摘要
目的探讨血常规检验中常见的误差原因以及解决方式,为减少临床上的误差提供参考。方法选取2017年1月至2018年1月在我院体检的健康人5000例,采取其外周血,进行血常规检验,对检验结果的误差进行统计,对误差进行分析,探索相应的解决措施。结果5000例血液样本中,有500份出现误差,误差率为10%,经过调查分析发现,误差的原因分为检者自身因素、血液标本采集时间不合理、血液标本保存不当、血液标本送检时间过长以及抗凝剂浓度不合格等;其最主要原因为检验人员操作不规范,即血液标本采集时间不合理、血液标本保存不当、血液标本送检时间过长,所占比例为78.0%,与患者自身原因相比差异有统计学意义(P <0.05)。结论在进行血常规的监测中,加强对患者的血常规相应知识宣教,规范医务人员的操作规范,提高医务工作者的责任意识,有利于监测的准确性、减少血常规检验误差。
Objective To explore the common error causes and solutions in routine blood test, so as to provide reference for reducing clinical errors. Methods 5000 healthy people in our hospital from January 2017 to January 2018 were selected, and the peripheral blood was taken, and the blood routine examination was carried out. The error of the test results was statistically analyzed. Results In the 5000 blood samples, there were 500 errors. The results were found to be divided into the self factors of the examiner and the blood standard. The sampling time is unreasonable, the blood specimen is not preserved, the time of blood sample is too long and the concentration of anticoagulant is not qualified. The main reason is that the inspection personnel are not standardized, that is, the time of collecting blood specimen is unreasonable, the blood specimen is not preserved, and the time of blood specimen is too long, and the proportion is 78%. The patient’s own reasons were compared(P<0.05). Conclusion In the monitoring of blood routine, we should strengthen the knowledge propaganda and education of the blood routine of the patients, standardize the operation standard of the medical staff, and improve the sense of responsibility of the medical workers.
作者
安丽伟
AN Li-wei(Department of Laboratory Medicine,Shenyang 739 Hospital,Shenyang 110034,Liaoning)
出处
《中国医药指南》
2019年第34期143-144,共2页
Guide of China Medicine
关键词
血常规检验
误差
原因
对策
Blood routine examination
Error
Reason
Countermeasure
