The Comparison of Routine Hematology Test Between Veins and Capillary Blood: Studies on Hematology Analyzer

Dewi Astuti, E. A. Maharani, Fitri Zakiyah
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Abstract

Routine hematological parameters is a basic assessment of blood component, which determines the amount, variation, percentage, concentration, and quality of blood. The type of sample used was venous blood with EDTA anticoagulants. Currently there is a hematology analyzer which analyses capillary blood for routine hematological parameters. This research aims to determine the feasibility of capillary blood samples as an alternative sample on routine hematological parameters using Medonic M-series M32. The method used in this research was comparative analytic cross sectional. Venous and capillary blood from 70 healthy students of D-IV MLT Health Polytechnic of Jakarta III was used in this research. The researchers took 3 mL of venous blood and 20 μL of capillary blood. Then, the researchers performed the routine hematological parameters on the hematology analyzer. The results were calculated using independent t test (normal data distribution) or Mann-Whitney test (abnormal data distribution). The hypothesis used was 90% of interval confidence (α = 0.1). The results of significant difference test shows the probability value (p) on parameters Hb, Ht, leukocyte and erythrocytes count were more than α (0.1). Thus, there is no significant difference between venous and capillary blood for the parameters. The p value for platelet count is less than α (0.1), and as the results, it shows that there is significant difference between venous and capillary blood samples. The conclusions of this research are capillary blood can be used as an alternative sample for the parameters hemoglobin, hematocrit, leukocyte and erythrocytes count using hematology analyzer Medonic M-series M32. On the contrary, capillary blood is not recommended for platelet count. Keyword: hematology analyzer, capillary blood, venous blood
静脉与毛细血管血常规血液学试验的比较——血液分析仪的研究
常规血液学参数是对血液成分的基本评估,它决定了血液的数量、变化、百分比、浓度和质量。使用的样品类型为含有EDTA抗凝剂的静脉血。目前有一种血液学分析仪,用于分析毛细血管血液的常规血液学参数。本研究旨在利用美敦力m系列M32确定毛细管血液样本作为常规血液学参数替代样本的可行性。本研究采用比较分析截面法。本研究采用70名健康学生的静脉血和毛细血管血。取静脉血3 mL,毛细血管血20 μL。然后,研究人员在血液分析仪上进行常规血液学参数测定。采用独立t检验(正态数据分布)或Mann-Whitney检验(异常数据分布)计算结果。使用的假设为区间置信度的90% (α = 0.1)。显著性差异检验结果显示,Hb、Ht、白细胞和红细胞计数的概率值(p)均大于α(0.1)。因此,静脉血和毛细血管血在这些参数上没有显著差异。血小板计数p值小于α(0.1),说明静脉血与毛细血管血存在显著性差异。本研究的结论是:毛细管血可用美敦力m系列M32血液学分析仪作为血红蛋白、红细胞压积、白细胞和红细胞计数等参数的替代样本。相反,不建议用毛细血管血来计数血小板。关键词:血液分析仪,毛细管血,静脉血
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