摘要
目的探讨临床血液生化检验标本分析过程中影响检验结果准确性的因素。方法选择2019年2月至2020年3月我院进行健康体检者的120份血液生化检验标本作为研究资料。120份血液生化检验标本中男性血液生化检验标本为68份,女性血液生化检验标本52份。年龄21~71岁,平均(46.32±1.36)岁,120份血液生化检验标本均为相关人员按规定采集,能保证采集质量。对120份血液生化检验标本应用全自动生化分析仪进行检验,使用一次性针头采集血液,专门检验人员严格把关待送检的血液标本,若检验过程中发现有不合格的生化血液标本则记录相关信息,最后将检验结果不合格的研究资料进行整理,并对影响生化检验结果准确性的各种因素进行分析,从而找到解决问题的方法。结果本研究120份血液标本进行生化检验中存在有32份不合格,检验不合格率为26.67%,主要影响原因包含抗凝剂比例使用不当、保存不合理、采集方法不当、标本检验不及时等,其中采集方法不当比较常见;分析生化检验中导致不合格的因素,抗凝剂比例使用不当6例,占5.00%,保存不合理原因8例,占6.67%,采集方法不当原因15例,占12.50%,检验标本送检不及3例,占2.50%。结论导致血液生化标本检验检验结果不准确的原因有多种,应对血液检验期间的误差进行有效控制,可避免标本不合格的现象发生,以保证检验结果准确。
Objective Explore the factors that affect the accuracy of the test results during the analysis of clinical blood biochemical test specimens.Methods Select 120 blood biochemical test specimens from health checkups in our hospital from February 2019 to March 2020 as research data.Among the 120 blood biochemical test specimens,68 were male blood biochemical test specimens and 52 were female blood biochemical test specimens.Aged 21 to 71 years old,with an average age of(46.32±1.36)years old,120 blood biochemical test specimens were collected by relevant personnel according to regulations,which can guarantee the quality of collection.120 blood biochemical test specimens are tested with an automatic biochemical analyzer,and blood is collected with disposable needles.Specialized inspectors strictly control the blood specimens to be sent for inspection.If unqualified biochemical blood specimens are found during the inspection process,record the relevant Information,and finally sort out the research data with unqualified test results,and analyze various factors that affect the accuracy of the biochemical test results to find a way to solve the problem.Results Among the 120 blood specimens in this study,32 were unqualified,of which the unqualified rate was 26.67%.The main reasons for this included improper use of anticoagulants,unreasonable storage,improper collection methods,and improper specimen inspection.Wait in time,in which improper collection methods are more common;analysis of the factors that lead to unqualified in biochemical tests,the proportion of anticoagulant used in 6 cases,accounting for 5.00%,8 cases of improper preservation,accounting for 6.67%,and 15 cases of improper collection methods,Accounting for 12.50%,and less than 3 test specimens,accounting for 2.50%.Conclusion There are many reasons for the inaccurate test results of blood biochemical specimens.The error during the blood test should be effectively controlled to avoid the occurrence of unqualified specimens to ensure the accuracy of the test results.
作者
邵传静
SHAO Chuanjing(Ji'nan Lixia District Center for Disease Control and Prevention,Ji'nan 250014,China)
出处
《中国医药指南》
2020年第22期27-28,31,共3页
Guide of China Medicine
关键词
血液
生化检验
标本
检验结果
准确性
Blood
Biochemical test
Specimen
Test result
Accuracy
