检验医学 ›› 2014, Vol. 29 ›› Issue (3): 241-244.DOI: 10.3969/j.issn.1673-8640.2014.03.009

• 分子诊断技术的临床应用专题 • 上一篇    下一篇

荧光定量PCR测定HBVDNA测量不确定度评定的探讨

蒋玲丽,王雪亮,肖艳群,王华梁   

  1. 上海市临床检验中心,上海 200126
  • 收稿日期:2013-04-02 出版日期:2014-03-30 发布日期:2014-04-19
  • 作者简介:蒋玲丽,女,1980年生,硕士,主管技师,主要从事免疫学和分子生物学的质量控制工作。
  • 基金资助:

    上海市卫计委重要疾病联合攻关项目(2013ZYJB0010)

Investigation on the evaluation of the uncertainty of hepatitis B virus DNA determination by fluorescence quantitative PCR

JIANG Lingli,WANG Xueliang,XIAO Yanqun,WANG Hualiang.   

  1. Shanghai Center for Clinical Laboratory,Shanghai 200126,China
  • Received:2013-04-02 Online:2014-03-30 Published:2014-04-19

摘要:

目的 探讨利用质控数据评定荧光定量聚合酶链反应(PCR)测定HBV DNA测量不确定度的可行性。方法 用批内不精密度和批间不精密度数据评定A类不确定度;分别用参加卫生部临床检验中心和美国病理学家协会(CAP)的室间质评数据评定B类不确定度;最后评定合成不确定度和扩展不确定度。结果 利用卫生部临床检验中心室间质评反馈结果评定的扩展不确定度(k=1.96,n=1)在检测值为104~105和106~107 IU/mL时分别为0.521 6和0.529 8;利用CAP能力比对反馈结果评定的扩展不确定度(k=1.96,n=1)在检测值为104~105和106~107 IU/mL时分别为0.973 1和0.977 5。结论 目前用室间质评数据评定PCR测定HBV DNA的不确定度不能真实反映实验室的不确定度,使用国家标准物质评定不确定度更合适。

关键词: 不确定度, 聚合酶链反应, 乙型肝炎

Abstract:

Objective  To investigate the uncertainty of hepatitis B virus (HBV) DNA determination by fluorescence quantitative polymerase chain reaction (PCR) according to quality control data,and evaluate the feasibility. Methods The uncertainty of Type A was evaluated by the data of within-run and between-run coefficients of variation. The uncertainty of Type B was evaluated according to the data of external quality assessments from the National Center for Clinical Laboratory and College of American Pathologists(CAP). The combined uncertainties and expanded uncertainties were evaluated and analyzed. Results The expanded uncertainties in 104-105 IU/mL and 106-107 IU/mL concentrations were 0.521 6 and 0.529 8(k=1.96,n=1),according to the data from the National Center for Clinical Laboratory. The expanded uncertainties in 104-105 IU/mL and 106-107 IU/mL concentrations were 0.973 1 and 0.977 5(k=1.96,n=1),according to the data from CAP. Conclusions It is not bilievable to evaluate the uncertainty of HBV DNA determination by fluorescence quantitative PCR,and it is suitable to evaluate the uncertainty using the results traced back to the national standard substance.

Key words: Uncertainty, Polymerase chain reaction, Hepatitis B

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