Laboratory Medicine ›› 2016, Vol. 31 ›› Issue (1): 31-37.DOI: 10.3969/j.issn.1673-8640.2016.01.007
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ZHONG Kun, WANG Wei, HE Falin, WANG Zhiguo
Received:
2014-12-13
Online:
2016-01-31
Published:
2016-02-16
CLC Number:
ZHONG Kun, WANG Wei, HE Falin, WANG Zhiguo. Comparison and analysis on the reference intervals of Chinese 18 dry chemistry items with current health industry standards and draft for approval[J]. Laboratory Medicine, 2016, 31(1): 31-37.
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项目 | 回报数 | 下限 | 上限 | 分组 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
中位数 | 众数 | 95%CI | 中位数 | 众数 | 95%CI | 否 | 是 | |||||||
ALT(U/L) | 165 | 9 | 9 | 10~12 | 52 | 72 | 55~62 | 132 | 33 | |||||
AST(U/L) | 189 | 14 | 15 | 13~15 | 40 | 59 | 44~47 | 150 | 39 | |||||
ALP(U/L) | 116 | 38 | 38 | 39~44 | 126 | 126 | 128~145 | 110 | 6 | |||||
GGT(U/L) | 123 | 12 | 12 | 10~13 | 58 | 73 | 54~67 | 95 | 28 | |||||
TP(g/L) | 141 | 63 | 63 | 61~64 | 82 | 82 | 81~83 | 140 | 1 | |||||
Alb(g/L) | 140 | 35 | 35 | 35~36 | 50 | 50 | 51~52 | 139 | 1 | |||||
K(mmol/L) | 215 | 3.5 | 3.5 | 3.52~3.55 | 5.1 | 5.3 | 5.17~5.23 | 215 | 0 | |||||
Na(mmol/L) | 214 | 137 | 137 | 136~137 | 145 | 145 | 145~146 | 214 | 0 | |||||
Cl(mmol/L) | 215 | 98 | 98 | 97~98 | 107 | 107 | 107~108 | 215 | 0 | |||||
Urea(mmol/L) | 222 | 2.5 | 2.5 | 2.25~2.71 | 7.1 | 7.1 | 7.16~7.68 | 180 | 42 | |||||
Cr(μmol/L) | 222 | 58 | 58 | 46.5~58.6 | 110 | 133 | 113.0~125.2 | 168 | 54 | |||||
Ca(mmol/L) | 208 | 2.1 | 2.1 | 2.07~2.16 | 2.55 | 2.55 | 2.44~3.20 | 208 | 0 | |||||
P(mmol/L) | 138 | 0.81 | 0.81 | 0.79~0.87 | 1.45 | 1.45 | 1.43~1.56 | 137 | 1 | |||||
Mg(mmol/L) | 106 | 0.7 | 0.7 | 0.67~0.72 | 1.0 | 1.0 | 0.97~1.32 | 106 | 0 | |||||
Fe(μmol/L) | 19 | 8.4 | 8.8 | 6.82~8.84 | 32.0 | 32.4 | 26.11~32.23 | 14 | 5 | |||||
LDH(U/L) | 173 | 313 | 313 | 183.3~275.5 | 618 | 618 | 367.8~531.1 | 173 | 0 | |||||
CK(U/L) | 176 | 30 | 30 | 28.5~46.4 | 170 | 170 | 168.8~191.6 | 139 | 37 | |||||
AMY(U/L) | 190 | 30 | 30 | 16.5~30.1 | 110 | 110 | 105.4~135.6 | 190 | 0 | |||||
项目 | 来源[实验室数(%)] | 验证[实验室数(%)] | ||||||||||||
行业标准 | 操作规程 | 厂家说明书 | 教科书 | 实验室确定 | 是 | 否 | ||||||||
ALT(U/L) | 13(7.9) | 12(7.3) | 125(75.8) | 1(0.6) | 5(3.0) | 86(52.1) | 79(47.9) | |||||||
AST(U/L) | 14(7.4) | 16(8.5) | 144(76.2) | 1(0.5) | 6(3.2) | 99(52.4) | 90(47.6) | |||||||
