朱 杰



血常规检验结果的影响因素分析

朱 杰

【摘要】目的 探究血常规影响检验结果相关因素，保证检验结果准确性。方法 选取2015年4月～2015年10月收治的59例血常规检验有误差的标本进行分析，观察影响血常规结果的相关因素，结果 静脉血的白细胞计数、红细胞计数、血红蛋白计数低于手指血的检验结果，而血小板计数却高于手指血，差异有统计学意义（P＜0．05）。采血超过6 h后才检验的血液标本，在血小板计数方面和立即检验以及6 h内检验相比，数值较低，差异有统计学意义（P＜0．05）。白细胞计数、红细胞计数以及血红蛋白方面3个检验时间段差异无统计学意义（P＞0．05）。结论 在血常规检验中，结果会受到很多因素的影响，为此医护人员要做好各项准备，各个环节都要规范操作，提高检验结果的准确性。

【关键词】血常规检验；影响因素；结果分析

Objective Factors affecting blood test result are to be studied in order to assure test accuracy． Methods Chose 59 inaccurate samples of blood test result that were tested in hospital from April 2015 to October 2015 and then observed and analyzed factors affecting blood test result． Results Counts of patients’ white blood cell，red blood cell and hemoglobin in venous blood were dramatically less than counterparts in finger blood，while，patients’blood platelet counts in venous blood were quite higher than those in finger blood，there was a differential and such a differential had statistic value （P＜0．05）． Besides， patients’ blood platelet counts after 6 hours of blood collection were tested to be significantly less than blood platelet counts in immediate test or within 6 hours of blood collection，there was a differential and such a differential had statistic value（P＜0．05）． However，there was no differential with regarding to counts of patients’ white blood cell，red blood cell and hemoglobin of these three test periods talked above and there was no statistic value either（P＞0．05）． Conclusion There are many factors affecting blood test result，thus，it is necessary for hospital staff to prepare well for operation procedures in order to increase test accuracy．

【Key words】 Blood test，Affecting factors，Result analysis

血常规检验为最基本的检验方法，血液中包含有形细胞和液体两大部分，血常规检验主要对血液细胞部分进行检验［1］。血液中主要有白细胞、红细胞、血小板3种不同功能细胞，以观察其形态分布和数量变化来判断患者是否有疾病，这是医生常用的诊断辅助方法［2］。可以发现全身很多疾病早期迹象，判断人体是否有血液系统疾病、贫血及感染等，还可对骨髓造血功能有一个较好的反映［3］。但是血常规在检验中还会受到较多因素的影响，导致结果误差，对疾病诊断也造成一定的困难，甚至可能造成误诊，为此要分析影响血常规检验的相关因素，采取相应的干预措施，提高结果准确性。……