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江苏卫生事业管理:2018,Vol.>>Issue(11):1266-1268
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不同样本处理条件对血站丙氨酸氨基转移酶检测结果的影响
孙俊艳,刘 快,高 蓉
(南京医科大学公共卫生学院,淮安市中心血站检验科)
the Influence of Blood Sample Processing Conditions on Blood Alanine Aminotransferase Test Results in Blood Center
Sun Junyan,Liu Kuai,Gao Rong
(the School of Public Health,Nanjing Medical University,Huai’an Central Banks)
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中文摘要: 目的:探讨不同样本处理条件对血站丙氨酸氨基转移酶(Alanine aminotransferase,ALT)检测结果的影响。方法:采取160例健康的无偿自愿献血者血液作为研究对象,采用速率法对血液样本进行ALT检测。研究对比了“先离心后储存”和“先储存后离心”两种方式对ALT检测结果的影响;不同储存时间对ALT检测的影响;常温(18-27℃)和4℃离心温度对ALT检测的影响;使用抗凝管和促凝管分离对ALT检测结果的影响。数据采用t检验进行统计分析。结果:采用“先离心后储存”和“先储存后离心”两种方式对ALT检测结果无统计学差异;储存0 h离心和4 h离心后ALT检测结果差异无统计学意义(p > 0.05),0 h和8 h以及4 h和8 h之间差异有统计学意义(p < 0.05);常温(18-27℃)离心和4℃离心后ALT检测结果间差异有统计学意义(p < 0.05);使用抗凝管和促凝管对ALT检测结果无统计学差异。结论:标本采集到分离时间和离心温度对ALT检测结果有一定影响,是ALT检测质量控制的重要环节,在日常工作中要加以规范。如无法及时离心应立即放入2-8℃冰箱,并储存4 h内分离。血浆和血清对ALT检测结果无影响,必要时血清和血浆可以替代使用,方便日常的工作。
Abstract:Objective:To discuss the influence of different modes of sample processing on blood alanine aminotransferase(ALT)testing. Methods:The blood samples were collected from 160 healthy blood donors and the ALT level of the samples were tested by rate method. In this study,we optimized different processing conditions to the detection of ALT,such as the sequence of centrifugation and storage,separation with anti- and pro-coagulant tubes,different storage times and centrifuge temperatures. The results were analyzed by t-test,and P < 0.05 was considered as significant difference. Results:There were no significant differences of ALT levels in samples using different order of centrifugation and storage or different blood-collecting tubes,respectively(p > 0.05). The ALT levels were significantly changed when samples were stored for 8 hours before test compared to 0 and/or 4 hours storage. The same results occurred in different centrifuge temperature(p < 0.05). Conclusion:It is indicated that after sample collection,storage times and centrifugation temperature influenced the result of ALT test to some extent. As the important part in the quality control of ALT detection,storage time and centrifugation temperature should be attached enough importance. If cannot be analyzed immediately,samples should be stored at 2-8 ℃ for some time,and should be centrifuged within 4 hours for serum collection. Serum and plasma can be used as a substitute for daily work if necessary.
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孙俊艳,刘 快,高 蓉.不同样本处理条件对血站丙氨酸氨基转移酶检测结果的影响[J].江苏卫生事业管理,2018,29(11):1266-1268.
Sun Junyan,Liu Kuai,Gao Rong.the Influence of Blood Sample Processing Conditions on Blood Alanine Aminotransferase Test Results in Blood Center[J].Jiangsu Health System Management,2018,29(11):1266-1268.

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