微粒增强免疫比浊法 (PEIT) 与高效液相色谱法 (HPLC) 在糖化血红蛋白 (HbA1c) 分析中的方法比较。

Shabnam Dildar, Sheharbano Imran, Farah Naz
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引用次数: 0

摘要

背景和目的:高效液相色谱(HPLC)技术被认为是 HbA1c 分析的黄金标准,但由于其某些局限性,并非所有实验室都能采用。我们的目的是比较颗粒增强免疫比浊法(PEIT)和高效液相色谱法(HPLC)在 HbA1c 分析中的应用:所有血样均在 Bio-Rad D-10 分析仪上用 HPLC 分析,在 Erba XL-200 分析仪上用 PEIT 分析。进行精密度研究并计算变异系数(%CV)。得出了系统误差(SE)、随机误差(RE)和总误差(TEcalc)。国家糖化血红蛋白标准化计划(NGSP)为 HbA1c 设定的总允许误差(TEa)为 6%。结果:精确度研究结果令人满意,两种技术的变异系数 (%CV) 均小于 4%。HPLC 的平均 HbA1c 水平略高于 PEIT,分别为 9.07 ± 2.23% 和 8.93 ± 2.10%,但差异很小。RE 为 1.41%,TEcalc 为 1.55%,低于 NGSP 设定的 TEa。两种方法具有很强的相关性,相关系数(r)为 0.9716,P 结论:我们的研究表明,PEIT 技术的 HbA1c 分析精确、准确、快速、方便,在诊断和治疗成本成为主要问题的国家,可用作 HPLC 技术的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Method comparison of Particle Enhanced Immunoturbidimetry (PEIT) with High Performance Liquid Chromatography (HPLC) for glycated hemoglobin (HbA1c) analysis.

Method comparison of Particle Enhanced Immunoturbidimetry (PEIT) with High Performance Liquid Chromatography (HPLC) for glycated hemoglobin (HbA1c) analysis.

Method comparison of Particle Enhanced Immunoturbidimetry (PEIT) with High Performance Liquid Chromatography (HPLC) for glycated hemoglobin (HbA1c) analysis.

Background and objective: High Performance Liquid Chromatography (HPLC) technique is considered as a gold standard for HbA1c analysis however all laboratories cannot adopt it due to certain limitations. Our aim was to compare Particle Enhanced Immunoturbidimetry (PEIT) method with High Performance Liquid Chromatography (HPLC) for HbA1c analysis.

Method: All blood samples were analyzed by HPLC assay on a Bio-Rad D-10 analyzer and PEIT on an Erba XL-200 analyzer. Precision studies were undertaken and Coefficient of Variation (%CV) calculated. Systemic Error (SE), Random Error (RE) and Total Error (TEcalc) were obtained. The Total Allowable Error (TEa) set by the National Glycohemoglobin Standardization Program (NGSP) for HbA1c is 6%.The acceptable evaluation method is where TEcalc is less than TEa. RESULTS: The Precision studies were satisfactory with Coefficient of Variation (%CV) being less than 4% for both techniques. Mean HbA1c levels were slightly higher from HPLC than PEIT 9.07 ± 2.23% and 8.93 ± 2.10% respectively, although the difference was minimal. RE was 1.41%, TEcalc was 1.55%, which was less than TEa set by the NGSP. Both methods strongly correlated with the correlation coefficient (r) 0.9716, p < 0.0001.

Conclusion: Our study showed HbA1c analysis by PEIT technique is precise, accurate, rapid and convenient and can be employed as an alternative to HPLC technique in countries where cost is a major problem for diagnosis and treatment.

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来源期刊
自引率
0.00%
发文量
7
审稿时长
8 weeks
期刊介绍: Clinical Diabetes and Endocrinology is an open access journal publishing within the field of diabetes and endocrine disease. The journal aims to provide a widely available resource for people working within the field of diabetes and endocrinology, in order to improve the care of people affected by these conditions. The audience includes, but is not limited to, physicians, researchers, nurses, nutritionists, pharmacists, podiatrists, psychologists, epidemiologists, exercise physiologists and health care researchers. Research articles include patient-based research (clinical trials, clinical studies, and others), translational research (translation of basic science to clinical practice, translation of clinical practice to policy and others), as well as epidemiology and health care research. Clinical articles include case reports, case seminars, consensus statements, clinical practice guidelines and evidence-based medicine. Only articles considered to contribute new knowledge to the field will be considered for publication.
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