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[使用AccuMeter测量茶碱浓度——与酶免疫分析方法的比较]

[Measurement of theophylline concentrations by AccuMeter--comparison with the EIA method].

作者信息

Hasegawa M, Nobutani E, Kaneko N, Kudoh M, Endoh S, Maeda Y, Ojima C, Akiyama K

机构信息

National Sagamihara Hospital.

出版信息

Arerugi. 1998 Jul;47(7):674-8.

PMID:9780442
Abstract

Theophylline is widely used for treating patients with bronchial asthma. However, since the therapeutic concentration range is narrow, adverse reactions are frequent and often difficult to control, making monitoring of theophylline concentration mandatory for its efficient and safe use. In this study, we employed the AccMeter which allowed us to measure theophylline concentrations quickly and with ease, and compared it with EIA method. AccMeter is a kit which consists of two parts. One part consists of a chromatopaper with antitheophylline mouse monoclonal antibody fixed on it, on which a smaple is applied with enzyme-linked theophylline. The other part consists of a coloring solution. We used a part of arterial blood samples collected for gas analysis as trial samples. Both whole blood and plasma from 50 patients who did or did not receive theophlline were analysed. Plasma portions were also used for measurements by the EIA method. Results from all three measurements were almost identical, and showed good correlation. The time necessary for measurement using AccMeter was about 20 minutes. We consider this method to be useful for clinics due to its simplicity and ease of handling, and the accuracy of the results obtained.

摘要

茶碱被广泛用于治疗支气管哮喘患者。然而,由于其治疗浓度范围较窄,不良反应频繁且往往难以控制,因此为了有效且安全地使用茶碱,监测其浓度是必不可少的。在本研究中,我们使用了AccMeter,它能让我们快速、轻松地测量茶碱浓度,并将其与酶免疫分析(EIA)方法进行比较。AccMeter是一种试剂盒,由两部分组成。一部分是一张固定有抗茶碱小鼠单克隆抗体的层析纸,在上面用酶联茶碱施加样本。另一部分是一种显色溶液。我们将采集用于气体分析的部分动脉血样本用作试验样本。对50名接受或未接受茶碱治疗的患者的全血和血浆进行了分析。血浆部分也用于EIA方法测量。所有三种测量结果几乎相同,且显示出良好的相关性。使用AccMeter进行测量所需的时间约为20分钟。我们认为该方法因其简单易操作以及所得结果的准确性,对临床有用。

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