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光学显微镜在凝血试验前质量控制的临床应用研究 被引量:1

Study on the clinical application of optical microscope in the coagulation pre-test quality control
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摘要 目的探讨光学显微镜在凝血试验前对凝血标本镜检在凝血试验前质量控制的临床应用价值。方法选择92例患者凝血标本光学显微镜镜检出现凝集为观察组,92例患者重新取血镜检确保无凝集现象设为对照,观察两组凝血指标差异。结果观察组、对照组凝血功能指标经q检验分析比较,PT、APTT、TT、Fg差异均有统计学意义(P〈0.05),观察组PT、APTT、TT均延长,Fg降低;观察组不同凝集度标本组别经方差分析,PT、APTT、TT、Fg差异均有统计学意义(P〈0.05),组间两两比较经q检验分析,胛、PT、APTT、TT、Fg差异均有统计学意义(P〈0.05),随血标本凝集度的加重,PT、APTT、TT时间的延长、Fg浓度的降低越严重。结论光学显微镜检引入凝血功能检测的实验前质量控制能很大程度提升实验室凝血功能检测结果的准确性,对临床相关疾病的诊断及术前准备有重要的临床应用价值。 Objective To investigate the clinical value of the optical microscope on the quality control of the coagulation specimen microscopic examination before the coagulation test. Methods 92 patients with coagulation specimens agglutination occurs which taken were selected as the experimental group ,92 patients re-blood microscopy to ensure that no agglutination phenomenon was set to control, observed differences in coagulation indexes of the two groups. Results The PT、APTT、TT and Fg were statistically significant (P 〈 0.05 ) between experimental group and control group by the q test. Different agglutination specimens group in the experimental group by analysis of variance, PT、APTT、TT and Fg were statistically significant (P 〈 0.05 ) between groups comparison of the q test analysis, PT、APTT、TT and Fg were significant differences ( P 〈 0.05 ). With the aggravation of blood specimens agglutination ,PT, APTT and TT time extension and Fg concentration reduce more serious. Conclusion Optical microscope before the introduction of clotting function tests experimental quality control a large extent, to enhance the accuracy of laboratory coagulation test results, clinical diagnosis and preoperative preparation has important clinical value.
作者 刘松华 张强
出处 《中国基层医药》 CAS 2013年第5期689-690,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 凝血 光学显微镜 镜检 血浆凝血酶原时间 活化部分凝血活酶时间 血浆凝血酶时间 纤维 蛋白原 Coagulation, optical microscopes, microscopy, plasma prothrombin time, activated partial throm-boplastin time, thrombin time, fibrinogen
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