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拉萨地区儿童临床常用生化检验项目参考区间验证

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目的 验证卫生行业标准WS/T780-2021《儿童临床常用生化检验项目参考区间》,判断其是否适用于我实验室所服务的拉萨地区儿童.方法 在拉萨市人民医院体检人群中筛选健康体检儿童,按照参考区间建立时的性别、年龄亚组划分标准,每亚组筛选合格参考个体不少于20名,按WS/T661《静脉血液标本采集指南》采集样本,在迈瑞BS2000全自动生化分析仪上进行生化项目检测,将检测结果与行标参考区间进行比较,并对各检测参数进行年龄性别间差异比较.结果 17~18岁女孩碱性磷酸酶(ALP)符合率为73.6%,未通过验证;其余的各亚组符合率均>90%,通过验证.对各项目年龄组间差异分析,除血清氯(Cl)在年龄组间差异无统计学意义,其余各项目在年龄组间差异均有统计学意义(P<0.05).对相同年龄段性别间差异分析,天门冬氨酸氨基转移酶(AST)13~18岁男女组间差异无统计学意义,无机磷(IP)15~18岁男女组间差异无统计学意义,其余各项目在相同年龄段性别间差异均有统计学意义(P<0.05).结论 《儿童临床常用生化检验项目参考区间》基本适用于拉萨地区儿童,17~18岁女孩碱性磷酸酶参考区间应单独制定;儿童生化检验项目在不同年龄及性别间有较大差异,实验室在引用或建立儿童生化项目参考区间时应重视年龄及性别划分.
A Validation of Reference Intervals of Clinical Biochemistry Tests Commonly Used for Children in Lhasa Area
Objective To validate the industry standard WS/T780-2021"Reference intervals of clinical biochemistry tests commonly used for children"and to determine whether the standard is applicable to children in Lhasa area.Methods Healthy children from Physical examination population in Lhasa People 's Hospital were selected as reference individuals.According to the gender and age classification standards when establishing reference intervals,at least 20 qualified reference individuals were selected for each subgroup.We collected samples according to WS/T661"Guidelines of venous blood specimen collection".The blood samples were detected by MINDRAY BS2000 automatic biochemical analyser.We compared the detection results with the Industry standard reference intervals and also compared test results between different age and gender subgroups.Results The coincidence rate of ALP in girls aged 17-18 was 73.6%.The coincidence rate of other subgroups was over 90%.In age analysis,except for Cl,all other parameters showed age differences (P<0.05).In gender analysis,AST aged 13-18 and IP aged 15-18 was not statistically significant,while all other parameters showed gender differences (P < 0.05 ).Conclusion"Reference intervals of clinical biochemistry tests commonly used for children"is generally applicable to children in Lhasa area.Reference intervals of ALP in girls aged 17-18 should be redefined.There are significant differences in biochemistry tests for children among different ages and genders.Laboratories should pay attention to age and gender division when citing or establishing reference intervals of biochemical testing for children.

Healthindustry standardChildrenBiochemistry testsReference intervals validation

莫智婷、王国洪、陈艳美、赵丽丽

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拉萨市人民医院检验科,西藏 拉萨 850000

北京大学肿瘤医院暨北京市肿瘤防治研究所检验科/恶性肿瘤发病机制及转化研究教育部重点实验室,北京 100142

卫生行业标准 儿童 生化检验 参考区间验证

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XZ202201ZR0030GXZ2021ZR-ZY26Z

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(4)
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