Article(id=1261728988955816451, tenantId=1146029695717560320, journalId=1146119944283992078, issueId=1261728796072358112, articleNumber=null, orderNo=null, doi=null, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1778749232758, onlineDateStr=2026-05-14, pubDate=1774195200000, pubDateStr=2026-03-23, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1778749232758, onlineIssueDateStr=2026-05-14, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1778749232758, creator=13701087609, updateTime=1778749232758, updator=13701087609, issue=Issue{id=1261728796072358112, tenantId=1146029695717560320, journalId=1146119944283992078, year='2026', volume='4', issue='6', pageStart='1', pageEnd='234', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1778749186771, creator=13701087609, updateTime=1778750183088, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1261732975067148479, tenantId=1146029695717560320, journalId=1146119944283992078, issueId=1261728796072358112, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1261732975071342784, tenantId=1146029695717560320, journalId=1146119944283992078, issueId=1261728796072358112, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=152, endPage=155, ext={CN=ArticleExt(id=1261728991929578015, articleId=1261728988955816451, tenantId=1146029695717560320, journalId=1146119944283992078, language=CN, title=黄疸样本对肌酐酶法测定准确性的影响及对策研究, columnId=1152194692738331642, journalTitle=实验室检测, columnName=聚焦话题, runingTitle=null, highlight=null, articleAbstract=
目的

探讨黄疸样本对肌酐酶法测定准确性的干扰作用,并提出针对性校正对策。

方法

从武警浙江总队医院检验与病理科提取2022—2023年住院患者的120份血清样本,依据胆红素浓度分为无黄疸组、低黄疸组(胆红素85~170 μmol/L)、中黄疸组(胆红素171~340 μmol/L)、高黄疸组(胆红素大于340 μmol/L),采用东芝TBA-2000FR全自动生化分析仪及安徽伊普诺康生物技术股份有限公司配套肌酐检测试剂,严格按试剂盒说明书完成肌酐酶法测定操作;设置干扰实验控制温度、反应时间等变量,稀释法、吸附法处理样本后二次测定,运用统计学方法分析不同组别的肌酐测定偏差及处理方式的改善效果。

结果

无黄疸组肌酐测定相对偏差为1.2%,低、中、高黄疸组相对偏差依次升高至5.7%、12.4%、21.6%,偏差值与胆红素浓度成显著正相关(r=0.927,P<0.01);采用活性炭吸附法处理高黄疸样本后,肌酐测定相对偏差降至2.1%,干扰消除效果优于稀释法。

结论

黄疸样本显著干扰肌酐酶法测定结果,干扰程度随胆红素浓度升高而加重,活性炭吸附法可有效降低该干扰,提升测定准确性,为临床黄疸合并肾功能损伤患者的肌酐精准检测提供标准化实验依据,也为临床生化检验中特殊干扰样本的处理提供可借鉴的实践思路。

, correspAuthors=金晓东, authorNote=null, correspAuthorsNote=

*

金晓东,副主任技师,主要研究方向为临床生化和实验室管理。E-mail:
, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=5d8BmaXX/EOG+uKIWNnRIQ==, magXml=NgjlUT7DxhnMtl2zWW2B5g==, pdfUrl=null, pdf=Hbr03ryWc8YSRmvS+UCH2Q==, pdfFileSize=1293114, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=ajQoOP7n3fsHMQIAmMPnrw==, mapNumber=null, authorCompany=null, fund=null, authors=

王磊,检验主管技师,主要研究方向为临床检验技术应用。E-mail:

, authorsList=王磊, 金晓东, 毕艳丽)}, authors=[Author(id=1261729999720166157, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=625869194@qq.com, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={CN=AuthorExt(id=1261730000240259864, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, authorId=1261729999720166157, language=CN, stringName=王磊, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1.空军杭州特勤疗养中心,杭州 310000, bio={"content":"

王磊,检验主管技师,主要研究方向为临床检验技术应用。E-mail:

"}, bioImg=null, bioContent=

王磊,检验主管技师,主要研究方向为临床检验技术应用。E-mail:

