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在不同的分析平台上对34种临床化学分析物的细菌干扰:依赖于方法或分析器?
Alen Vrtaric1, Marijana Miler1, Nora Nikolac Gabaj2
1Working Group for Preanalytical Phase of the Croatian Society of Medical Biochemistry and Laboratory Medicine, Zagreb, Croatia; Department of Clinical Chemistry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.
Clinica chimica acta; international journal of clinical chemistry
|October 10, 2024
概括
临床化学测试中的菌干扰因分析平台和方法而异. 一些干扰,如影响甘油三,胆固醇和尿酸的干扰,对分析仪中的胆红素度更敏感.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 分析毒理学分析毒理学
背景情况:
- 胆红素是血代谢的常见副产品,可以干扰实验室检测.
- 在临床化学中,以升高的胆红素水平为特征的菌体构成了诊断挑战.
- 了解干扰模式对于准确的患者结果至关重要.
研究的目的:
- 评估增加胆红素度对34种临床化学分析物的影响.
- 为了确定干扰是否依赖于使用的分析平台和方法.
- 为了比较四个不同的分析平台的干扰模式.
主要方法:
- 一个聚合的血清样本被添加了胆红素,以创建黄色样本.
- 在四个分析平台上对34种分析物的测量进行了重复测量.
- 偏差是根据非黄色样本计算的,并与外部质量保证标准进行比较.
主要成果:
- 大多数分析结果显示,疹的干扰最小.
- 甘油三,胆固醇和尿酸对胆红素干扰的敏感性最高.
- 干扰模式在不同的分析平台上有很大差异.
结论:
- 在所有临床化学测定中,Icterus干扰并不均.
- 在干扰中观察到分析器特定的差异,即使使用相同的分析方法.
- 方法和分析器的选择是缓解黄干扰的关键因素.
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