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目的探讨影响临床生化检测结果的因素及其对策。方法回顾性分析2014年7月至2015年7月250例进行生化检查患者的资料,比较初检与复检差异的相关指标。结果初检严重溶血的肌酸激酶、乳酸脱氢酶和血钾水平高于复检,同侧采血的钠、血糖、钾离子水平高于对侧采血,血标本纤维蛋白充分析出的血糖、尿素、氯离子水平高于未析出的,差异有统计学意义(P<0.05)。结论严重溶血、不同的采血方式、血液标本处理不当等均影响临床生化检测结果。
Objective To explore the factors influencing clinical biochemical test results and its countermeasures. Methods The data of 250 patients who underwent biochemical examinations from July 2014 to July 2015 were retrospectively analyzed. The relative indexes of the differences between the first and second trimesters were compared. Results The initial hemolytic creatine kinase, lactate dehydrogenase and potassium levels were higher than those of the retest. The levels of sodium, blood glucose and potassium in the ipsilateral blood collection were higher than those in the contralateral blood collection. Blood glucose, urea, , While the chloride ion level was higher than that of non-precipitated ones, the difference was statistically significant (P <0.05). Conclusion Severe hemolysis, different blood sampling methods, improper handling of blood samples and so on affect clinical biochemical test results.