ALP(U/L) | 10(8.6) | 10(8.6) | 90(77.6) | 1(0.9) | 3(2.6) | 63(54.3) | 53(45.7) | |||||||
GGT(U/L) | 7(5.7) | 12(9.8) | 96(78.0) | 1(0.8) | 2(1.6) | 67(54.5) | 56(45.5) | |||||||
TP(g/L) | 10(7.1) | 12(8.5) | 107(75.9) | 2(1.4) | 4(2.8) | 77(54.6) | 64(45.4) | |||||||
Alb(g/L) | 10(7.1) | 10(7.1) | 108(77.1) | 2(1.4) | 4(2.9) | 75(53.6) | 65(46.4) | |||||||
K(mmol/L) | 21(9.8) | 20(9.3) | 156(72.6) | 4(1.9) | 7(3.3) | 119(55.3) | 96(44.7) | |||||||
Na(mmol/L) | 21(9.8) | 20(9.3) | 154(72.0) | 4(1.9) | 7(3.3) | 118(55.1) | 96(44.9) | |||||||
Cl(mmol/L) | 21(9.8) | 20(9.3) | 155(72.1) | 4(1.9) | 7(3.3) | 116(54.0) | 99(46.0) | |||||||
Urea(mmol/L) | 1(0.5) | 27(12.2) | 172(77.5) | 4(1.8) | 10(4.5) | 119(53.6) | 103(46.4) | |||||||
Cr(μmol/L) | 0(0.0) | 28(12.6) | 172(77.5) | 3(1.4) | 11(5.0) | 115(51.8) | 107(48.2) | |||||||
Ca(mmol/L) | 1(0.5) | 21(10.1) | 166(79.8) | 4(1.9) | 8(3.8) | 111(53.4) | 97(46.6) | |||||||
P(mmol/L) | 1(0.7) | 16(11.6) | 110(79.7) | 1(0.7) | 5(3.6) | 73(52.9) | 65(47.1) | |||||||
Mg(mmol/L) | 1(0.9) | 14(13.2) | 81(76.4) | 1(0.9) | 6(5.7) | 54(50.9) | 52(49.1) | |||||||
Fe(μmol/L) | 0(0.0) | 1(5.3) | 17(89.5) | 0(0.0) | 1(5.3) | 5(26.3) | 14(73.7) | |||||||
LDH(U/L) | 0(0.0) | 18(10.4) | 142(82.1) | 0(0.0) | 6(3.5) | 92(53.2) | 81(46.8) | |||||||
CK(U/L) | 1(0.6) | 24(13.6) | 137(77.8) | 1(0.6) | 6(3.4) | 92(52.3) | 84(47.7) | |||||||
AMY(U/L) | 1(0.5) | 21(11.1) | 148(77.9) | 2(1.1) | 10(5.3) | 101(53.2) | 89(46.8) |
项目 | 回报数 | 下限 | 上限 | 分组 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
中位数 | 众数 | 95%CI | 中位数 | 众数 | 95%CI | 否 | 是 | |||||||
ALT(U/L) | 165 | 9 | 9 | 10~12 | 52 | 72 | 55~62 | 132 | 33 | |||||
AST(U/L) | 189 | 14 | 15 | 13~15 | 40 | 59 | 44~47 | 150 | 39 | |||||
ALP(U/L) | 116 | 38 | 38 | 39~44 | 126 | 126 | 128~145 | 110 | 6 | |||||
GGT(U/L) | 123 | 12 | 12 | 10~13 | 58 | 73 | 54~67 | 95 | 28 | |||||
TP(g/L) | 141 | 63 | 63 | 61~64 | 82 | 82 | 81~83 | 140 | 1 | |||||
Alb(g/L) | 140 | 35 | 35 | 35~36 | 50 | 50 | 51~52 | 139 | 1 | |||||
K(mmol/L) | 215 | 3.5 | 3.5 | 3.52~3.55 | 5.1 | 5.3 | 5.17~5.23 | 215 | 0 | |||||
Na(mmol/L) | 214 | 137 | 137 | 136~137 | 145 | 145 | 145~146 | 214 | 0 | |||||
Cl(mmol/L) | 215 | 98 | 98 | 97~98 | 107 | 107 | 107~108 | 215 | 0 | |||||
Urea(mmol/L) | 222 | 2.5 | 2.5 | 2.25~2.71 | 7.1 | 7.1 | 7.16~7.68 | 180 | 42 | |||||
Cr(μmol/L) | 222 | 58 | 58 | 46.5~58.6 | 110 | 133 | 113.0~125.2 | 168 | 54 | |||||
