[新型采血装置采集指尖微量血样与传统静脉血检测血液检测结果的相关性]。

Hajime Iwasawa, Tomoaki Nishimura, Shota Nemotc, Naoki Aikawa, Kiyoaki Watanabe
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摘要

在这项研究中,我们研究了用新研制的采血装置采集的微升指尖血样所获得的生化和血液学测试值与传统静脉血的相关性。80名志愿者参加了这项研究。单次穿刺无名指指尖抽取血样,每次抽取60 μL迅速准确地送入采血芯片。然后将芯片与芯片容器紧密密封,摇晃以混合内容物而不分散。除HbAlc外,其他生化试验均取不含抗凝血剂的血液,离心得到15 μL血清,用生理盐水190 pL稀释后进行测定。对于血液学测试和血红蛋白检测,样品与使用EDTA-2K采集的血液一起检测。结果表明,指尖血与静脉血测定结果具有良好的相关性。TG、T-CHO、HDL-C、LDL-C、GLU、ALT、γ-GTP、UA、BUN和HbAlc的相关系数均为0.97,WBC、RBC、Hgb和Hct的相关系数均≥0.95。这些结果表明,我们的微升尺度血液检测可以与使用静脉血的检测相媲美,并且可能作为一种快速和简单的测试方法,用于确定接近参考区间的基本临床测试。(最初的)。
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[Correlation of the Blood Test Results Obtained Between Assays Using Microliter-Scale Fingertip Blood Samples Collected with a Novel Blood Collection Device and Conventional Venous Blood Assays].

In this study, we investigated the correlations of values of biochemical and hematological tests obtained using microliter-scale fingertip blood samples collected with a newly developed blood collection device with those using conventional venous blood. Eighty volunteer subjects were enrolled in the study. Blood sam- ples were drawn from the fingertip of the ring finger by a single puncture and 60 μL of each sample was promptly and accurately aspirated into a blood collection chip. Then the chip was tightly sealed with chip container and was shaken to mix the contents without dispersing. For biochemical tests except of HbAlc, blood was collected without anticoagulant and centrifuged to obtain 15 μL of serum which was then diluted with 190 pL of physiological saline for the assay. For hematological tests and HbAlc, the sample was as- sayed with blood collected using EDTA-2K. As a result, a good correlation of the test values was obtained between the assay with fingertip blood and that with venous blood. The correlation coefficients were found to be 0.97 in TG, T-CHO, HDL-C, LDL-C, GLU, ALT, γ-GTP, UA, BUN and HbAlc and ≥ 0.95 for WBC, RBC, Hgb, and Hct. These results suggest that our microliter-scale blood testing can be comparable to the assay using venous blood and may be useful as a rapid and simple test for determination of basic clinical tests near the reference intervals. [Original].

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