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[不同年龄组催乳素参考区间的测定]

[Determination of prolactin reference intervals in different age groups].

作者信息

Kolesnikova G S, Malysheva N M, Zuraeva Z T, Nikankina L V, Melnichenko G A

机构信息

Endocrinology Research Center.

出版信息

Probl Endokrinol (Mosk). 2023 Jun 30;69(3):16-23. doi: 10.14341/probl13095.

Abstract

BACKGROUND

Clinical diagnostic laboratories (CDL) have at their disposal various automated systems for the measurement of biochemical parameters and markers such as prolactin. Each of the test systems manufactures offers its own alternate design of the method, which makes standardization difficult. In endocrinological practice, the problem of result discrepancies often arises. In hormonal assays, the clinical picture of patients sometimes does not correspond to the reference values provided by the manufacturers, which determines the need to develop the method-specific reference values for a specific population. The difficulty in interpreting basal prolactin levels is not only due to a transient increase in the hormone levels caused by stress or excessive physical exertion, but also due to a significant variability of indicators in the same patient, even if all recommendations for blood sampling are followed.

AIM

The aim of the study to determine the reference values in serum samples of women, men and children of different age groups for the VITROS Immunodiagnostic Systems and compare the results with the "expected prolactin levels" recommended by the method manufacturerMATERIALS AND METHODS: The monocentric study included 879 serum samples of apparently healthy subjects who were admitted to the Endocrinology Research Center. Measurements were performed using the VITROS ECi 3600 automatic chemiluminescence analyzer (Ortho-Clinical Diagnostics, Great Britain).

RESULTS

For adult men and women reference values were 66-436 and 94-500 mIU/l respectively. When comparing the results of prolactin determination in women and men of the studied cohort with the "expected values" of the VITROS ECi 3600 manufacturer a systematic shift towards an increase in lower and upper limits of the reference values was found in both -cohorts.

CONCLUSION

The obtained reference values of prolactin can be use in the determination of prolactin in the Russian population for VITROS ECi 3600 Immunodiagnostic Systems.

摘要

背景

临床诊断实验室(CDL)拥有多种用于测量生化参数和标志物(如催乳素)的自动化系统。每个测试系统制造商都提供其自己的方法替代设计,这使得标准化变得困难。在内分泌学实践中,经常会出现结果差异的问题。在激素检测中,患者的临床表现有时与制造商提供的参考值不相符,这就决定了需要为特定人群制定特定方法的参考值。解释基础催乳素水平的困难不仅在于压力或过度体力消耗导致的激素水平短暂升高,还在于即使遵循了所有采血建议,同一患者的指标仍存在显著差异。

目的

本研究旨在确定不同年龄组的女性、男性和儿童血清样本中VITROS免疫诊断系统的参考值,并将结果与方法制造商推荐的“预期催乳素水平”进行比较。

材料与方法

这项单中心研究纳入了879例入住内分泌研究中心的明显健康受试者的血清样本。使用VITROS ECi 3600自动化学发光分析仪(英国奥瑟诊断公司)进行测量。

结果

成年男性和女性的参考值分别为66 - 436和94 - 500 mIU/l。将研究队列中女性和男性的催乳素测定结果与VITROS ECi 3600制造商的“预期值”进行比较时,发现两个队列的参考值下限和上限均有系统性升高。

结论

所获得的催乳素参考值可用于俄罗斯人群中VITROS ECi 3600免疫诊断系统的催乳素测定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/256f/10350613/4c929a1adcfa/problendo-69-13095-g001.jpg

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