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化学发光法弱阳性质控品的制备及应用评价

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目的 探讨自制弱阳性质控品在室内质控应用中的可行性.方法 收集武汉大学附属爱尔眼科医院传染性 4 项指标[乙型肝炎表面抗原(hepatitis B surface antigen,HBsAg)、丙型肝炎抗体(hepatitis C antibody,HCV-Ab)、梅毒螺旋体特异性抗体(treponema pallidum specific antibody,TP-Ab)、人类免疫缺陷病毒抗原抗体(human immunodeficiency virus antigen antibody,HIV-Ag/Ab)]阳性患者血清,用阴性患者血清分别将以上阳性血清稀释至临界值的 3 倍左右作为自制弱阳性质控品,分装后存放于-20℃冰箱,评价其均一性、复溶4℃稳定性以及-20℃保存4个月稳定性,比较自制弱阳性质控品与原装雅培质控品30 d检测值.结果 HBsAg、HCV-Ab、TP-Ab、HIV-Ag/Ab弱阳性质控品2组间检测结果比较[(0.153±0.009)IU/mL vs.(0.154±0.008)IU/mL,(3.48±0.23)S/CO vs.(3.50±0.19)S/CO,(4.27±0.22)S/CO vs.(4.24±0.18)S/CO,(3.02±0.15)S/CO vs.(3.04±0.16)S/CO],差异无统计学意义(P>0.05),均一性评价通过.自制弱阳性质控品各项目的30 d测定结果与原装质控品基本一致[(0.152±0.007)IU/mL vs.(0.154±0.008)IU/mL,(3.56±0.17)S/CO vs.(3.53±0.21)S/CO,(4.42±0.17)S/CO vs.(4.21±0.20)S/CO,(3.04±0.15)S/CO vs.(2.99±0.15)S/CO],差异均无统计学意义(P>0.05).将复溶后的自制弱阳性质控品存放至 4℃冰箱,连续测定 20 d,各指标质控品的变异系数(CV)均<15%(6.58%、5.95%、5.91%、5.92%).自制弱阳性质控品每个月结果间的差异无统计学意义(P>0.05).结论 医院自制传染性弱阳性质控品均匀性、稳定性良好,-20℃条件保存时,至少可稳定 4 个月,在其稳定期内能替代进口质控品用于室内质量控制.
Preparation and Application Evaluation of Weak Positive Quality Control Products by Chemiluminescence Method
Objective To explore the feasibility of self-made weak positive quality control materials in the application of internal quality control.Methods The serum of patients with positive four infectious indicators[hepatitis B surface antigen(HBsAg),hepatitis C antibody(HCV-Ab),treponema pallidum specific antibody(TP-Ab),human immunodeficiency virus antigen antibody(HIV-Ag/Ab)]in Aier Eye Hospital,Wuhan University was collected.The above positive serum was diluted to about 3 times the critical value with the serum of negative patients as self-made weak positive quality control products,stored in the refrigerator at-20℃ after subpackaging,evaluated its uniformity,stability at thaw 4 ℃ and stability at-20 ℃ storage for 4 months,the 30-day test value of self-made weak positive quality control product was compared with that of original Abbott quality control product.Results The results of HBsAg,HCV-Ab,TP-Ab and HIV-Ag/Ab weakly positive quality control products were compared between the two groups[(0.153±0.009)IU/mL vs.(0.154±0.008)IU/mL,(3.48±0.23)S/CO vs.(3.50±0.19)S/CO,(4.27±0.22)S/CO vs.(4.24±0.18)S/CO,(3.02±0.15)S/CO vs.(3.04±0.16)S/CO],there were no statistical significances(P>0.05),and the homogeneity evaluation was passed.The 30 d test results of the self-made weak positive quality control products are basically consistent with the original quality control products[(0.152±0.007)IU/mL vs.(0.154±0.008)IU/mL,(3.56±0.17)S/CO vs.(3.53±0.21)S/CO,(4.42±0.17)S/CO vs.(4.21±0.20)S/CO,(3.04±0.15)S/CO vs.(2.99±0.15)S/CO],there were no statistical significances(P>0.05).The self-made weakly positive quality control products after remelting were stored in a refrigerator at 4 ℃,and the coefficient of variation(CV)of each index quality control product was<15%(6.58%,5.95%,5.91%,5.92%)for continuous determination for 20 days.There was no statistical significance in the results of self-made weakly positive quality control products(P>0.05).Conclusion Our self-made weakly positive infectious quality control products have good uniformity and stability.When stored at-20 ℃,they can be stable for at least 4 months.During the stable period,they can replace imported quality control products for indoor quality control.

chemiluminescenceinfectious indicatorsself-made quality control productsinternal quality controlhomogeneitystability

肖杰、陈亚琴、韩小玲

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武汉大学附属爱尔眼科医院检验科,湖北 武汉 430060

化学发光 传染性指标 自制质控品 室内质控 均一性 稳定性

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(1)
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