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[两种不同凝血分析仪检测结果的比较与评估]

[Comparison and evaluation of testing results for two different coagulation analyzers].

作者信息

Hou Jun-lin, Zhao Xu-hong, Zhang Man

机构信息

Department of Clinical Laboratory, Beijing Shijitan Hospital, Beijing 100038, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2011 Apr 26;91(16):1139-42.

Abstract

OBJECTIVE

To evaluate the performance of a newly installed fully automatic coagulation analyzer and compare the consistency of its testing results with the confirmed clinical automatic coagulation analyzer at our department.

METHODS

Precision, linearity, carryover and accuracy of the newly installed coagulation analyzer were evaluated according to the national required standards. Then the testing results were analyzed between the newly installed and confirmed coagulation analyzers according to the EP-5 and EP-9 documents of national committee for clinical laboratory standards (NCCLS).

RESULTS

For the newly installed coagulation analyzer, the low, median and high values of relative intra-precision were: 0.93%, 1.32% and 1.27% for prothrombin time (PT); 1.42%, 0.84% and 1.17% for activated partial thromboplastin time (APTT); 1.82%, 3.13% and 3.19% for fibrinogen (FIB); 1.78%, 1.76% and 1.38% for thrombin time (TT) respectively. The linear regression equation of FIB actual and theoretical values was y = 1.012x + 0.0219 (P > 0.05). There was no significant statistical difference between the intercept and 0 (t = 0.2287, P > 0.05) and between linear slope and 1 (t = 0.3221, P > 0.05). The carryover was -2.33%. The testing results of defined acceptable bias of PT and FIB in CLIA'88 for two analyzers were within the acceptable 95% confidence interval of bias.

CONCLUSION

The precision, linearity, carryover and accuracy of the newly installed coagulation analyzer meet the requirements of instrument user manual. The performance and the testing results of the same sample from two coagulation analyzers are consistent.

摘要

目的

评估新安装的全自动凝血分析仪的性能,并比较其检测结果与我院已确认的临床自动凝血分析仪检测结果的一致性。

方法

按照国家要求标准评估新安装凝血分析仪的精密度、线性、携带污染率和准确性。然后根据美国国家临床实验室标准委员会(NCCLS)的EP-5和EP-9文件分析新安装和已确认的凝血分析仪之间的检测结果。

结果

对于新安装的凝血分析仪,凝血酶原时间(PT)的相对批内精密度低值、中值和高值分别为:0.93%、1.32%和1.27%;活化部分凝血活酶时间(APTT)为:1.42%、0.84%和1.17%;纤维蛋白原(FIB)为:1.82%、3.13%和3.19%;凝血酶时间(TT)为:1.78%、1.76%和1.38%。FIB实际值与理论值的线性回归方程为y = 1.012x + 0.0219(P>0.05)。截距与0之间(t = 0.2287,P>0.05)以及线性斜率与1之间(t = 0.3221,P>0.05)无显著统计学差异。携带污染率为-2.33%。两台分析仪在CLIA'88中定义的PT和FIB可接受偏倚的检测结果在可接受的95%偏倚置信区间内。

结论

新安装的凝血分析仪的精密度、线性、携带污染率和准确性符合仪器用户手册的要求。两台凝血分析仪对同一样本的性能和检测结果一致。

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