statistic difference（P〈0.05）. （3）Using conventional venipuncture,the times of collecting blood specimens in using tourniquet compared with not using tourniquet have significant difference（P〈0.05）;using away from heart venipuncture,the times were not significant difference（P〈0.05）;not using tourniquet,two needling methods cause the times of collecting blood specimens have statistic difference（P〈0.05）. Conclusion The away from heart venipuncture has little dependence on the tourniquet and can shorten the blood collection time and avoid the influence of using a tourniquet on the blood test results.

关 键 词：离心式静脉穿刺 静脉采血 血细胞分析 凝血功能 

分 类 号：R446.11[医药卫生—诊断学]