检验医学 ›› 2012, Vol. 27 ›› Issue (7): 527-530.

• 临床检验与血液学检验论著 •    下一篇

探讨不同检测系统血凝仪测定结果的比对

  

  1. 1.台州市中心医院检验科 浙江 台州 318000,2. 台州市中心医院影像中心 浙江 台州 318000
  • 出版日期:2012-07-30 发布日期:2012-07-05
  • 通讯作者: 史春娟,联系电话:0576-88526605。
  • 作者简介:王乐见 男,1976年生,学士,主管技师,主要从事临床血液、免疫学检测工作。

Comparison investigation on the results of different detection system blood coagulation analyzers

  1. 1. Department of Clinical Laboratory,Taizhou Central Hospital,Zhejiang Taizhou 318000,China;2. Imaging Center,Taizhou Central Hospital,Zhejiang Taizhou 318000,China
  • Online:2012-07-30 Published:2012-07-05

摘要: 目的 探讨不同检测系统血凝仪之间的可比性,以达到质量控制的效果。方法 分别用STA compact和CA-1500血凝仪测定质控、100份比对样本(浓度覆盖生物参考区间),然后对测定结果进行分析、比较,以美国临床医学检验部门修正法规(CLIA′88)允许总误差的1/2及相关性比较(r>0.975)为判断标准,观察2台仪器的可比性、相关性。结果 STA compact和CA-1500血凝仪在测定无黄疸和脂血的标本时国际标准化比值(INR)、低值纤维蛋白原(Fbg)结果一致,相对偏差在允许范围内,相关性较好(r>0.975),而测定活化部分凝血活酶时间(APTT)时相关性尚可,但相对偏差不在允许范围内。 在测定黄疸或(和)脂血的标本时INR、APTT、Fbg时结果均不一致,相对偏差不在允许范围内,相关性不好(r<0.975)。结论 通过比对可以反应不同检测系统血凝仪结果之间的可比性、相关性及差异。

关键词: 检测系统, 国际标准化比, 活化部分凝血活酶时间, 纤维蛋白原, 相关性

Abstract: Objective To investigate the comparability of different detection system blood coagulation analyzers,in order to achieve the efficiency of quality control. Methods With STA compact and CA-1500 blood coagulation analyzers,the quality control material and 100 comparison blood samples(concentration covered biology reference interval) were determined. The measured results were analyzed and compared according to American Clinical Laboratory Improvement Amendment 88(CLIA′88) allowable total error 1/2 comparison and correlation(r>0.975) as judgment standard. The instrument comparability and correlation were observed. Results When STA compact and CA-1500 blood coagulation analyzers measuring samples without icterus and lipaemia,the results of international normalized ratio(INR) and low-value fibrinogen(Fbg) were consistent. The relative deviation was within allowance range,and the correlation was good(r>0.975). The result of activated patial thromboplastin time(APTT) correlation was fair,but the relative deviation was not allowed. The results of INR,APTT and Fbg was inconsistent when the samples was icterus or(and) lipaemia,and the relative deviation was not allowed and the correlation was bad(r<0.975). Conclusions The comparability,correlation and differences can be reflected by comparing the results of different detection system blood coagulation analyzers

Key words: Detection system, International normalized ratio, Activated patial thromboplastin time, Fibrinogen, Correlation