• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (3): 277-279.DOI: 10.3969/j.issn.1671-2587.2019.03.015

• 临床检验 • 上一篇    下一篇

静脉血标本不同放置时间对TBIL、DBIL、ALT检测结果的影响*

朱兴华, 彭萍, 张婷   

  1. 610100 四川省成都市龙泉驿区第一人民医院输血科
  • 收稿日期:2018-05-24 出版日期:2019-06-20 发布日期:2019-06-17
  • 通讯作者: 彭萍(1958-),女,重庆渝北人,主任检验师,主要从事输血不良反应研究,18980914177,505069233@qq.com。
  • 作者简介:朱兴华(1983-),女,重庆綦江人,主管检验师,硕士,主要从事输血不良反应研究,(Tel)18030442490(E-mail)47547867@qq.com。
  • 基金资助:
    *本课题受国家高技术研究发展计划(863计划)(No.2014AA022304)资助

Analysis of The Impacts of Test At Different Placement Time on TBIL, DBIL, ALT in Venous Blood

ZhU Xing-hua, PENG Ping, ZHANG Ting   

  1. Department of Transfusion, First People's Hospital, Longquanyi District, Chengdu 610100, China
  • Received:2018-05-24 Online:2019-06-20 Published:2019-06-17

摘要: 目的 探讨静脉血标本不同放置时间对总胆红素(TBIL)、直接胆红素(DBIL)、丙氨酸氨基转移酶(ALT)等生化指标的影响。方法 选取2017年1~6月在本院健康体检者120例,采用全自动生化分析仪检测即刻、放置4 h、12 h和24 h的血生化指标。结果 放置24 h血Ca2+、K+和Na+明显较即刻时升高,而P-和Cl-明显较即刻时下降(P<; 0.05);放置时间12 h血Ca2+和K+明显较即刻时升高(P<; 0.05);放置24 h血天门冬氨酸转氨酶(AST)和碱性磷酸酶(ALP)明显较即刻时升高,而TBIL、丙氨酸氨基转移酶(ALT)、尿素氮(BUN)和β; 2微球蛋白(β; 2-MG)明显较即刻时下降(P<; 0.05);放置12 h血TBIL和BUN明显较即刻时下降,AST明显较即刻时升高(P<; 0.05);放置时间即刻、4 h、12 h和24 h血DBIL、谷氨酰转肽酶(GGT)、白蛋白(ALB)和血肌酐(Scr)比较,差异无统计学意义(P>0.05)。结论 静脉血标本不同放置时间对部分生化指标有影响,故临床上应注意控制标本放置时间,减少检验结果误差。

关键词: 静脉血, 放置时间, 生化指标

Abstract: Objective To investigate the impacts of different storage time of venous blood on biochemical indicators such as total bilirubin (TBIL), direct bilirubin (DBIL) and alanine aminotransferase (ALT). Methods 120 cases of health examination in our hospital from January 2017 to June were selected, and the blood biochemical indexes of immediate time, place 4 h, 12 h and 24 h were detected by automatic biochemical analyzer. Results The levels of Ca2+, K+ and Na+ in the blood placed for 24 h were significantly higher than those at immediate time, while K+ , P-and Cl- were significantly lower than those at immediate time (P<0.05); The levels of Ca2+ and K+ in place 12h was significantly higher than those at immediate time (P<0.05); The blood aspartate aminotransferase (AST) and alkaline phosphatase (ALP) in place 24h blood were significantly higher than those at immediate time, while TBIL, alanine aminotransferase (ALT), urea nitrogen (BUN) and β2 microglobulin (β2-MG) were significantly lower than that at immediate time (P<0.05); The blood TBIL and BUN in place 12 h blood were significantly lower than those at immediate time, and the AST was significantly higher than that at immediate time (P<0.05); There were no significant difference in DBIL, glutamyl transpeptidase (GGT), albumin (ALB) and serum creatinine (Scr) among immediate time, place 4 h, 12 h and 24 h (P>0.05). Conclusion The time of different placement of venous blood has an effect on some biochemical indexes, therefore, we should pay attention to control the time of specimen placement in clinical, and reduce the error of test Results .

Key words: Venous blood, Time of placement, Biochemical indicators

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