Ca(mmol/L) | 208 | 2.1 | 2.1 | 2.07~2.16 | 2.55 | 2.55 | 2.44~3.20 | 208 | 0 | |||||
P(mmol/L) | 138 | 0.81 | 0.81 | 0.79~0.87 | 1.45 | 1.45 | 1.43~1.56 | 137 | 1 | |||||
Mg(mmol/L) | 106 | 0.7 | 0.7 | 0.67~0.72 | 1.0 | 1.0 | 0.97~1.32 | 106 | 0 | |||||
Fe(μmol/L) | 19 | 8.4 | 8.8 | 6.82~8.84 | 32.0 | 32.4 | 26.11~32.23 | 14 | 5 | |||||
LDH(U/L) | 173 | 313 | 313 | 183.3~275.5 | 618 | 618 | 367.8~531.1 | 173 | 0 | |||||
CK(U/L) | 176 | 30 | 30 | 28.5~46.4 | 170 | 170 | 168.8~191.6 | 139 | 37 | |||||
AMY(U/L) | 190 | 30 | 30 | 16.5~30.1 | 110 | 110 | 105.4~135.6 | 190 | 0 | |||||
项目 | 来源[实验室数(%)] | 验证[实验室数(%)] | ||||||||||||
行业标准 | 操作规程 | 厂家说明书 | 教科书 | 实验室确定 | 是 | 否 | ||||||||
ALT(U/L) | 13(7.9) | 12(7.3) | 125(75.8) | 1(0.6) | 5(3.0) | 86(52.1) | 79(47.9) | |||||||
AST(U/L) | 14(7.4) | 16(8.5) | 144(76.2) | 1(0.5) | 6(3.2) | 99(52.4) | 90(47.6) | |||||||
ALP(U/L) | 10(8.6) | 10(8.6) | 90(77.6) | 1(0.9) | 3(2.6) | 63(54.3) | 53(45.7) | |||||||
GGT(U/L) | 7(5.7) | 12(9.8) | 96(78.0) | 1(0.8) | 2(1.6) | 67(54.5) | 56(45.5) | |||||||
TP(g/L) | 10(7.1) | 12(8.5) | 107(75.9) | 2(1.4) | 4(2.8) | 77(54.6) | 64(45.4) | |||||||
Alb(g/L) | 10(7.1) | 10(7.1) | 108(77.1) | 2(1.4) | 4(2.9) | 75(53.6) | 65(46.4) | |||||||
K(mmol/L) | 21(9.8) | 20(9.3) | 156(72.6) | 4(1.9) | 7(3.3) | 119(55.3) | 96(44.7) | |||||||
Na(mmol/L) | 21(9.8) | 20(9.3) | 154(72.0) | 4(1.9) | 7(3.3) | 118(55.1) | 96(44.9) | |||||||
Cl(mmol/L) | 21(9.8) | 20(9.3) | 155(72.1) | 4(1.9) | 7(3.3) | 116(54.0) | 99(46.0) | |||||||
Urea(mmol/L) | 1(0.5) | 27(12.2) | 172(77.5) | 4(1.8) | 10(4.5) | 119(53.6) | 103(46.4) | |||||||
Cr(μmol/L) | 0(0.0) | 28(12.6) | 172(77.5) | 3(1.4) | 11(5.0) | 115(51.8) | 107(48.2) | |||||||
Ca(mmol/L) | 1(0.5) | 21(10.1) | 166(79.8) | 4(1.9) | 8(3.8) | 111(53.4) | 97(46.6) | |||||||
P(mmol/L) | 1(0.7) | 16(11.6) | 110(79.7) | 1(0.7) | 5(3.6) | 73(52.9) | 65(47.1) | |||||||
Mg(mmol/L) | 1(0.9) | 14(13.2) | 81(76.4) | 1(0.9) | 6(5.7) | 54(50.9) | 52(49.1) | |||||||
Fe(μmol/L) | 0(0.0) | 1(5.3) | 17(89.5) | 0(0.0) | 1(5.3) | 5(26.3) | 14(73.7) | |||||||
LDH(U/L) | 0(0.0) | 18(10.4) | 142(82.1) | 0(0.0) | 6(3.5) | 92(53.2) | 81(46.8) | |||||||
CK(U/L) | 1(0.6) | 24(13.6) | 137(77.8) | 1(0.6) | 6(3.4) | 92(52.3) | 84(47.7) | |||||||
AMY(U/L) | 1(0.5) | 21(11.1) | 148(77.9) | 2(1.1) | 10(5.3) | 101(53.2) | 89(46.8) |
项目 | 分组 | 下限 | 上限 | |||||||
