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军事院校男性学员尿酸参考区间的建立与验证

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目的 建立适合军事院校男性学员健康体检尿酸的参考区间,并进行验证.方法 对参加健康体检的男性学员1271例作为研究对象,采用贝克曼库尔特的AU-5800全自动生化分析仪及其配套试剂盒进行尿酸检测.对检测结果进行统计学分析并计算建立参考区间,同时选取其他军事院校80例健康体检学员验证该参考区间.结果 数据呈偏态分布,采用非参数方法的百分位数法95%(P2.5~P97.5)计算参考区间为234.0~468.0μmol/L;80例参考体检学员尿酸测定结果有78例在所建立的参考区间范围内,验证通过.结论 建立的参考区间上限、下限均高于行业标准的成人男性参考区间(208.0~428.0μmol/L);建立军校男性学员健康体检尿酸结果的参考区间会避免尿酸结果假性升高给学员造成心理负担或过度医疗,更好地提升学员保健工作的整体效能.
Establishment and Validation of Reference Intervals for Uric Acid in Male Cadets at Military Academies
Objective To establish and validate the reference interval of uric acid for male cadets at military academy during physical examination.Methods 1,271 male cadets who participated in the annual physical examination of a military academy were selected as the study subjects,and were tested for uric acid using Beckman Coulter's AU-5800 automatic biochemical analyzer and its accompanying reagent kits.The test results were statistically analyzed and calculated to establish a reference interval,and 80 cases of healthy cadets in other military schools were selected to validate the developed reference interval.Results The dataset showed a skewed distribution,and the reference interval was calculated as 234.0-468.0μmol/L using the 95%(P2.5-P97.5)percentile method of the nonparametric.The validation of the uric acid measurements of the 80 reference medical examination cadets was considered passed as 78 of them fell within the range of the established reference interval.Conclusion The upper and lower limits of the established reference interval are higher than the reference interval for adult males(208.0-428.0μmol/L)used in our laboratory;The establishment of reference intervals for the uric acid results of male cadets at military academy in physical examination will prevent false elevation of uric acid results from causing psychological burdens or excessive medical treatment to cadets,and enhance the overall efficacy of cadets'health care conditions.

Male cadetsSerum uric acidReference intervalEstablishment and validation

张淑艳、张晖岳、李宁一、李小静、刘杰、郭锦声

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解放军总医院京东医疗区医技保障科,北京 100191

解放军总医院第七医学中心检验科,北京 100700

男性学员 血清尿酸 参考区间 建立与验证

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AWS16J020

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(2)
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