在实验室内外测量血糖:分析前和分析前的挑战
Guillaume Grzych1,2,3, Inès Defauwes3,4, Pascal de Tullio2,3
1Service de Biochimie Automatisée, Protéines, CHU Lille, France.
Critical reviews in clinical laboratory sciences
|August 27, 2025
概括
准确的血糖测量对于控制糖尿病至关重要. 本综述强调了实验室和临床检测的预分析和分析挑战,倡导改善样本处理和设备理解,以提高诊断可靠性.
科学领域:
- 临床化学
- 代谢疾病诊断
- 在护理地点进行检测
背景情况:
- 葡萄糖测量对于治疗糖尿病等代谢疾病至关重要.
- 实验室和手持照顾点 (HPOC) 血糖测试都面临着影响准确性的重大预分析和分析挑战.
- 在未离心样本中的糖溶和HPOC装置中的干扰损害了诊断可靠性.
研究的目的:
- 审查目前的葡萄糖测量方法及其局限性.
- 强调需要在实验室测试中进行分析前的协调.
- 为了更好地了解HPOC葡萄糖测试中的干扰.
主要方法:
- 对葡萄糖测量技术的现有文献进行全面分析.
- 在实验室样本中评估影响葡萄糖稳定的预分析变量.
- 对影响HPOC血糖计准确性的分析干扰进行评估.
主要成果:
- 化 (NaF) 具有延迟的糖解抑制作用;酸缓冲NaF-EDTA (FCE) 管提供更有效的抑制作用,但使用不足.
- HPOC装置容易受到干扰 (血红素,环境,药物,酶特异性),导致读数不准确.
- 毛细血管和静脉血糖测量之间的差异可能导致误诊和不适当的血糖管理.
结论:
- 标准化血液样本处理和采用优化的采集管对于可靠的葡萄糖测量至关重要.
- 解决分析前的变量和了解HPOC干扰可以改善糖尿病诊断和患者的结果.
- 实验室测试的协调和更好的HPOC设备验证对于临床决策至关重要.
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