---|---|---|---|---|---|---|---|---|---|---|
算术平均值 | 卫生行业标准 | t值 | P值 | 算术平均值 | 卫生行业标准 | t值 | P值 | |||
ALT | 未分组* | 8.9 | – | -0.115 | 0.909 | 59.8 | – | 7.095 | <0.001 | |
男性 | 15.6 | 9 | 5.749 | <0.001 | 63.9 | 50 | 7.849 | <0.001 | ||
女性 | 8.3 | 7 | 3.365 | 0.002 | 46.8 | 40 | 3.947 | <0.001 | ||
AST | 未分组 | 12.0 | – | -5.800 | <0.001 | 46.9 | – | 5.566 | <0.001 | |
男性 | 15.5 | 15 | 1.069 | 0.292 | 53.2 | 40 | 10.282 | <0.001 | ||
女性 | 13.4 | 13 | 1.065 | 0.294 | 36.7 | 35 | 4.904 | <0.001 | ||
ALP | 未分组 | 41.7 | 45 | -2.449 | 0.016 | 137.2 | 125 | 2.805 | 0.006 | |
GGT | 未分组 | 10.6 | – | 0.542 | 0.591 | 60.2 | – | 0.090 | 0.928 | |
男性 | 13.6 | 10 | 8.704 | <0.001 | 69.8 | 60 | 9.000 | <0.001 | ||
女性 | 11.0 | 7 | 10.360 | <0.001 | 43.4 | 45 | -10.360 | <0.001 | ||
TP | 未分组 | 62.6 | 65 | -5.125 | <0.001 | 82.5 | 85 | -8.380 | <0.001 | |
Alb | 未分组 | 36.0 | 40 | -19.779 | <0.001 | 51.6 | 55 | -15.166 | <0.001 | |
K | 未分组 | 3.52 | 3.5 | 3.617 | <0.001 | 5.21 | 5.3 | -7.466 | <0.001 | |
Na | 未分组 | 136.4 | 137 | -6.839 | <0.001 | 146.0 | 147 | -8.927 | <0.001 | |
Cl | 未分组 | 97.7 | 99 | -11.153 | <0.001 | 108.0 | 110 | -17.897 | <0.001 | |
Urea | 未分组 | 2.64 | – | -13.780 | <0.001 | 7.16 | – | -15.529 | <0.001 | |
男性 | 3.20 | 3.1 | 20.000 | <0.001 | 7.10 | 8.0 | -379.000 | <0.001 | ||
女性 | 2.50 | 2.6 | -42.000 | <0.001 | 6.10# | 7.5 | – | – | ||
Cr | 未分组 | 51.3 | – | -5.390 | <0.001 | 118.9 | – | 8.019 | <0.001 | |
男性 | 58.8 | 57 | 1.402 | 0.167 | 115.4 | 97 | 10.727 | <0.001 | ||
女性 | 48.4 | 41 | 5.510 | <0.001 | 96.4 | 73 | 18.304 | <0.001 | ||
Ca | 未分组 | 2.10 | 2.11 | -1.164 | 0.246 | 2.6 | 2.52 | 4.825 | <0.001 | |
P | 未分组 | 0.83 | 0.85 | -2.317 | 0.022 | 1.50 | 1.51 | -0.797 | 0.427 | |
Mg | 未分组 | 0.70 | 0.75 | -12.358 | <0.001 | 1.07 | 1.02 | 2.377 | 0.019 | |
Fe | 未分组 | 7.9 | 10.6 | -5.840 | <0.001 | 29.3 | 36.7 | -5.214 | <0.001 | |
LDH | 未分组 | 173 | 120 | 21.414 | <0.001 | 521.0 | 250 | 21.185 | <0.001 | |
CK | 未分组 | 34.7 | – | -10.993 | <0.001 | 173.2 | – | -71.468 | <0.001 | |
男性 | 51.5 | 50 | 1.122 | 0.269 | 168.9 | 310 | -90.313 | <0.001 | ||
女性 | 29.3 | 40 | -32.357 | <0.001 | 135.9 | 200 | -114.226 | <0.001 | ||
AMY | 未分组 | 26.8 | 35 | -4.947 | <0.001 | 127.3 | 135 | -1.429 | 0.155 |
项目 | 分组 | 下限 | 上限 | |||||||
---|---|---|---|---|---|---|---|---|---|---|
算术平均值 | 卫生行业标准 | t值 | P值 | 算术平均值 | 卫生行业标准 | t值 | P值 | |||
