临床医学检验中血液细胞检验质量控制的方法.docVIP

临床医学检验中血液细胞检验质量控制的方法 　　【摘 要】目的：探究临床医学检验中，血液细胞检测质量的控制方法。方法：选用本院2017.1-2018.1收用的志愿者，共92例。对所有患者进行血液细胞质量检验，并进行分析不同抗凝血剂、放置时间和温度对于血液细胞检验质量的影响。结果：在抗凝血剂配比对血液检测的影响中，1：5000组的血液细胞检验质量好于1：10000组；1：5000组检测出的血红蛋白、红细胞、白细胞、血小板数量高于1：10000组。在放置时间对血液检测的影响中，0.5h组检测出的血红蛋白、红细胞、白细胞数量多于2h组、3h组；0.5h组的红细胞分布宽度低于2h组、3h组。在低温对血液检测的影响中，15℃-20℃组在血小板检测中，数值高于20℃-27℃组；但是红细胞宽度、血小板体积分布和平均血小板体积均低于15℃-20℃组，差异均具有统计学意义（P0.05）。结论： 在临床医学检验中，不同抗凝血剂配比、放置时间和低温都会对血液细胞检验质量产生影响。只有有效控制好这三个因素，才能够保证血液细胞检验质量。 　　【关键词】临床医学检验；血液细胞；检验质量 　　Abstract Objective： To explore the quality control method of blood cell detection in clinical medical examination. Methods： a total of 92 volunteers were selected from January 2017 to January 2018. All patients were tested for blood cell quality， and the effects of different anticoagulants， time and temperature on the quality of blood cell test were analyzed. Results： In the influence of the ratio of anticoagulant on blood test， the quality of blood cell test in group 1：5000 is better than that in group 1：10000， and the number of hemoglobin， red blood cell， white blood cell and platelets detected in group 1：5000 is higher than that in group 1：10000. In the influence of placing time on blood test， the number of hemoglobin， red blood cells and white blood cells detected by group 0.5h is more than that of group 2H and group 3h， and the width of red blood cell distribution in group 0.5h is lower than that in group 2H and 3H. In the influence of low temperature on blood test， the value of platelet in 15 C -20 C group was higher than that in 20 C -27 C group， but the RBC width， platelet volume distribution and mean platelet volume were all lower than those in 15 -20 C group， and the differences were statistically significant （P 0.05）.Conclusion： in the clinical medical examination， different anticoagulant ratio， time and low temperature will affect the quality of blood cell test. Only by effectively controlling these three factors can the quality of blood cell test be guaranteed. 　　【中?D分