Issa J S, Strunz C, Giannini S D, Forti N, Diament J
Instituto do Coração do Hospital das Clínicas-FMUSP.
Arq Bras Cardiol. 1996 Jun;66(6):339-42.
To verify whether precision and accuracy of lipids analyses by a new portable device, Cholestech-lipid desktop analyzer (LDX), were in agreement with the guidelines of the National Cholesterol Education Program (NCEP).
Serum samples from 45 outpatients were collected for the determination of total Cholesterol (TC), HDL-cholesterol (HDL-C) and triglycerides (TG). These samples were analysed simultaneously by the Cholestech-LDX, and by the automatic enzymatic methods routinely used at the Heart Institute's laboratory. Precision was determined by repeating 20 times the evaluation of the same sample of venous blood. Accuracy was established confronting the values of the lipids variables obtained with Cholestech-LDX against the values determined by the automatic enzymatic routine.
Accuracy for TC was 1.60% (NCEP < or = 3%), for HDL-C was -2.74% (NCEP < or = 6%) and for TG was 2.11% (NCEP < or = 5%). Precision for CT was 3.05% (NCEP < or = 3%), for HDL-C was 1.05% (NCEP < or = 6%) and for TG was 2.65% (NCEP < 5%).
Precision and accuracy of lipids evaluation by the Cholestech-LDX are within the guidelines of the National Cholesterol Education Program. Therefore the cholestech-LDX seems to be a reliable alternative to the conventional biochemical routine, allowing population screenings.
验证新型便携式设备Cholestech-脂质台式分析仪(LDX)进行脂质分析的精密度和准确性是否符合美国国家胆固醇教育计划(NCEP)的指南。
收集45名门诊患者的血清样本,用于测定总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和甘油三酯(TG)。这些样本同时采用Cholestech-LDX以及心脏研究所实验室常规使用的自动酶法进行分析。通过对同一静脉血样本重复评估20次来确定精密度。通过将Cholestech-LDX获得的脂质变量值与自动酶法常规测定的值进行对比来确定准确性。
TC的准确性为1.60%(NCEP≤3%),HDL-C为-2.74%(NCEP≤6%),TG为2.11%(NCEP≤5%)。CT的精密度为3.05%(NCEP≤3%),HDL-C为1.05%(NCEP≤6%),TG为2.65%(NCEP<5%)。
Cholestech-LDX进行脂质评估的精密度和准确性在国家胆固醇教育计划的指南范围内。因此,Cholestech-LDX似乎是传统生化常规方法的可靠替代方法,可用于人群筛查。