急诊生化检验中肝素抗凝血浆的应用价值研究  

Study on the Application Value of Heparin Anticoagulant Plasma in Emergency Biochemical Test

作　　者：曾成林[1] 黄杰[1] 吴丽静[1] 李凤莲[1] ZENG Chenglin;HUANG Jie;WU Lijing;LI Fenglian(Department of Laboratory,Huazhou People’s Hospital,Huazhou Guangdong 525100,China)

机构地区：[1]化州市人民医院检验科,广东化州525100

出　　处：《中国卫生标准管理》2021年第19期76-79,共4页China Health Standard Management

摘　　要：目的探讨急诊生化检验中肝素抗凝血浆的应用价值研究。方法将2020年9—10月在医院治疗的104例急诊患者作为研究对象,均行急诊生化检验,常规抽取肘静脉血4 mL,分别注入2支试管中,每支各2 mL,1支试管加入肝素抗凝剂作为观察组,1支试管未加入肝素抗凝剂作为对照组,均用干化学法进行检测,对比两组的各血生化指标结果。结果观察组肌酸激酶(creatine kinase,CK)、尿素(blood urea nitrogen,BUN)、钠(natrium,Na^(+))、钙(calcium,Ca^(2+))、肌酐(creatinine,Cr)、氯(chlorine,Cl^(-))、磷(phosphorus,P^(3+))、天门冬氨酸氨基转移酶(aspartate amino transferase,AST)、丙氨酸氨基转移酶(alanine aminotransferase,ALT)、镁(magnesium,Mg^(2+))、尿酸(uric acid,UA)、乳酸脱氢酶(lactate dehydrogenase,LDH)、淀粉酶(amylase,AMY)、直接胆红素(direct bilirubin,DBIL)、总胆红素(total bilirubin,TBIL)等生化指标检测结果与对照组相比差异无统计学意义(P>0.05),但观察组钾(kalium,K^(+))低于对照组,CO_(2)、葡萄糖(glucose,GLU)、总蛋白(total protein,TP)等生化指标检测水平高于对照组(P<0.05)。结论急诊生化检验中肝素抗凝血浆的应用价值较高,检验误差小,检验速度快,为临床的快速诊治提供了可靠依据,但也应注意CO_(2)、K^(+)、GLU、TP等指标进行校正,以保障检验结果的准确性。Objective To investigate the application value of heparin anticoagulant plasma in emergency biochemical test.Methods From September to October 2020104 patients with emergency treated in our hospital as the research object,all the patients were underwent emergency biochemical test,routinely drew 4 mL of cubital venous blood and injected them into two test tubes,each with 2 mL each.One test tube was added with heparin anticoagulant as the observation group,and the other test tube was not added with heparin anticoagulant as the control group,all of which were treated with dry chemical method for detection,and compared the results of the blood biochemical indicators of the two groups.Results In the observation group,the detection results of creatine kinase(CK),blood urea nitrogen(BUN),natrium(Na^(+)),calcium(Ca^(2+)),creatinine(Cr),chlorine(Cl^(-)),phosphorus(P^(3+)),aspartate amino transferase(AST),alanine aminotransferase(ALT),magnesium(Mg^(2+)),uric acid(UA),lactate dehydrogenase(LDH),amylase(AMY),direct bilirubin(DBIL),total bilirubin(TBIL)and other biochemical indicators compared with the control group,the difference was not statistically significant(P>0.05),but kalium(K^(+))in the observation group was lower than that in the control group,and the detection levels of CO_(2),glucose(GLU),total protein(TP)and other biochemical indicators were higher than the control group(P<0.05).Conclusion The application value of heparin anticoagulated plasma in emergency biochemical tests is high,with small test errors and fast test speeds,which provide a reliable basis for rapid clinical diagnosis and treatment.However,it should pay attention to CO_(2),K^(+),GLU,TP and other indicators for correction to ensure the accuracy of inspection results.

关 键 词：急诊 生化检验 肝素抗凝血浆 血清 干化学法 应用价值 

分 类 号：R730[医药卫生—肿瘤]