CAJ | 학술논문

目的：评价全自动血沉仪Monitor‐100测定红细胞沉降率（ESR）结果的可靠性和准确性。方法随机选取住院和门诊患者146例，采用自动ESR分析仪Monitor‐100的30 min和1 h及魏氏法测定 ESR ，并对3种方法进行比较并进行重复性检测。结果（1）仪器法30 min、仪器法1 h、魏氏法检测ESR值分别为37．8±34．1、38．1±33．7和36．4±32．9，两两比较其差异均无统计学意义（P＞0．05）。（2）仪器法30 min、仪器法1 h、魏氏法的阳性结果检出率依次为43．2％、44．5％和45．2％，未发现有统计学差异（P＞0．05）。（3）仪器法30 min、仪器法1 h、仪器法30 min与魏氏法、仪器法1 h与魏氏法之间比较，Kapper值依次为0．944、0．875、0．903。（4）重复性检测 CV值均较小，均在可接受范围内。结论全自动ESR分析仪Monitor‐100与魏氏法相比，假阳性率和假阴性率均较低，且一致性、重复性极好，方便快速且安全，应在临床上大量推广。
목적：평개전자동혈침의Monitor‐100측정홍세포침강솔（ESR）결과적가고성화준학성。방법수궤선취주원화문진환자146례，채용자동ESR분석의Monitor‐100적30 min화1 h급위씨법측정 ESR ，병대3충방법진행비교병진행중복성검측。결과（1）의기법30 min、의기법1 h、위씨법검측ESR치분별위37．8±34．1、38．1±33．7화36．4±32．9，량량비교기차이균무통계학의의（P＞0．05）。（2）의기법30 min、의기법1 h、위씨법적양성결과검출솔의차위43．2％、44．5％화45．2％，미발현유통계학차이（P＞0．05）。（3）의기법30 min、의기법1 h、의기법30 min여위씨법、의기법1 h여위씨법지간비교，Kapper치의차위0．944、0．875、0．903。（4）중복성검측 CV치균교소，균재가접수범위내。결론전자동ESR분석의Monitor‐100여위씨법상비，가양성솔화가음성솔균교저，차일치성、중복성겁호，방편쾌속차안전，응재림상상대량추엄。
Objective To evaluate the reliability and accuracy of the fully automated erythrocyte sedimentation rate (ESR) analy‐ser Monitor‐100 for determining ESR .Methods 146 outpatients and inpatinets were selected and detected ESR by the fully automa‐ted ESR analyser 1 h ,30 min and the Westergren method .Then these three kinds of method were compared and the repeatability test was performed .Results (1)The ESR values determined by the analyser 1 h ,analyser 30 min and Westergren method were 37 . 8 ± 34 .1 ,38 .1 ± 33 .7 ,36 .4 ± 32 .9 respectively ,there were no statistical significance between any two methods (P>0 .05) .(2)The detection rates of the positive results by the analyser 1 h ,analyser 30 min and Westergren method were 43 .2% ,44 .5% and 45 .2%respectively ,no statistical difference between them was found (P>0 .05) .(3)The Kapper values between the analyser 30 min with the analyser1h ,between the analyser 30 min with the Westergren method and between the analyzer 1h with the Westergren method were 0 .944 ,0 .875 and 0 .903 .4 respectively .(4)The CV values in the repeatability test were very lower and within the acceptable limits .Conclusion Compared with the Westergren method ,the fully automated ESR analyser Monitor‐100 has lower false positive rate and lower false negative rate ,moreover its consistency and repeatability are excellent ,it is convenient ,fast ,safe and should be largely promoted in clinic .