ALT | 未分组* | 8.9 | – | -0.115 | 0.909 | 59.8 | – | 7.095 | <0.001 | |
男性 | 15.6 | 9 | 5.749 | <0.001 | 63.9 | 50 | 7.849 | <0.001 | ||
女性 | 8.3 | 7 | 3.365 | 0.002 | 46.8 | 40 | 3.947 | <0.001 | ||
AST | 未分组 | 12.0 | – | -5.800 | <0.001 | 46.9 | – | 5.566 | <0.001 | |
男性 | 15.5 | 15 | 1.069 | 0.292 | 53.2 | 40 | 10.282 | <0.001 | ||
女性 | 13.4 | 13 | 1.065 | 0.294 | 36.7 | 35 | 4.904 | <0.001 | ||
ALP | 未分组 | 41.7 | 45 | -2.449 | 0.016 | 137.2 | 125 | 2.805 | 0.006 | |
GGT | 未分组 | 10.6 | – | 0.542 | 0.591 | 60.2 | – | 0.090 | 0.928 | |
男性 | 13.6 | 10 | 8.704 | <0.001 | 69.8 | 60 | 9.000 | <0.001 | ||
女性 | 11.0 | 7 | 10.360 | <0.001 | 43.4 | 45 | -10.360 | <0.001 | ||
TP | 未分组 | 62.6 | 65 | -5.125 | <0.001 | 82.5 | 85 | -8.380 | <0.001 | |
Alb | 未分组 | 36.0 | 40 | -19.779 | <0.001 | 51.6 | 55 | -15.166 | <0.001 | |
K | 未分组 | 3.52 | 3.5 | 3.617 | <0.001 | 5.21 | 5.3 | -7.466 | <0.001 | |
Na | 未分组 | 136.4 | 137 | -6.839 | <0.001 | 146.0 | 147 | -8.927 | <0.001 | |
Cl | 未分组 | 97.7 | 99 | -11.153 | <0.001 | 108.0 | 110 | -17.897 | <0.001 | |
Urea | 未分组 | 2.64 | – | -13.780 | <0.001 | 7.16 | – | -15.529 | <0.001 | |
男性 | 3.20 | 3.1 | 20.000 | <0.001 | 7.10 | 8.0 | -379.000 | <0.001 | ||
女性 | 2.50 | 2.6 | -42.000 | <0.001 | 6.10# | 7.5 | – | – | ||
Cr | 未分组 | 51.3 | – | -5.390 | <0.001 | 118.9 | – | 8.019 | <0.001 | |
男性 | 58.8 | 57 | 1.402 | 0.167 | 115.4 | 97 | 10.727 | <0.001 | ||
女性 | 48.4 | 41 | 5.510 | <0.001 | 96.4 | 73 | 18.304 | <0.001 | ||
Ca | 未分组 | 2.10 | 2.11 | -1.164 | 0.246 | 2.6 | 2.52 | 4.825 | <0.001 | |
P | 未分组 | 0.83 | 0.85 | -2.317 | 0.022 | 1.50 | 1.51 | -0.797 | 0.427 | |
Mg | 未分组 | 0.70 | 0.75 | -12.358 | <0.001 | 1.07 | 1.02 | 2.377 | 0.019 | |
Fe | 未分组 | 7.9 | 10.6 | -5.840 | <0.001 | 29.3 | 36.7 | -5.214 | <0.001 | |
LDH | 未分组 | 173 | 120 | 21.414 | <0.001 | 521.0 | 250 | 21.185 | <0.001 | |
CK | 未分组 | 34.7 | – | -10.993 | <0.001 | 173.2 | – | -71.468 | <0.001 | |
男性 | 51.5 | 50 | 1.122 | 0.269 | 168.9 | 310 | -90.313 | <0.001 | ||
女性 | 29.3 | 40 | -32.357 | <0.001 | 135.9 | 200 | -114.226 | <0.001 | ||
AMY | 未分组 | 26.8 | 35 | -4.947 | <0.001 | 127.3 | 135 | -1.429 | 0.155 |
项目 | 分组 | 数量 | 下限 | 上限 | |||||
---|---|---|---|---|---|---|---|---|---|
算术平均值 | t值 | P值 | 算术平均值 | t值 | P值 | ||||
ALT | 强生 | 141 | 10.6 | 2.653 | 0.009 | 61.7 | 9.257 | <0.001 | |
富士 | 8 | 2.5 | -8.881 | <0.001 | 42.5 | -10.247 | <0.001 | ||
AST | 强生 | 162 | 13.1 | -4.116 | <0.001 | 48.8 | 7.565 | <0.001 | |
