凝血检验校准简化公式在红细胞增多人群中的应用
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青海大学附属医院,青海大学附属医院,青海大学附属医院,青海大学附属医院,青海大学附属医院

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青海大学附属医院中青年科研基金(ASRF-2014-04)。


Application of simplified adjustment formula for coagulation test in individuals with erythrocytosis
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    摘要:目的 探讨适用于红细胞增多人群凝血检验的简化办法。 方法 通过“抗凝剂(mL)=(100-HCT×100)×血液(mL)×0.001 85”公式校准抗凝剂、血液量和采用固定采血量,分别用校准抗凝剂、血液量和固定采血量[抗凝剂量(mL)/0.055 5]校准124例控制钙离子(Ca2+)在参考区间及红细胞比容(HCT)>55%的凝血检验标本,比较校准前后和校准后3组血浆凝血酶原时间(PT)和国际标准化比值(INR)、活化部分凝血酶时间(APTT)结果,同时观察患者HCT与未校准PT、APTT的关系。 结果 校准前PT(s)、INR和APTT(s)结果高于校准抗凝剂后(27.52±16.37 vs 12.49±1.35,2.31±1.47 vs 0.99±0.11,50.09±13.32 vs 33.37±5.05),经配对比较,差异有统计学意义(P<0.05);校准后3组PT(s)(12.49±1.35、12.84±1.54、12.82±1.76)、INR(0.99±0.11、1.02±0.13、1.02±0.15)、APTT(33.37±5.05、33.49±5.09、32.83±5.06)比较差异无统计学意义(P>0.05);患者HCT与未校准PT(r=0.461,P<0.05)、APTT(r=0.571,P<0.05)呈正相关。 结论 当血清Ca2+在参考区间时,红细胞增多人群凝血检验可以校准血液量和采用固定采血量。

    Abstract:

    Abstract: Objective: To explore a simplified method of coagulation test for the individuals with erythrocytosis. Methods: The anticoagulants, blood volume and fixed blood collecting volume were adjusted by the formula: anticoagulants (mL)=(100-HCT×100)×blood (mL)×0.001 85. A total of 124 blood samples for coagulation testing in which the calcium (Ca2+) interval was designated and hematocrit (HCT) was more than 55% were tested with calibrated anticoagulants, adjusted blood volume and fixed blood collection volume [anticoagulant(mL)/0.055 5]. The results of plasma prothrombin time (PT), international standardization ratio (INR) and activated partial thromboplastin time (APTT) before and after adjustment were compared. The results of the samples from 3 groups after adjustment were also compared. The relationship of HCT with unadjusted PT and APTT were simultaneously observed. Results: The unadjusted results of PT, INR and APTT were significantly higher than those after anticoagulants adjustment (27.52±16.37 vs 12.49±1.35, 2.31±1.47 vs 0.99±0.11 and 50.09±13.32 vs 33.37±5.05) with statistically significant difference in paired comparison (P<0.05). No statistical difference was found in the comparison of the results for PT, INR and APTT after adjustment within the 3 groups (PT: 12.49±1.35 vs 12.84±1.54 vs 12.82±1.76, INR:0.99±0.11 vs 1.02±0.13 vs 1.02±0.15, APTT: 33.37±5.05 vs 33.49±5.09 vs 32.83±5.06) (P>0.05). HCT values of the patients were positively correlated with unadjusted PT (r=0.461, P<0.05) and APTT (r=0.571, P<0.05). Conclusion: The coagulation test of the individuals with erythrocytosis may use to adjust the blood volume and the fixed blood collection volume provided calcium concentration in reference interval.

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张翔,赵玲莉,郎颖,金丽艳,南炳英.凝血检验校准简化公式在红细胞增多人群中的应用[J].临床检验杂志,2018,(6):401-403

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  • 收稿日期:2017-12-13
  • 最后修改日期:2018-02-04
  • 录用日期:2018-05-31
  • 在线发布日期: 2018-07-05
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