血气生化仪与自动生化分析仪在急诊生化检验中的检验作用  

Inspection function of blood gas biochemical analyzer and automatic biochemical analyzer in emergency biochemical test

作　　者：印杰 黄楠 张朱婧 薛学锋 Yin Jie;Huang Nan;Zhang Zhujing;Xue Xuefeng(Department of Clinical Laboratory,Qidong People's Hospital,Qidong Institute of Liver Cancer Prevention and Treatment,Qidong Hospital Affiliated to Nantong University,Qidong 226200,Jiangsu,China)

机构地区：[1]启东市人民医院/启东肝癌防治研究所/南通大学附属启东医院检验科,江苏启东226200

出　　处：《实用检验医师杂志》2023年第4期377-380,共4页Chinese Journal of Clinical Pathologist

摘　　要：目的比较血气生化仪与自动生化分析仪在急诊生化检验中的作用。方法选择2020年10月—2022年10月启东市人民医院收治的80例急诊入院患者作为研究对象。使用血气分析仪和全自动生化免疫分析仪检测患者的电解质指标水平,对比两种仪器采血量、检验时间及钾离子、钠离子和氯离子浓度,并应用Pearson相关系数对钾离子、钠离子和氯离子浓度检测结果进行相关性分析。结果血气生化仪的采血量和检验时间均明显低于全自动生化分析仪[采血量(mL):1.96±0.24比3.72±0.32,检验时间(min):2.36±0.28比45.54±6.12,均P<0.05];全自动生化分析仪钾离子、钠离子和氯离子浓度的检测结果均明显高于血气分析仪[钾离子(mmol/L):4.76±1.18比4.12±0.96,钠离子(mmol/L):142.18±6.56比137.32±7.16,氯离子(mmol/L):99.21±4.32比97.48±3.54,均P<0.05]。Pearson相关性分析显示,两种仪器钾离子、钠离子和氯离子浓度的检测结果呈正相关,且相关性较好(r值分别为0.998、0.993、0.998,P值分别为0.000、0.000、0.000)。结论血气生化仪与全自动生化分析仪均可用于急诊生化检验,检验结果有差异,但相关性较好;血气生化仪检测速度较快,可提高工作效率,更能满足急诊需求。Objective To compare the role of blood gas biochemical analyzer and automatic biochemical analyzer in emergency biochemical examination.Methods Eighty patients admitted to the emergency department of Qidong People's Hospital from October 2020 to October 2022 were included.The blood gas analyzer and fully automated biochemical immune analyzer were used to detect the electrolyte indicators,the blood collection volume,test time,and potassium,sodium and chloride ion concentrations of the two instruments were compared,and Pearson correlation coefficient was applied to perform correlation analysis on the results of potassium,sodium,and chloride ion concentration detection.Results The blood collection volume and testing time of blood gas biochemical analyzer were lower than those of fully automatic biochemical analyzer[blood collection volume(mL):1.96±0.24 vs.3.72±0.32,testing time(minutes):2.36±0.28 vs.45.54±6.12,both P<0.05].The detection results of potassium,sodium and chloride by fully automatic biochemical analyzer were higher than those by blood gas analyzer[potassium(mmol/L):4.76±1.18 vs.4.12±0.96,sodium(mmol/L):142.18±6.56 vs.137.32±7.16,chloride(mmol/L):99.21±4.32 vs.97.48±3.54,all P<0.05].Pearson correlation analysis showed that the detection results of potassium,sodium and chloride using two instruments were positively correlated(r values were 0.998,0.993 and 0.998,and P values were 0.000,0.000 and 0.000,respectively).Conclusions Both blood gas biochemical analyzer and automatic biochemical analyzer could be used for emergency biochemical examination,and the test results are different,but the correlation is good.The former speed is relatively fast,which could improve work efficiency,so as to meet the needs of emergency better.

关 键 词：急诊生化检验 血气分析仪 全自动生化分析仪 生化指标 相关性 

分 类 号：R446.1[医药卫生—诊断学]