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1261729998780642046, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, xref=1., ext=[AuthorCompanyExt(id=1261729998860333825, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, companyId=1261729998780642046, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.空军杭州特勤疗养中心,杭州 310000)])]), Author(id=1261730000689050397, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=13685791890@139.com, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={CN=AuthorExt(id=1261730001980896040, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, authorId=1261730000689050397, language=CN, stringName=金晓东, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, *, address=2.武警浙江总队医院,杭州 310000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1261729999330095877, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, xref=2., ext=[AuthorCompanyExt(id=1261729999338484486, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, companyId=1261729999330095877, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.武警浙江总队医院,杭州 310000)])]), Author(id=1261730003222410028, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={CN=AuthorExt(id=1261730004103213874, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, authorId=1261730003222410028, language=CN, stringName=毕艳丽, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1.空军杭州特勤疗养中心,杭州 310000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1261729998780642046, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, xref=1., ext=[AuthorCompanyExt(id=1261729998860333825, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, companyId=1261729998780642046, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.空军杭州特勤疗养中心,杭州 310000)])])], keywords=[Keyword(id=1261730004862382905, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, language=CN, orderNo=1, keyword=黄疸样本), Keyword(id=1261730005575414593, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, language=CN, orderNo=2, keyword=肌酐酶法), Keyword(id=1261730008096191308, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, language=CN, orderNo=3, keyword=测定准确性), Keyword(id=1261730008649839439, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, language=CN, orderNo=4, keyword=校正对策)], refs=null, funds=null, companyList=[AuthorCompany(id=1261729998780642046, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, xref=1., ext=[AuthorCompanyExt(id=1261729998860333825, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, companyId=1261729998780642046, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.空军杭州特勤疗养中心,杭州 310000)]), AuthorCompany(id=1261729999330095877, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, xref=2., ext=[AuthorCompanyExt(id=1261729999338484486, tenantId=1146029695717560320, journalId=1146119944283992078, articleId=1261728988955816451, companyId=1261729999330095877, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.武警浙江总队医院,杭州 310000)])], figs=null, attaches=null, journal=Journal(id=1146118849029578755, delFlag=0, nameCn=实验室检测, nameEn=Laboratory Testing, nameHistory1=null, nameHistory2=null, issn=2097-261X, eissn=, cn=10-1875/TB, coden=null, periodic=0, language=CN, oaType=是, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=Dmoi7fiemaDGWUxiXPMi1g==, journalPrice=null, startedYear=null, abbrevIsoEn=Lab Test, journalRemark=null, publicationField=null, createdTime=null, updatedTime=1778470330175, createdBy=null, updatedBy=18614031015, firstLetterCn=L, firstLetterEn=L, subjectCode=Engineering, subjectName=工程, subjectCodeEn=Engineering, subjectNameEn=null, picCn=Dmoi7fiemaDGWUxiXPMi1g==, picEn=1VW7aV1haIq706bPcrSXYQ==, jcr=null, cjcr=null, exts=[JournalExt(id=1208043431218225520, language=CN, name=实验室检测, nameHistory1=null, nameHistory2=null, managedBy=国家市场监督管理总局, sponsoredBy=中国检验检测学会, publishedBy=《实验室检测》编辑部, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=《实验室检测》(国内统一刊号: CN 10-1875/TB, 国际标准刊号: ISSN 2097-261X, 半月刊), 创刊于2023年5月, 由国家市场监督管理总局主管, 中国检验检测学会主办, 是一本国内外公开发行, 专注于实验室检测类的学术期刊。现已被《中国学术期刊网络出版总库》(CNKI)、“万方数据 数字化期刊群”等数据库全文收录。主要包括以下栏目: (1) 聚焦话题;(2) 热点解读;(3) 合规咨讯;(4) 研究前沿;(5) 创新应用;(6) 评价与分析;(7) 科创平台;(8) 标准推广, submitArticleUrl=null, websiteUrl=, createdTime=1765949598364, updatedTime=1765949598364, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=, submissionEditorUrl=, submissionReviewUrl=, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1208043431264362865, language=EN, name=Laboratory Testing, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1765949598375, updatedTime=1765949598375, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=, submissionEditorUrl=, submissionReviewUrl=, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1146119944283992078, websiteList=[Website(id=1148243202374623651, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1146119944283992078, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/sysjc/CN, language=CN, createTime=1751692112773, createBy=18614031015, updateTime=1753520557560, updateBy=18614031015, name=实验室检测-中文站点, tplId=1146099689490845704, title=实验室检测, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1155912534570950828, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1148243202374623651, code=articleTextType, value=kx, createTime=1753520624058, updateTime=1753520624058, creator=18614031015, updator=18614031015), WebsiteProps(id=1155912534554173609, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1148243202374623651, code=banner, value=null, createTime=1753520624054, updateTime=1753520624054, creator=18614031015, updator=18614031015), WebsiteProps(id=1155912534545785000, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1148243202374623651, code=logo, value=https://castjournals.cast.org.cn/joweb/kjdb/CN/file/pic?fileId=gxmh/wpj2QaxtghYq950Aw==, createTime=1753520624052, updateTime=1753520624052, creator=18614031015, updator=18614031015), WebsiteProps(id=1155912534562562219, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1148243202374623651, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/kjdb/CN/file/pic, createTime=1753520624056, updateTime=1753520624056, creator=18614031015, updator=18614031015), WebsiteProps(id=1155912534558367914, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1148243202374623651, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1753520624055, updateTime=1753520624055, creator=18614031015, updator=18614031015)])], journalTitle=实验室检测, weixinUrl=null, journalUrl=null, iacademicId=null, status=1, seqNo=null, journalTitleEn=Laboratory Testing, journalPhotoCn=Dmoi7fiemaDGWUxiXPMi1g==, journalPhotoEn=1VW7aV1haIq706bPcrSXYQ==, journalFirstLetter=L, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false), detailUrlCn=https://castjournals.cast.org.cn/joweb/sysjc/CN/Y2026/V4/I6/152, detailUrlEn=/Y2026/V4/I6/152, pdfUrlCn=https://castjournals.cast.org.cn/joweb/sysjc/CN/PDF/Y2026/V4/I6/152, pdfUrlEn=/PDF/Y2026/V4/I6/152, aliStartDate=null, aliEndDate=null, collectionFlag=false, citedCount=null, citedUrl=null, reference=null)
收藏切换
黄疸样本对肌酐酶法测定准确性的影响及对策研究
收藏切换
PDF下载
王磊 1 , 金晓东 2, * , 毕艳丽 1
实验室检测 | 聚焦话题 2026,4(6): 152-155
收起
收藏切换
实验室检测 | 聚焦话题 2026, 4(6): 152-155
黄疸样本对肌酐酶法测定准确性的影响及对策研究
全屏
王磊1 , 金晓东2, * , 毕艳丽1
作者信息
  • 1.空军杭州特勤疗养中心,杭州 310000
  • 2.武警浙江总队医院,杭州 310000
  • 王磊,检验主管技师,主要研究方向为临床检验技术应用。E-mail:

