Forthcoming

Acil servise başvuran hastalarda enjektör ve damar yolu adaptörü ı̇le kan alma işleminin hemoliz ve test sonuçları açısından karşılaştırılması

Yazarlar

  • Ahmet Rıfat Balık University of Health Sciences, Gülhane Training and Research Hospital, Department of Clinical Biochemistry
  • Çiğdem Yücel Health Sciences University Gulhane Training and Research Hospital Medical Biochemistry Laboratory
  • Erdim Sertoğlu Health Sciences University Gulhane Training and Research Hospital Medical Biochemistry Laboratory, Turkey
  • Ertan Cömertpay Health Sciences University Gulhane Training and Research Hospital, Department of Emergency Medicine
  • Taner Özgürtaş Health Sciences University Gulhane Training and Research Hospital Medical Biochemistry Laboratory

DOI:

https://doi.org/10.5281/zenodo.14774718

Anahtar Kelimeler:

Enjektör, damar yolu adaptörü, hemoliz

Özet

Amaç: Enjektörle kan alma, in vitro hemolizin ana nedeni olarak tanımlanmıştır. Damar yolu adaptörü ile kan alma, kan alma sırasında hemoliz oranlarını azaltmada potansiyel faydalarla ilişkilendirilmiştir. Çalışmamızda, iki yöntem arasında hemolizli numune sayısını ve hemolizden en çok etkilenen parametreleri karşılaştırmayı amaçladık.

Gereç-Yöntem: Acil servise başvuran gönüllü katılımcılardan biri enjektörle diğeri intravenöz adaptörle olmak üzere iki tüp kan alınmıştır. Toplam 100 hastanın serum örnekleri enjektör ve intravenöz adaptör kan örnekleri olarak iki gruba ayrılmış ve aynı koşullar altında spektrofotometrik yöntemle analiz edilmiştir. Hemoliz oranları ve hemolizden etkilenen testlerin sonuçları her iki grup için karşılaştırılmıştır.

Bulgular: Toplam hemoliz oranı ve hemolizden etkilenen test sayısı enjektör ile alınan numunelerde damar yolu adaptörü ile alınanlara kıyasla önemli ölçüde daha yüksekti (her ikisi için de p<0,001). Total protein (p=0,018), üre (p=0,031), laktat dehidrogenaz (p=0,001), aspartat aminotransferaz (p<0,001), alanin aminotransferaz (p=0,001) ve potasyum (p=0,004) düzeyleri enjektör grubunda, sodyum (p=0,006) düzeyi ise damar yolu adaptörü grubunda anlamlı olarak daha yüksekti.

Sonuç: Acil servislerde enjektör yerine uygun damar yolu adaptörlerinin kullanılmasının laboratuvar testlerinin güvenliği ve kalitesi üzerinde önemli etkileri olabilir. Sağlık çalışanlarının en uygun kan alma yöntemini seçerken hemoliz oranları, hasta konforu ve analitik sonuçların güvenilirliği üzerindeki potansiyel etkiyi göz önünde bulundurmaları önemlidir.

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Yayınlanmış

2025-01-30

Nasıl Atıf Yapılır

Balık, A. R., Yücel, Çiğdem, Sertoğlu, E., Cömertpay, E., & Özgürtaş, T. (2025). Acil servise başvuran hastalarda enjektör ve damar yolu adaptörü ı̇le kan alma işleminin hemoliz ve test sonuçları açısından karşılaştırılması. Journal of Social and Analytical Health, 5(1). https://doi.org/10.5281/zenodo.14774718