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目的:探讨分析前因素对新生儿低血糖症的影响,提高临床中对检测样本的及时送检。方法:选取笔者所在医院2012年1月-2012年2月门诊及住院部收治的新生儿30例,经家长同意后,作为本次试验的研究对象。分别使用急诊检验测定非抗凝血和常规检验测定NaF/EDTA抗凝血,记录一份标本经过不同检验程序检验结果的差异。结果:非抗凝血经急诊检验和常规检验检测血糖结果,急诊检验有3例新生儿出现低血糖症,占3%,常规检验有7例新生儿出现低血糖症,占23.33%,显然常规检测过程的新生儿低血糖症比例高,但是分析检验结果可得出,非抗凝血经常规检验过程得到的血糖结果均低于急诊检验过程所得的血糖结果,数据差异具有统计学意义(P<0.05)。NaF/EDTA抗凝血经急诊检验和常规检验检测血糖结果,急诊检验结果和常规检验结果都显示3例新生儿低血糖症,两种检验过程检验结果差异很小。抗凝血经急诊检验过程和常规检验过程检验结果基本一致,数据差异不具有统计学意义(P>0.05)。结论:检验前质量控制会影响检验结果的准确性,为提高检验结果的可信度要做好检验前质量控制。
Objective: To explore the impact of pre-analysis factors on neonatal hypoglycemia and to improve the timely submission of test samples in clinic. Methods: Thirty newborns were selected from outpatient department and inpatient department from January 2012 to February 2012 in our hospital. With the consent of the parents, we took the study as the object of this study. Respectively, the use of emergency testing to determine non-anticoagulant and routine testing of NaF / EDTA anticoagulant, record a specimen after different test program test results. Results: Non-anticoagulant blood tests were performed by emergency and routine tests. Hypoglycemia was found in 3 newborns in the emergency department, accounting for 3% of all cases. 7 cases of neonatal hypoglycemia were routinely diagnosed, accounting for 23.33% The rate of neonatal hypoglycemia in the testing process is high, but the analysis of the test results shows that the non-anticoagulant blood glucose test results obtained during routine tests were lower than the blood glucose results obtained during the emergency test, the difference was statistically significant (P <0.05). NaF / EDTA anticoagulants were tested by emergency and routine tests for blood glucose results. The results of emergency tests and routine tests showed that 3 cases of neonatal hypoglycemia, the two test process test results were very small. The results of the emergency testing of anticoagulated blood and the routine testing process are basically the same, and the data do not have statistical significance (P> 0.05). Conclusion: Pre-test quality control will affect the accuracy of test results, to improve the credibility of the test results to be done before the test of quality control.