分析前的稳定性和生理波动会影响血类固醇激素的结果:一项现实研究
Jian Zhong1, Danchen Wang1, Shaowei Xie1
1Department of Laboratory Medicine, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China.
The Journal of steroid biochemistry and molecular biology
|August 1, 2024
概括
血中的类固醇激素水平受到年龄,性别和一天中的时间的影响. 孕和孕激素在取样后一小时内和储存期间显示出不稳定性,影响了诊断准确性.
科学领域:
- 内分泌学 在内分泌学.
- 临床化学 临床化学
- 质谱测量质量谱测量
背景情况:
- 类固醇激素对于诊断内分泌疾病至关重要.
- 由于对影响因素的研究有限,解释激素水平具有挑战性.
- 在分析前的稳定性和生理变异对于精确的类固醇激素测量至关重要.
研究的目的:
- 评估血类固醇激素的分析前稳定性.
- 评估生理因素 (年龄,性别,采样时间) 对激素水平的影响.
- 利用现实世界的数据对类固醇激素变异性的全面分析.
主要方法:
- 分析了2019年9月至2024年3月的12,418名患者记录.
- 测量22个类固醇激素使用液体染色学-双重质谱法.
- 应用通用添加模型用于分析前的稳定性和波动分析.
主要成果:
- 在类固醇激素前体,性激素和皮质类固醇 (如阿尔多,18-基皮质醇) 中观察到显著的年龄相关变异.
- 性激素在男性和女性之间显示出明显的差异.
- 多种激素 (例如皮质醇,,孕激素) 根据采样时间和储存条件呈现波动,孕激素和孕激素特别不稳定.
结论:
- 这项研究提供了第一个对血激素分析前稳定性和生理影响的现实数据评估.
- 了解这些变异对于准确的内分泌疾病诊断至关重要.
- 标准化的预分析程序和对生理因素的考虑对于可靠的类固醇激素测试至关重要.
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