富士 | 10 | 4.8 | -7.808 | <0.001 | 39.0 | -2.236 | 0.052 | ||
ALP | 强生 | 102 | 39.4 | -6.248 | <0.001 | 129.9 | 1.724 | 0.088 | |
富士* | 5 | 104.0 | – | – | 338.0 | – | – | ||
GGT | 强生 | 103 | 10.7 | 1.193 | 0.236 | 103.0 | 1.338 | 0.184 | |
富士 | 6 | 12.5 | 0.951 | 0.385 | 6.0 | 1.100 | 0.321 | ||
TP | 强生 | 129 | 62.5 | -4.987 | <0.001 | 82.4 | -7.890 | <0.001 | |
富士 | 6 | 64.7 | -0.226 | 0.830 | 82.8 | -13.000 | <0.001 | ||
Alb | 强生 | 129 | 36.0 | -19.169 | <0.001 | 51.7 | -14.354 | <0.001 | |
富士 | 6 | 36.2 | -3.286 | 0.022 | 51.5 | -3.656 | 0.015 | ||
K | 强生 | 200 | 3.5 | 2.429 | 0.016 | 5.21 | -7.207 | <0.001 | |
富士 | 13 | 3.7 | 3.742 | 0.003 | 5.18 | -1.897 | 0.082 | ||
Na | 强生 | 199 | 136.5 | -6.172 | <0.001 | 145.8 | -13.587 | <0.001 | |
富士 | 13 | 135.4 | -3.407 | 0.005 | 149.2 | 2.677 | 0.020 | ||
Cl | 强生 | 199 | 97.7 | -10.380 | <0.001 | 108.0 | -17.958 | <0.001 | |
富士 | 14 | 97.3 | -5.326 | <0.001 | 107.4 | -3.733 | 0.003 | ||
Urea | 强生 | 201 | 2.77 | -10.725 | <0.001 | 7.08 | -21.269 | <0.001 | |
富士 | 14 | 2.54 | -3.921 | 0.002 | 8.03 | 0.222 | 0.828 | ||
Cre | 强生 | 198 | 54.2 | -3.143 | 0.002 | 119.4 | 9.836 | <0.001 | |
富士 | 14 | 44.1 | -5.214 | <0.001 | 103.8 | 1.956 | 0.072 | ||
Ca | 强生 | 195 | 2.10 | -1.311 | 0.191 | 2.63 | 4.562 | <0.001 | |
富士 | 12 | 2.08 | -1.590 | 0.140 | 2.59 | 2.912 | 0.014 | ||
P | 强生 | 130 | 0.83 | -2.564 | 0.012 | 1.50 | -0.636 | 0.526 | |
富士 | 6 | 0.87 | 0.829 | 0.445 | 1.46 | -1.870 | 0.120 | ||
Mg | 强生 | 90 | 0.69 | -14.941 | <0.001 | 1.05 | 2.440 | 0.017 | |
富士 | 4 | 0.79 | 1.206 | 0.314 | 1.52 | 1.082 | 0.359 | ||
Fe | 强生 | 20 | 8.2 | -5.835 | <0.001 | 30.4 | -7.583 | <0.001 | |
富士 | 1 | – | – | – | – | – | – | ||
LDH | 强生 | 148 | 274.8 | 23.475 | <0.001 | 540.6 | 22.832 | <0.001 | |
富士 | 9 | 104.9 | -4.554 | 0.002 | 221.2 | -5.606 | 0.001 | ||
CK | 强生 | 152 | 39.3 | -8.183 | <0.001 | 170.5 | -86.152 | <0.001 | |
富士 | 10 | 26.8 | -6.436 | <0.001 | 198.9 | -151.186 | <0.001 | ||
AMY | 强生 | 161 | 27.5 | -3.936 | <0.001 | 128.1 | -1.103 | 0.272 | |
富士 | 9 | 19.3 | -3.071 | 0.015 | 126.1 | -0.724 | 0.489 |
项目 | 分组 | 数量 | 下限 | 上限 | |||||
---|---|---|---|---|---|---|---|---|---|
算术平均值 | t值 | P值 | 算术平均值 | t值 | P值 | ||||
ALT | 强生 | 141 | 10.6 | 2.653 | 0.009 | 61.7 | 9.257 | <0.001 | |
富士 | 8 | 2.5 | -8.881 | <0.001 | 42.5 | -10.247 | <0.001 | ||
AST | 强生 | 162 | 13.1 | -4.116 | <0.001 | 48.8 | 7.565 | <0.001 | |
