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全自动生化分析仪检测AAT、AAG的性能评价和准确性研究

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目的 评价贝克曼AU5800全自动生化分析仪检测重庆某公司α1-抗胰蛋白酶(α-1-antitrypsin,a-1-AT,AAT)、α1-酸性糖蛋白(α1-acid glycoprotein,α1-GP,AAG)试剂的分析性能,及其是否符合厂家声明并满足临床需求.方法 参考医学检验执行的国家卫生行业标准《临床检验定量测定项目精密度与准确度性能验证》(WS/T492-2016)、《临床化学定量检验程序验证指南》以及CLSI EP5A定量测量方法的精密度性能评价,以AAT、AAG水平测定作为指标,分析并验证贝克曼AU5800全自动生化分析仪的性能,对测量结果的正确度、精密度、线性范围、可报告范围、参考区间等性能进行验证,并将其验证结果与厂商声明的性能和中华人民共和国卫生行业标准进行比较.结果 正确度验证:AAT、AAG各3份厂家赋值的样本结果偏倚均<10%.精密度验证:AAT两个水平的批内精密度分别为2.59%,1.72%,两个水平的批间精密度分别为3.03%、3.14%.AAG两个水平的批内精密度分别为4.82%,5.78%,两个水平的批间精密度分别为5.24%、5.37%,均小于行业评价标准,批内精密度8.00%,批间精密度15.00%.线性范围验证:AAT浓度在20~379mg/dl间为线性区间,AAG浓度在20~240mg/dl间为线性区间.AAT可报告范围上限为798.66mg/dl,AAG可报告范围上限为1125.2mg/dl,且厂家提供的生物参考区间可以接受.结论 AAT、AAG试剂在贝克曼AU5800全自动生化分析仪上检测的正确度、精密度、线性范围、可报告范围、参考区间等性能均符合要求,主要分析性能达到了厂商声明的性能和有关的质量要求,可满足临床需要.
Performance evaluation and accuracy testing of a fully automated biochemical analyzer for AAT and AAG detection
Objective To evaluate the analytical performance of Beckman AU5800 automatic biochemical analyzer in detectingα1-antitrypsin(AAT)and α1-acidic glycoprotein(AAG)reagents of a company in Chongqing,and whether the reagents meet the manufacturer's declaration and clinical requirements.Methods With reference to the national health industry standard for medical testing,"Performance Verification of Precision and Accuracy of Quantitative Measurement Items in Clinical Testing"(WS/T492-2016),"Guidelines for the Verification of Quantitative Testing Procedures in Clinical Chemistry",and the precision performance evaluation of the quantitative measurement method of CLSI EP5A,and with the determination of the level of AAT and AAG as the indexes,the performance of the Beckman AU5800 automatic biochemistry analyzer was analyzed and verified.The performance of Beckman AU5800 Automatic Biochemistry Analyzer was analyzed and verified by using AAT and AAG levels as the indicators,and the performance of the measurement results was verified in terms of correctness,precision,linear range,reportable range,reference interval,etc.,and the results of the verification were compared with the performance of the manufacturer's declaration and the standards of the People's Republic of China's health industry.Results Correctness verification:The bias of 3 samples assigned by AAT and AAG is<10%.Precision verification:The intra-lot precision of the two AAT levels was 2.59%and 1.72%,and the inter-lot precision of the two AAT levels was 3.03%and 3.14%,respectively.The intra-lot precision of the two AAG levels was 4.82%and 5.78%,and the inter-lot precision of the two AAG levels was 5.24%and 5.37%,respectively,which were both lower than the industry evaluation standard,intra-lot precision of 8.00%and inter-lot precision of 15.00%.Linear range verification:AAT concentration is a linear interval between 20 and 379mg/dl,and AAG concentration is a linear interval between 20 and 240mg/dl.The upper reportable range of AAT was 798.66mg/dl,and the upper reportable range of AAG was 1125.2mg/dl,and the biological reference interval provided by the manufacturer was acceptable.Conclusion The correctness,precision,linear range,reportable range and reference interval of AAT and AAG reagents on Beckman AU5800 automatic biochemistry analyzer meet the requirements,and the main analytical performance meets the performance declared by the manufacturer and the relevant quality requirements,which can meet the clinical needs.

Automatic biochemical analyzerPerformance evaluationAATAAG

覃晓虹、陆婷婷、陈文艳

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中国人民解放军联勤保障部队第九二三医院检验科,南宁 530021

全自动生化分析仪 性能评价 α1-抗胰蛋白酶 α1-酸性糖蛋白

广西壮族自治区卫生健康委员会自筹经费科研课题广西壮族自治区卫生健康委员会自筹经费科研课题

Z-A20231049Z-A20231046

2024

现代仪器与医疗
中国科学器材公司

现代仪器与医疗

影响因子:1.47
ISSN:2095-5200
年,卷(期):2024.30(2)
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