动脉血与静脉血中电解质、血糖、血红蛋白、红细胞压积水平对比分析  

Comparative analysis of electrolyte,blood glucose,hemoglobin,hematocrit level in artery blood and venous blood

作　　者：李世花[1] 刘行超[1] 罗厚龙 谭秋培[1] 农妍 LI Shihua;LIU Xingchao;LUO Houlong;TAN Qiupei;NONG Yan(Department of Clinical Laboratory,The 181st Hospital of PLA,Guilin,Guangxi 541002,China)

机构地区：[1]中国人民解放军第一八一医院检验科,广西桂林541002

出　　处：《检验医学与临床》2018年第A01期108-110,共3页Laboratory Medicine and Clinic

摘　　要：目的 探讨动脉血与静脉血中电解质(K+、Na+、Cl-、Ca 2+)、血糖(GLU)、血红蛋白(Hb)和红细胞压积(Hct)水平的差异和相关性,为临床快速诊治提供依据。方法 选取该院382例住院患者,同时采集动脉血和静脉血,通过全自动血气分析仪测定K+、Na+、Cl-、Ca 2+、GLU、Hb、Hct、全自动生化分析仪测定K+、Na+、Cl-、Ca 2+、GLU、血液分析仪测定Hb、Hct。采用SPSS17.0统计软件对数据进行统计分析。结果 动脉血与静脉血检出K+、Na+、Ca 2+、Hb、Hct差异有统计学意义(r=0.746、0.819、0.600、0.746、0.737,P<0.05),Cl-和GLU差异无统计学意义(r=0.848、0.891,P>0.05)。结论 动脉血与静脉血中的K+、Na+、Cl-、Ca 2+、GLU、Hb、Hct结果存在一定差异,在紧急情况下可作为参考,但要得到更准确结果仍需进一步行常规生化和血常规测定。Objective To explore the difference and correlation of artery blood and venous blood for the measurement of electrolytes(K+,Na+,Cl-,Ca 2+),blood glucose(GLU),hemoglobin(Hb),hematocrit(Hct)to provide evidence for clinical rapid diagnosis and treatment.Methods Artery blood and venous blood were collected from 382 inpatients in the hospital of PLA,for detecting K+,Na+,Cl-,Ca 2+,GLU,Hb,Hct by the portable arterial blood gas analyzer and the automatic biochemical analyzer.The data were analyzed by SPSS17.0.Results There was a significant difference in K+,Na+,Ca 2+,Hb,Hct detected by arterial blood and venous blood(r=0.746,0.819,0.600,0.746,0.737,P<0.05).The difference was not statistically significant between them in Cl-,GLU(r=0.848,0.891,P>0.05).Conclusion There are some differences between artery blood and venous blood of K+,Na+、Cl-,Ca 2+,GLU,Hb,Hct Hct,In emergency,they can be used as a reference,it still need further conventional biochemical determination and blood routine examination.

关 键 词：动脉血 静脉血 电解质 血糖 血红蛋白 红细胞压积 

分 类 号：R446.11[医药卫生—诊断学]