富士 | 10 | 4.8 | -7.808 | <0.001 | 39.0 | -2.236 | 0.052 | ||
ALP | 强生 | 102 | 39.4 | -6.248 | <0.001 | 129.9 | 1.724 | 0.088 | |
富士* | 5 | 104.0 | – | – | 338.0 | – | – | ||
GGT | 强生 | 103 | 10.7 | 1.193 | 0.236 | 103.0 | 1.338 | 0.184 | |
富士 | 6 | 12.5 | 0.951 | 0.385 | 6.0 | 1.100 | 0.321 | ||
TP | 强生 | 129 | 62.5 | -4.987 | <0.001 | 82.4 | -7.890 | <0.001 | |
富士 | 6 | 64.7 | -0.226 | 0.830 | 82.8 | -13.000 | <0.001 | ||
Alb | 强生 | 129 | 36.0 | -19.169 | <0.001 | 51.7 | -14.354 | <0.001 | |
富士 | 6 | 36.2 | -3.286 | 0.022 | 51.5 | -3.656 | 0.015 | ||
K | 强生 | 200 | 3.5 | 2.429 | 0.016 | 5.21 | -7.207 | <0.001 | |
富士 | 13 | 3.7 | 3.742 | 0.003 | 5.18 | -1.897 | 0.082 | ||
Na | 强生 | 199 | 136.5 | -6.172 | <0.001 | 145.8 | -13.587 | <0.001 | |
富士 | 13 | 135.4 | -3.407 | 0.005 | 149.2 | 2.677 | 0.020 | ||
Cl | 强生 | 199 | 97.7 | -10.380 | <0.001 | 108.0 | -17.958 | <0.001 | |
富士 | 14 | 97.3 | -5.326 | <0.001 | 107.4 | -3.733 | 0.003 | ||
Urea | 强生 | 201 | 2.77 | -10.725 | <0.001 | 7.08 | -21.269 | <0.001 | |
富士 | 14 | 2.54 | -3.921 | 0.002 | 8.03 | 0.222 | 0.828 | ||
Cre | 强生 | 198 | 54.2 | -3.143 | 0.002 | 119.4 | 9.836 | <0.001 | |
富士 | 14 | 44.1 | -5.214 | <0.001 | 103.8 | 1.956 | 0.072 | ||
Ca | 强生 | 195 | 2.10 | -1.311 | 0.191 | 2.63 | 4.562 | <0.001 | |
富士 | 12 | 2.08 | -1.590 | 0.140 | 2.59 | 2.912 | 0.014 | ||
P | 强生 | 130 | 0.83 | -2.564 | 0.012 | 1.50 | -0.636 | 0.526 | |
富士 | 6 | 0.87 | 0.829 | 0.445 | 1.46 | -1.870 | 0.120 | ||
Mg | 强生 | 90 | 0.69 | -14.941 | <0.001 | 1.05 | 2.440 | 0.017 | |
富士 | 4 | 0.79 | 1.206 | 0.314 | 1.52 | 1.082 | 0.359 | ||
Fe | 强生 | 20 | 8.2 | -5.835 | <0.001 | 30.4 | -7.583 | <0.001 | |
富士 | 1 | – | – | – | – | – | – | ||
LDH | 强生 | 148 | 274.8 | 23.475 | <0.001 | 540.6 | 22.832 | <0.001 | |
富士 | 9 | 104.9 | -4.554 | 0.002 | 221.2 | -5.606 | 0.001 | ||
CK | 强生 | 152 | 39.3 | -8.183 | <0.001 | 170.5 | -86.152 | <0.001 | |
富士 | 10 | 26.8 | -6.436 | <0.001 | 198.9 | -151.186 | <0.001 | ||
AMY | 强生 | 161 | 27.5 | -3.936 | <0.001 | 128.1 | -1.103 | 0.272 | |
富士 | 9 | 19.3 | -3.071 | 0.015 | 126.1 | -0.724 | 0.489 |
1 | SOLBERG HE. International Federation of Clinical Chemistry(IFCC),Scientific Committee,Clinical Section,Expert Panel on Theory of Reference Values,and International Committee for Standardization in Haematology(ICSH),Standing Committee on Reference Values. Approved Recommendation(1986) on the theory of reference values. Part 1. The concept of reference values[J]. J Clin Chem Clin Biochem,1987,25(5):337-342. |
