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三种常用血常规检测方法的比较

Comparison of Three Common Methods of Routine Blood Test
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摘要 目的 比较静脉全血、末梢全血和末梢预稀释血三种血常规检测方法结果的差异.方法 收集2015—2016年于湖南省湘西州人民医进行血常规检测的健康体检者174例.全部患者均收集静脉血1份和末梢血2份.对收集的血液标本分别采用静脉全血(A组)、末梢全血(B组)和末梢预稀释血(C组)三种方法进行血常规检测,并对各项结果进行比较.结果 B组及C组的白细胞和红细胞平均体积均高于A组,其余指标均低于A组,差异有统计学意义(P〈0.05);C组血小板高于B组,差异有统计学意义,而其他指标与B组相比,差异无统计学意义(P〉0.05).结论 末梢血检测结果与静脉血相比存在一定误差;然而末梢预稀释血在血小板结果方面优于末梢全血,如果采用末梢血进行血常规检测,建议优先选择末梢预稀释血. Objective To compare the differences between the results of three common methods of routine blood test including venous whole blood, peripheral whole blood and peripheral prediluted blood. Methods One hundred and seventy-four cases of people who took the routine blood test during the physical examination in People's Hospital of Xiangxi State from 2015 to 2016 were collected. One venous blood sample and two peripheral blood samples were collected from all patients. The blood samples were examined by three methods for routine blood test, i.e. venous whole blood (Group A), peripheral whole blood (Group B) and peripheral prediluted blood (Group C), and the results were compared. Result The WBC and MCV in Group B and Group C were both higher than those in Group A, and the other indexes in Group B and Group C were lower than those in Group A. The differences were statistically significant (P〈0.05). The PLT of Group C was higher than that of Group B with statistically significant difference, but there was no statistical difference of the other indexes between Group C and Group B (P〉0.05). Conclusion There is certain error in the results of peripheral blood test compared with venous blood test, and peripheral prediluted blood is superior to peripheral whole blood in platelet results. If peripheral blood is used for routine blood test, it is recommended to select the peripheral prediluted blood.
作者 宋鸿志 SONG Hongzhi(Department of Clinical Laboratory, People's Hospital of Xiangxi State, Jishou 416000, Hunan Province, China)
出处 《中国实用乡村医生杂志》 2017年第6期57-58,61,共3页 Chinese Practical Journal of Rural Doctor
关键词 血常规 末梢血 静脉血 全血 预稀释 Routine Blood Test Peripheral Blood Venous Blood Whole Blood Pre-dilution
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