凝血检验标本采集与处理过程中的质量控制分析  

Quality control analysis during the collection and processing of coagulation test specimens

作　　者：杨雪[1] YANG Xue(Laboratory Department of Xinjiang Medical University Affiliated Traditional Chinese Medicine Hospital,Urumqi,Xinjiang 830000,China)

机构地区：[1]新疆医科大学附属中医医院检验科,新疆乌鲁木齐830000

出　　处：《国际检验医学杂志》2024年第S01期78-80,共3页International Journal of Laboratory Medicine

摘　　要：目的探讨凝血检验标本采集与处理过程中的质量控制。方法随机选取2023年4-8月在该院接受凝血检验的200例患者作为研究对象,按照凝血标本采集量均分为A组(2 mL)、B组(1.6 mL),对比不同温度、不同保存时间下的两组凝血指标差异以及组内差异。结果在相同时间、保存温度下,A组和B组间凝血指标比较,差异无统计学意义(P>0.05);相比于即时检测,冰箱保存A组B组的凝血功能指标中活化部分凝血酶时间(APTT)、凝血酶时间(TT)水平均显著更高,差异有统计学意义(P<0.05),但凝血酶原时间(PT)、纤维蛋白原(FIB)比较,差异无统计学意义(P>0.05);常温保存A组B组的凝血功能指标均与即时检测结果比较,差异有统计学意义(P<0.05)。结论为确保凝血检验结果的准确性,需要加强凝血检验标本采集与处理过程中的质量控制,为临床诊断提供更有效的数据参考。Objective To explore the quality control during the collection and treatment of coagulation specimens.Methods Two hundred patients who underwent coagulation test in Xinjiang Medical University Affiliated Traditional Chinese Medicine Hospital from April 2023 to August 2023 were randomly selected as study subjects,divided into group A(2ml)and Group B(1.6ml)according to the collected amount of coagu-lation samples,and compared the differences in coagulation indexes and the two groups at different tempera-tures and storage times.Results At the same time and storage temperature,coagulation was not significantly different between groups A and B(P>0.05);Compared with real-time detection,the activated partial throm-boplastin time(APTT)and thromboplastin time(TT)levels in coagulation function indicators of group A and group B stored in the refrigerator were significantly higher,and the difference was statistically significant(P<0.05),but the prothrombin time(PT)and fibrinogen(FIB)were higher,and the difference was not sta-tistically significant(P>0.05);The coagulation function indicators of Group A and Group B stored at room temperature were compared with the real-time detection results,and the difference was statistically significant(P<0.05).Conclusion In order to ensure the accuracy of coagulation test results,it is necessary to strength-en the quality control during the collection and treatment of coagulation test specimens to provide more effec-tive data reference for clinical diagnosis.

关 键 词：凝血检验标本 采集 处理 质量控制 凝血酶 保存温度 

分 类 号：R446[医药卫生—诊断学]