不同程度的脂血和黄疸对酶法测定血清钾干扰的分析

    The effects of jaundice discoloration and lipemia of various concentrations on enzymatic method for determing serum potassium

    • 摘要: 目的: 探讨不同程度的脂血及黄疸对酶法测定血清钾结果的影响。方法: 对不同程度的脂血及黄疸标本的血清钾分别采用酶法及离子选择电极(ISE)法进行检测。结果: 当血清甘油三酯(TG)水平>10.0 mmol/L时,有部分标本不能用酶法测定,而当血清TG水平>15.0 mmol/L时,大部分标本不能用酶法测定。酶法与ISE法的相关性良好(r=0.926 6),但测定结果有明显差异(P<0.01)。而黄疸对酶法测定血清钾无明显干扰,两法的相关性良好(r=0.990 3),测定结果也有明显差异(P<0.01)。结论: 黄疸及中度脂血(TG<10.0 mmol/L)对酶法测定血清钾无明显干扰,但酶法不适用于严重脂血标本(TG>10.0 mmol/L)。

       

      Abstract: Objective: To evaluate the effects of jaundice discoloration and lipemia of various concentrations on enzymatic method for determining serum potassium.Methods: Serum potassium concentrations of the lipemic or jaundice samples were assayed based on electryte dependent pyruvate kinase and the results were compared with those obtained by direct ion-selective electrodes(ISE).Results: When serum triglyceride concentration below 10.0 mmo1/L,the potassium results obtained by the two methods were not significant different and in good agreement(r=0.926 6),but when serum triglyceride concentrations above 10 mmol/L,the potassium results get by enzymatic method significantly lowed than those by ISE method,and for some grossly lipemic samples(23/43),enzymatic method get no potassium results.And jaundice discoloration had no effect on enzymatic determination serum potassium concentration,and the two methods had a good correlation(r=0.990 3).Conclusions: Middle(<10.0 mmol/L) not grossly(>.0 mmol/L) lipemia or icterus have no effects on enzymatic method for determination of serum potassium,and the enzymatic method offers a practical alternative to the use of ISE or flame photometry for measuring serum potassium on one clinical chemistry analyzer by spectrophotometry.

       

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