Iwasawa Hajime, Nishimura Tomoaki, Nemotc Shota, Aikawa Naoki, Watanabe Kiyoaki
Rinsho Byori. 2017 Mar;65(3):252-259.
In this study, we investigated the correlations of values of biochemical and hematological tests obtained using microliter-scale fingertip blood samples collected with a newly developed blood collection device with those using conventional venous blood. Eighty volunteer subjects were enrolled in the study. Blood sam- ples were drawn from the fingertip of the ring finger by a single puncture and 60 μL of each sample was promptly and accurately aspirated into a blood collection chip. Then the chip was tightly sealed with chip container and was shaken to mix the contents without dispersing. For biochemical tests except of HbAlc, blood was collected without anticoagulant and centrifuged to obtain 15 μL of serum which was then diluted with 190 pL of physiological saline for the assay. For hematological tests and HbAlc, the sample was as- sayed with blood collected using EDTA-2K. As a result, a good correlation of the test values was obtained between the assay with fingertip blood and that with venous blood. The correlation coefficients were found to be 0.97 in TG, T-CHO, HDL-C, LDL-C, GLU, ALT, γ-GTP, UA, BUN and HbAlc and ≥ 0.95 for WBC, RBC, Hgb, and Hct. These results suggest that our microliter-scale blood testing can be comparable to the assay using venous blood and may be useful as a rapid and simple test for determination of basic clinical tests near the reference intervals. [Original].
在本研究中,我们调查了使用新开发的采血装置采集的微升规模指尖血样所获得的生化和血液学检测值与使用传统静脉血所获得的检测值之间的相关性。80名志愿者参与了该研究。通过单次穿刺从无名指指尖采集血样,并将每份60μL的血样迅速准确地吸入采血芯片。然后用芯片容器将芯片紧密密封,并摇晃以混合内容物而不使其分散。对于除糖化血红蛋白(HbAlc)之外的生化检测,采集未加抗凝剂的血液并离心以获得15μL血清,然后用190μL生理盐水稀释用于检测。对于血液学检测和HbAlc,使用乙二胺四乙酸二钾(EDTA-2K)采集的血液进行检测。结果,指尖血检测与静脉血检测之间获得了良好的检测值相关性。发现甘油三酯(TG)、总胆固醇(T-CHO)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、葡萄糖(GLU)、谷丙转氨酶(ALT)、γ-谷氨酰转肽酶(γ-GTP)、尿酸(UA)、尿素氮(BUN)和HbAlc的相关系数为0.97,白细胞(WBC)、红细胞(RBC)、血红蛋白(Hgb)和血细胞比容(Hct)的相关系数≥0.95。这些结果表明,我们的微升规模血液检测可与静脉血检测相媲美,并且可能作为一种快速简便的检测方法,用于在参考区间附近进行基本临床检测的测定。[原文]