血常规检验中高脂血症患者乳糜血对检验结果的影响研究  

A Study on the Effect of Celiac Blood on Test Results in Patients with Hyperlipidemia in Routine Blood Rests

作　　者：苏嘉恋 邱丽阳 SU Jialian;QIU Liyang(Department of Clinical Laboratory,People’s Hospital Affiliated to Quanzhou Medical College,Quanzhou,Fujian 362000,China)

机构地区：[1]泉州医学高等专科学校附属人民医院检验科,福建泉州362000

出　　处：《中国医药指南》2025年第12期115-117,共3页Guide of China Medicine

摘　　要：目的 本研究旨在讨论血常规检验中,高脂血症患者乳糜血对血常规检验结果产生的影响。方法 本研究随机纳入2022年1月至2024年1月在本院接受治疗的高脂血症患者,40例,记作试验组,另外选用同期在本院接受血常规体检的健康受检者作为受试者,40例,记作对照组,共计80例,对比两组血液经过血浆置换后,各项指标与置换前的差异。结果 试验组血液样本经过血浆置换后,平均红细胞体积、红细胞比容、红细胞计数3项指标与血浆置换前比较无统计学意义(P> 0.05);血红蛋白、平均血红蛋白量、平均血红蛋白浓度、血小板计数、白细胞计数及平均血小板体积相较于血浆置换前更低,中性粒细胞相比置换前更高(P<0.05)。对照组受检者血液样本接受置换后与置换前比较无统计学意义(P> 0.05)。结论 血常规检验中,高脂血症患者乳糜血样本严重影响检测结果。建议先对样本进行血浆置换后,再进行检测,可有效提高检测的精确度,为相关诊断与治疗提供数据参考。Objective This study aims to discuss the impact of chyle blood on the results of blood routine tests in patients with hyperlipidemia.Methods This study randomly included 40 hyperlipidemia patients who received treatment in our hospital from January 2022 to January 2024 and were recorded as the trial group.In addition,40 healthy subjects who underwent blood routine examinations at our hospital during the same period were selected as the control group,with a total of 80 subjects.The differences in various indicators between the two groups of patients after plasma exchange and before exchange were compared.Results The results of this study showed that the average red blood cell volume,hematocrit,and red blood cell count of the trial group’s blood samples after plasma exchange were not statistically significant before plasma exchange(P>0.05).Hemoglobin,mean hemoglobin level,mean hemoglobin concentration,platelet count,white blood cell count,and mean platelet volume were lower compared to before plasma exchange,while neutrophils were higher compared to before exchange(P<0.05).There was no significant difference between the blood samples of the control group after replacement and before replacement(P>0.05).Conclusions In blood routine tests,chyle blood samples from patients with hyperlipidemia seriously affect the test results.It is recommended to perform plasma exchange on the sample before testing,which can effectively improve the accuracy of the detection and provide data reference for relevant diagnosis and treatment.

关 键 词：血常规检查 高脂血症 乳糜血 血浆置换 

分 类 号：R589.2[医药卫生—内分泌] R446.11[医药卫生—内科学]