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技術資訊
41
6
檢體處理
處理受到血液污染的物品時,務必戴上手套。請務必遵循處理可能受到人體物質污染物品
的一般程序。請按照您所在實驗室或醫療機構的衛生和安全規定操作。請依據貴機構政策
準備好選擇的採集血樣部位。
其它有關可接受的樣本類型、抗凝血劑以及操作方面的指示資訊,請參閱試紙包裝隨附説
明書。
向患者建議其它部位採血檢測法(AST)
決定是否建議患者採用其它部位採血檢測法(AST)時,應考慮患者的積極性與知識水
準,以及對糖尿病與其它部位採血檢測法相關注意事項的理解能力。如果您考慮建議患者
使用其它部位採血檢測法,您必須瞭解,從指尖或手掌採血與從前臂或上臂採血檢測,其
血糖濃度可能會有顯著的不同。微血管中與全身血液流通的不同部位上的血糖濃度會有差
異,這是導致採集不同部位血樣檢測值會有差異的原因。這些生理效應因人而異,甚至在
同一個人身上也會因單一個人的行為與相對產生之生理狀況不同而有所不同。
從我們對罹患糖尿病的成人使用其它部位採血檢測法的研究發現,大多數人指尖或手掌血
液中血糖濃度的變化比前臂或上臂血液中血糖濃度的變化更快。*這在血糖濃度急遽上升
或下降時特別明顯。如果您的患者一向根據指尖或手掌血液的檢測值作出治療方案,則在
從前臂或上臂採血檢測採血時應考慮,所取得的檢測值是否受到血糖濃度變化延遲(即遲
滯時間)的影響。
*內部存檔資料
52493_07214103001_ZHT.indb 41 6/18/14 4:06 PM
175


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