国产迈瑞BS-2000M生化分析仪与罗氏cobas702全自动生化分析仪的比较

Feng-hua Chen, Na Li, Wang Zhang, Qiao-yun Zhang, Yan Wang, Ying-ying Ma, Xiao-ning Li, Jing Bai, Lian-ling Jia, Chen Liu, Hong-ling Ou, Xin-ru Wang
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引用次数: 6

摘要

目的对国产迈瑞BS-2000M生化分析仪进行评价,探讨迈瑞BS-2000M生化分析仪检测的16项试验参数与进口罗氏cobas702全自动生化分析仪检测结果的可比性。方法参照美国临床实验室标准化委员会(NCCLS) EP9-A2文件,采用瑞士罗氏cobas702生化分析仪作为对照系统,迈瑞BS-2000M作为实验系统。同时对40例不同水平患者的16项生化指标进行检测。计算不同医疗决策水平下试验检测系统(Y)和对照检测系统(X)的相关系数(r)、线性回归方程以及绝对偏差(SE)和相对偏差(SE%)。根据美国临床能力检测实验室改进修正案(CLIA’88)允许总误差标准,对不同检测系统的临床可接受性和可比性进行测试。结果两种不同生物检测系统间16个参数的检测结果具有良好的相关性(r2≥0.95,p <0.01)。线性研究表明,各参数均在可接受的线性范围内。16项生化指标在不同医疗决策水平上的相对偏差SE%,除TP在两个水平和TBIL在一个水平的相对偏差大于1/2 clia88允许总误差外,其余指标在其医疗决策水平上的相对偏差或绝对偏差均小于1/2 clia88预定允许总误差,总合格率为93%。所以国产迈瑞BS-2000M生化分析仪在临床上是可以接受的。结论迈瑞BS-2000M具有良好的光度技术和分析性能,可用于现代临床实验室。
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A comparison between China-made Mindray BS-2000M biochemical analyzer and Roche cobas702 automatic biochemical analyzer

Objective

To assess the China-made equipment Mindray BS-2000M biochemical analyzer and explore the comparability between the results of the sixteen test parameters detected by Mindray BS-2000M biochemical analyzer and by imported equipment Roche cobas702 automatic biochemical analyzer.

Methods

In line with the American Clinical Laboratory Standardization Committee (NCCLS) document EP9-A2, Switzerland Roche cobas702 biochemical analyzer was used as a comparison system, while the Mindray BS-2000M served as an experimental system. Sixteen biochemical parameters from forty cases at different levels were tested at the same time. The correlation coefficient(r), linearity regression equation and absolute deviation (SE) and relative deviation (SE%) of test detection system (Y) and control detection system (X) at different medical decision levels were calculated. The clinical acceptability and comparability between different detection systems were tested according to the standard of allowed total error of American Clinical Proficiency Testing Laboratory Improvement Amendments (CLIA'88).

Results

The test results of the sixteen parameters between the two different biological detection systems were well-correlated (r2 ≥0.95, p < 0.01). Linearity study showed acceptable linearity ranges for all the parameters. The relative deviation SE% of sixteen biochemical parameters at different medical decisions levels, excepting relative deviation of TP at two levels and TBIL at one level was greater than 1/2 CLIA 88 allowable total error, while the relative deviation or absolute deviation of the rest of the test parameters at their medical decision levels was less than 1/2CLIA88 predetermined allowable total error, and the total pass rate was 93%, so the China-made equipment Mindray BS-2000M biochemical analyzer may be clinically acceptable.

Conclusion

Mindray BS-2000M has achieved the desirable photometry technical and analytical performance, and can therefore be used in modern clinical laboratories.

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