检验医学 ›› 2012, Vol. 27 ›› Issue (12): 1021-1023.

• 临床检验与血液学检验论著 • 上一篇    下一篇

ACL TOP全自动血凝仪纤维蛋白原测定方法学评价

陈晓蓓   

  1. 宁波市第一医院检验科,浙江 宁波 315010
  • 收稿日期:2012-03-01 修回日期:2012-05-05 出版日期:2012-12-30 发布日期:2012-12-04
  • 作者简介:陈晓蓓,女,1964年生,副主任技师,主要从事医学检验和质量管理研究。

The methodology evaluation offibrinogen determination on ACL-TOP automatic coagulation analyzer

  1. Department of Clinical Laboratory,NingbofirstHospital,Zhejiang Ningbo 315010,China
  • Received:2012-03-01 Revised:2012-05-05 Online:2012-12-30 Published:2012-12-04

摘要: 目的 通过对ACL-TOP全自动血凝仪测定纤维蛋白原(Fib)的2种方法学进行比较,评价两者检测结果的相关性和准确性,为临床实验室的方法学选择提供依据。 方法 采用ACL-TOP全自动血凝仪的Von Clauss 法和PT-der 法分别测定凝血酶原时间(PT)正常组和口服抗凝剂组Fib含量;对1份高Fib标本用因子稀释液进行稀释,具体稀释比例依次为1∶8、2∶7、3∶6、4∶5、5∶4、6∶3、7∶2、8∶1、原倍,然后以稀释比例倍数为横坐标,以2种方法测得的Fib含量为纵坐标分别进行简单线性回归。 结果 无论PT正常组还是口服抗凝剂组Fib测定的2种方法差异均有统计学意义(P=0.000),Fib PT-der 法所得结果明显高于Von Clauss 法;2种方法的线性关系显示,Von Clauss 法近乎为完美且基本过原点的直线,要优于PT-der法。 结论 血浆Fib PT-der法测定的结果高于Von Clauss 法,且差异有统计学意义;Von Clauss法能真实反映人体内具有凝血功能的Fib水平,建议采用美国临床实验室标准化委员会(NCCLS)推荐的Von Clauss法作为临床实验室测定的常规方法。

关键词: 纤维蛋白原, Von Clauss 法, PT-der 法, 线性

Abstract: Objective To compare 2 methods with ACL-TOP automatic coagulation analyzerfor the determination offibrinogen(Fib),to evaluate the correlation and accuracy of test results,and to provide the referencefor the clinical laboratory methods. Methods Von Clauss method and PT-der method with ACL-TOP automatic coagulation analyzer were used to detect thefib levels of normal PT group and the oral anticoagulant group. A high-concentrationfib sample was diluted withfactor diluent. The specific dilution ratios were in turn 1∶8,2∶7,3∶6,4∶5,5∶4,6∶3,7∶2,8∶1 andformer times. The dilution ratio was as the abscissa,and thefib level was as vertical axis measured by the 2 methods,respectively. A simple linear regression was performed. Results Thefib levels of the normal PT group or oral anticoagulant group by the 2 methods were different significantly(P=0.000). The results offib by PT-der method were significantly higher than those by Von Clauss method. The linearity of the 2 methods showed that the linearity of Von Clauss method was almost perfect,which was superior to that of PT-der method. Conclusions The results of PT-der method forfib determination are higher than those of Von Clauss method with statistical significance. Von Clauss method can reflect thefib levels. The Von Clauss method recommended by National Committeefor Clinical Laboratory Standards(NCCLS) should be as the conventional method of clinical measurement.Key words:fibrinogen;Von Clauss method;PT-der method;Linearity

Key words: fibrinogen, Von Clauss method, PT-der method, Linearity