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[血清C反应蛋白检测。三种免疫方法的比较]

[Assay of serum C-reactive protein. Comparison of 3 immunologic methods].

作者信息

Barrau E, Lagente M, Barniol Y, Stebenet M, Thouvenot J P

机构信息

Laboratoire de Biochimie, CHU de Purpan, Toulouse.

出版信息

Ann Biol Clin (Paris). 1989;47(9):550-4.

PMID:2692482
Abstract

C-reactive protein is a parameter measured in ordinary laboratory routine and is frequently needed rapidly. The authors hereby compare three methods for the measurement of this protein using three common laboratory apparatus: TDX Abbott, BNA Behring and ICS Beckman. The experimental protocol used has been the one defined by the SFBC "Valtec" Commission. Regarding repeatability, the variation coefficients (CV%) are less than 10, except for a CRP value of 16 mg/l on TDX (19.3) and for a value of 56.4 mg/l on ICS (12.5). Reproducibility values confirm repeatability results in the case of TDX, while for ICS CV% are always less than 10. For values between 0 and 133 mg/l the authors have excellent linearity for the three apparatus tested (r = 0.99). The apparatus when compared two by two on 104 patient samples give linear allometric values and correlation coefficients are with acceptable limits (greater than 0.98). It must be noted that there is a difference between results obtained for patient samples and control sera when tested by the different apparatus. ICS necessitates daily calibration and gives the best values with control sera. With BNA the authors obtained more precise values and while TDX remains the easiest to handle, it gives unacceptable imprecise values for low CRP concentrations.

摘要

C反应蛋白是常规实验室检测的一项指标,且常常需要快速得出结果。作者在此比较了使用三种常见实验室仪器(雅培TDX、贝林BNA和贝克曼ICS)测定该蛋白的三种方法。所采用的实验方案是由SFBC“Valtec”委员会定义的方案。关于重复性,除了TDX上16mg/l的C反应蛋白值(变异系数为19.3)和ICS上56.4mg/l的值(变异系数为12.5)外,变异系数(CV%)均小于10。再现性值证实了TDX情况下的重复性结果,而ICS的CV%始终小于10。对于0至133mg/l之间的值,作者测试的三种仪器均具有出色的线性(r = 0.99)。在对104份患者样本进行两两比较时,仪器得出的线性异速生长值和相关系数均在可接受范围内(大于0.98)。必须注意的是,使用不同仪器检测患者样本和对照血清时,结果存在差异。ICS需要每日校准,且对照血清检测时得出的结果最佳。使用BNA时,作者获得了更精确的值,而TDX虽然仍是最易于操作的,但对于低C反应蛋白浓度会给出不可接受的不精确值。

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