首页|循环酶法测定血清同型半胱氨酸的临床应用价值观察

循环酶法测定血清同型半胱氨酸的临床应用价值观察

扫码查看
目的 分析循环酶法测定血清同型半胱氨酸(Hcy)的临床应用价值。方法 收集 2021 年 1 月至 2022 年 12月郑州煤炭工业(集团)有限责任公司总医院 78 例心血管疾病患者血清样本,另外收集 78 例接受健康体检的健康人群血清样本。所有血清样本同时采取循环酶法进行检测,对比心血管疾病患者、健康体检的健康人群循环酶法血清同型半胱氨酸检测结果;另外在检测过程中开展抗干扰试验,确定循环酶法测定血清同型半胱氨酸的干扰因素。结果 心血管疾病患者Hcy检测值高于健康体检者,差异有统计学意义(P<0。05);干扰实验表明磷酸二氢钠(NaH2PO4)、氟化钠(NAF)、三酰甘油等大多数内源性物质对血浆Hcy测定无明显干扰,但高浓度血氨可产生负偏差,其中正偏差以谷胱甘肽(浓度=0。50、偏差=+9。3)、L-半胱氨酸(浓度=1。00,偏差=+9。5)干扰最为明显。结论 循环酶法在测定Hcy中具有较高的应用价值。
Clinical Observation of Enzymatic Cycling Methods on the Detection of Serum Homocysteine
Objective To study the applied value of enzymatic cycling methods on the detection of serum homocysteine(Hcy).Methods Collect serum samples from 78 patients with cardiovascular diseases in Zhengzhou Coal Industry(Group)Co.,Ltd.General Hospital,as well as serum samples from 78 healthy individuals undergoing physical examinations.The selection period was from January 2021 to December 2022.All serum samples were tested using the circulating enzyme method simultaneously,and the results of circulating enzyme method serum homocysteine detection were compared between patients with cardiovascular disease and healthy individuals undergoing physical examination;In addition,anti-interference tests were conducted during the detection process to determine the interfering factors for the determination of serum homocysteine using the circulating enzyme method.Results The Hcy detection value of cardiovascular disease patients was higher than that of healthy individuals undergoing physical examination,the difference was statistically significant(P<0.05);Interference experiments have shown that most endogenous substances such as sodium dihydrogen phosphate(NaH2PO4),sodium fluoride(NAF),and triacylglycerol do not significantly interfere with the determination of plasma Hcy.However,high concentrations of blood ammonia can produce negative deviations,with glutathione(concentration=0.50,deviation=+9.3)and L-cysteine(concentration=1.00,deviation=+9.5)interfering the most significantly with positive deviations.Conclusion The circulating enzyme method has high application value in the determination of Hcy.

enzymatic cycling methodsserum homocysteineprecision

曹晓伟

展开 >

郑州煤炭工业(集团)有限责任公司总医院 检验科,河南 郑州 452371

循环酶法 血清同型半胱氨酸 精密度

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
  • 20