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基于库仑法的Optium Omega血糖仪分析性能评估。

Evaluation of the analytical performance of the coulometry-based Optium Omega blood glucose meter.

作者信息

Solnica Bogdan, Kusnierz-Cabala Beata, Slowinska-Solnica Krystyna, Witek Przemyslaw, Cempa Agnieszka, Malecki Maciej T

机构信息

Department of Diagnostics, Jagiellonian University Medical College, Krakow, Poland.

出版信息

J Diabetes Sci Technol. 2011 Nov 1;5(6):1612-7. doi: 10.1177/193229681100500640.

DOI:10.1177/193229681100500640
PMID:22226286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3262735/
Abstract

BACKGROUND

The goal of diabetes treatment is maintaining near normoglycemia based on self-monitoring of blood glucose (SMBG). In this study, an evaluation of the analytical performance of the coulometry-based Optium Omega™ glucose meter designed for SMBG has been carried out.

METHODS

The assessment of precision and between-lot variability was based on glucose measurements in ethylene-diaminetetraacetic acid venous blood samples. Glucose concentrations measured in 289 fresh capillary blood samples using the Omega glucose meter and the Biosen C_line analyzer were compared.

RESULTS

Within-run imprecision coefficient of variation for the lower and higher glucose concentrations amounted to 5.09 and 2.1%, respectively. The relative lot-dependent differences found for the lower and higher glucose concentrations were equal to 6.8 and 2.6%, respectively. The glucose meter error calculated for various concentration ranges amounted from 2.22 to 4.48%. The glucose meter error met the accuracy criteria recommended by the International Organization for Standardization and the American Diabetes Association. The Passing-Bablok agreement test and error grid analysis with 96% of results in zone A indicated good concordance of results, including glucose concentrations below 100 mg/dl.

CONCLUSIONS

The evaluated Optium Omega glucose meter fits the analytical requirements for its use in blood glucose monitoring in diabetes patients.

摘要

背景

糖尿病治疗的目标是基于自我血糖监测(SMBG)维持血糖接近正常水平。在本研究中,对用于SMBG的基于库仑法的Optium Omega™血糖仪的分析性能进行了评估。

方法

精密度和批次间变异性的评估基于乙二胺四乙酸静脉血样本中的葡萄糖测量。比较了使用Omega血糖仪和Biosen C_line分析仪在289份新鲜毛细血管血样本中测得的葡萄糖浓度。

结果

较低和较高葡萄糖浓度的批内不精密度变异系数分别为5.09%和2.1%。较低和较高葡萄糖浓度下发现的相对批次依赖性差异分别为6.8%和2.6%。不同浓度范围计算出的血糖仪误差为2.22%至4.48%。血糖仪误差符合国际标准化组织和美国糖尿病协会推荐的准确性标准。Passing-Bablok一致性检验和误差网格分析显示,96%的结果在A区,表明结果具有良好的一致性,包括葡萄糖浓度低于100mg/dl的情况。

结论

评估的Optium Omega血糖仪符合其用于糖尿病患者血糖监测的分析要求。

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本文引用的文献

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2
Executive summary: standards of medical care in diabetes--2009.执行摘要:2009年糖尿病医疗护理标准
Diabetes Care. 2009 Jan;32 Suppl 1(Suppl 1):S6-12. doi: 10.2337/dc09-S006.
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Glucose: a simple molecule that is not simple to quantify.葡萄糖:一种简单的分子,但难以定量。
Clin Chem. 2007 Dec;53(12):2040-1. doi: 10.1373/clinchem.2007.094466.
4
Analytical evaluation of the Optium Xido blood glucose meter.傲迪适Xido血糖仪的分析评估
Clin Chem Lab Med. 2008;46(1):143-7. doi: 10.1515/CCLM.2008.022.
5
New "plasma referenced" POCT glucose monitoring systems--are they suitable for glucose monitoring and diagnosis of diabetes?新型“血浆参考”即时检验血糖监测系统——它们适用于血糖监测和糖尿病诊断吗?
Clin Chim Acta. 2006 Oct;372(1-2):199-201. doi: 10.1016/j.cca.2006.03.012. Epub 2006 May 12.
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Variability among five over-the-counter blood glucose monitors.五种非处方血糖监测仪之间的差异。
Clin Chim Acta. 2006 Feb;364(1-2):292-7. doi: 10.1016/j.cca.2005.07.027. Epub 2005 Sep 6.
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Between-lot variation in external quality assessment of glucose: clinical importance and effect on participant performance evaluation.葡萄糖外部质量评估中的批次间差异:临床重要性及对参与者性能评估的影响。
Clin Chem. 2005 Sep;51(9):1632-6. doi: 10.1373/clinchem.2005.049080.
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Quality control of SMBG in clinical practice.临床实践中自我血糖监测的质量控制
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