2 | CNAS-CL02:2012 医学实验室质量和能力认可准则[S]. 2012. |
3 | 中华人民共和国卫生部.WS/T 404.1-2012 临床常用生化检验项目参考区间,第1部分:血清丙氨酸氨基转移酶、天门冬氨酸氨基转移酶、碱性磷酸酶和γ-谷氨酰基转移酶[S]. 北京:中国标准出版社,2013. |
4 | 中华人民共和国卫生部.WS/T 404.2-2012 临床常用生化检验项目参考区间,第2部分:血清总蛋白、白蛋白[S]. 北京:中国标准出版社,2013. |
5 | 中华人民共和国卫生部. WS/T 404.3-2012 临床常用生化检验项目参考区间,第3部分:血清钾、钠、氯[S]. 北京:中国标准出版社,2013. |
6 | 王治国. 临床检验生物学变异与参考区间[M]. 北京:人民卫生出版社,2012:89-93. |
7 | 钟堃,王治国,王薇,等. 采用多中心相同检测系统建立人体参考区间[J]. 中华检验医学杂志,2010,33(8):790-792. |
8 | BÜRGI W,BRINER M,AUMER B. Dry chemistry in the clinical laboratory: how reliable is it[J]. Schweiz Med Wochenschr,1992,122(51-52):1980-1984. |
9 | BEHR W,BARNERT J,WIENBECK M. Bedside determination of clinical-chemical quantities using dry chemistry in an emergency admission[J]. Med Klin(Munich),1991,86(12): 613-616. |
10 | CHEUNG CM,SOLDIN SJ. Clinical evaluation of a dry chemistry strip theophylline assay[J]. Ther Drug Monit,1986,8(2): 205-210. |
11 | 颜虹. 医学统计学[M]. 北京:人民卫生出版社,2006:172-173. |
12 | 王燕,康晓平. 卫生统计学教程[M]. 北京:北京大学医学出版社,2006:56-57. |
13 | 尚红,陈文祥,潘柏申,等. 中国成人常用肝功能和电解质及血细胞分析项目参考区间[J]. 中华检验医学杂志,2013,36(5):393-394. |
14 | CHEN W,PAN B,et al. First definition of reference intervals of liver function tests in China: a large-population-based multi-center study about healthy adults[J]. PLoS One,2013,8(9):e72916. |
15 | 赵建鹏,杨秀萍,刘晓丽,等. 干、湿化学方法检测献血者ALT比对分析[J]. 现代检验医学杂志,2013,28(1):48-49. |
16 | 韩清珍,邱骏,顾国浩. 干湿化学法测定部分心肌酶的比对分析[J]. 中国血液流变学杂志,2014,24(1):135-137. |
17 | 吴俊琪,徐瑞龙,杜忠明,等.VITROS-250干式生化分析仪测定结果的比对校正[J].检验医学,2006,21(3):285-287. |
18 | 杨天平.常规急诊项目的干化、湿化测定结果分析[J].检验医学,2009,24(1):79-80. |
19 | 许静,王伟祥,金慧萍,等.干、湿生化分析仪部分测定值的比对分析和偏倚评估[J].检验医学,2010,25(3):207-209. |
20 | 叶应妩,王毓三,申子瑜. 全国临床检验操作规程[M]. 3版.南京:东南大学出版社,2006:383-396. |
21 | Clinical and Laboratory Standards Institute. How to define and determine reference intervals in the clinical laboratory; approved guideline-second edition[S]. C28-A2,CLSI,2000. |
22 | 曾洁,闫颖,张传宝,等. 北京地区汉族人群ALT、AST、GGT和LDH的参考区间研究[J]. 中华检验医学杂志,2011,33(12):1073-1077. |
23 | 赵海建,张传宝,王薇,等. 脂类检验项目室内质控变异系数分析[J]. 中华检验医学杂志,2012,35(12):1172-1175. |
24 | 钟堃,王薇,何法霖,等. 我国九项常规生化项目参考区间与现行行业标准的比较和分析[J]. 中华检验医学杂志,2014,37(9):709-711. |
25 | 王薇,钟堃,白玉,等. 全国常规化学检验项目参考区间现状调查分析[J]. 中华检验医学杂志,2011,34(12):1139-1143. |
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