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评估影响尿液试卷和化学结果的分析前因素
Mary Kathryn Bohn1, Anselmo Fabros2, Ashley Di Meo1,2
1Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
Clinical chemistry and laboratory medicine
|January 9, 2025
概括
尿液测试条显示了可变的稳定性,pH,葡萄糖和蛋白质在室温下随着时间的推移而降解. 尿液化学分析剂保持稳定,指导精确实验室结果的分析前最佳实践.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 诊断测试 诊断测试 诊断测试
背景情况:
- 精确的尿检依赖于细致的预分析程序,以防止错误.
- 了解预分析变量对于可靠的诊断决策至关重要.
研究的目的:
- 评估分析前因素对尿液试卷和定量化学结果的影响.
- 在各种存储条件和处理方法下评估尿分析物的稳定性.
主要方法:
- 10个尿液试卷和13个定量化学参数在多个时间点 (2-96小时) 在室温和2-8°C的评估稳定性.
- 研究了防腐剂管,填充不足和离心机对尿液试管结果的影响.
主要成果:
- 十条尿液试卷中有七条符合稳定性标准;pH,葡萄糖和蛋白质在室温下分别在48,72和96小时后显示一致性下降.
- 所有13种定量尿液化学分析品在测试条件下都表现出稳定性.
- 低填充防腐剂管和离心处理对试管结果没有显著影响;防腐剂管对和度的影响最小.
结论:
- 预分析因素显著影响尿样评估,需要在临床实验室实践中仔细考虑.
- 尿液测试条的稳定性窗口应与临床环境中病理样本的流行率一起解释.
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