通讯作者:

*

金晓东,副主任技师,主要研究方向为临床生化和实验室管理。E-mail:
Affiliations
出版时间: 2026-03-23
文章导航
收藏切换
目的

探讨黄疸样本对肌酐酶法测定准确性的干扰作用,并提出针对性校正对策。

方法

从武警浙江总队医院检验与病理科提取2022—2023年住院患者的120份血清样本,依据胆红素浓度分为无黄疸组、低黄疸组(胆红素85~170 μmol/L)、中黄疸组(胆红素171~340 μmol/L)、高黄疸组(胆红素大于340 μmol/L),采用东芝TBA-2000FR全自动生化分析仪及安徽伊普诺康生物技术股份有限公司配套肌酐检测试剂,严格按试剂盒说明书完成肌酐酶法测定操作;设置干扰实验控制温度、反应时间等变量,稀释法、吸附法处理样本后二次测定,运用统计学方法分析不同组别的肌酐测定偏差及处理方式的改善效果。

结果

无黄疸组肌酐测定相对偏差为1.2%,低、中、高黄疸组相对偏差依次升高至5.7%、12.4%、21.6%,偏差值与胆红素浓度成显著正相关(r=0.927,P<0.01);采用活性炭吸附法处理高黄疸样本后,肌酐测定相对偏差降至2.1%,干扰消除效果优于稀释法。

结论

黄疸样本显著干扰肌酐酶法测定结果,干扰程度随胆红素浓度升高而加重,活性炭吸附法可有效降低该干扰,提升测定准确性,为临床黄疸合并肾功能损伤患者的肌酐精准检测提供标准化实验依据,也为临床生化检验中特殊干扰样本的处理提供可借鉴的实践思路。

黄疸样本  /  肌酐酶法  /  测定准确性  /  校正对策
王磊, 金晓东, 毕艳丽. 黄疸样本对肌酐酶法测定准确性的影响及对策研究. 实验室检测, 2026 , 4 (6) : 152 -155 .
2026年第4卷第6期
PDF下载
9
2
引用本文
BibTeX
文章信息
  • 首发时间:2026-05-14
  • 出版时间:2026-03-23
补充材料
相关文章
文章信息
作者
出版历史
基金
作者信息
    1.空军杭州特勤疗养中心,杭州 310000
    2.武警浙江总队医院,杭州 310000

通讯作者:

*

金晓东,副主任技师,主要研究方向为临床生化和实验室管理。E-mail:
参考文献
分享链接
https://castjournals.cast.org.cn/joweb/sysjc/CN/1261728988955816451
分享至
全文二维码

扫描看全文

引用本文
BibTeX
本文的引用情况
2种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