基础医学与临床 ›› 2013, Vol. 33 ›› Issue (6): 704-707.

• 研究论文 • 上一篇    下一篇

保存温度和时间对糖化血红蛋白A1c样本稳定性的影响

迟书玲1,邱玲1,郝英英1,张麟1,赵芳1,徐二木1,陈雨1,朱广瑾2,3   

  1. 1. 中国医学科学院 北京协和医院
    2. 中国医学科学院基础医学研究所
    3.
  • 收稿日期:2013-03-18 修回日期:2013-04-24 出版日期:2013-06-05 发布日期:2013-05-29
  • 通讯作者: 邱玲 E-mail:pumchlab@163.com
  • 基金资助:
    国家科技部科技基础性专项重点项目

Stability of haemoglobin A1c in different Storage temperature and time

  • Received:2013-03-18 Revised:2013-04-24 Online:2013-06-05 Published:2013-05-29
  • Contact: Ling QIU E-mail:pumchlab@163.com

摘要: 目的 探讨4种保存温度下糖化血红蛋白A1c(HbA1c)样本稳定时间。方法 收集20例HbA1c水平不同的受试者样本,每例样本充分混匀后分装成45管,随机抽取一管样品立即测定,其余样本分组保存在室温(22~25℃)、冷藏(2~8℃)、低温冷冻(≤-20℃)、超低温冷冻(≤-70℃)条件下,并于保存第1、2、3、7、15和20d,第1、2、3和6个月及1年测定。HbA1c检测采用高效液相色谱(HPLC)法。观察4种保存条件下HbA1c平均水平随时间变化率,并采用不同统计方法和判别标准评价样本稳定性。 结果 按偏差小于6%判定,-70℃保存HbA1c可稳定1年;-20℃保存时,低浓度水平可稳定7d,高浓度水平可稳定20d,1年平均下降率为11.2%。室温及冷藏保存均可稳定3d,至第7d HbA1c分别平均下降-9.1%和-7.1%。 结论 本研究为临床检验制定完善的HbA1c标本保存条件提供了依据,同时超低温冷冻保存更适用于开展HbA1c的大规模流行病学研究。

关键词: 糖化血红蛋白A1c, 稳定性

Abstract: Objective To investigate the stability time of HbA1c samples in 4 different storage temperature conditions. Methods 20 samples with different HbA1c levels were collected. Each sample is thoroughly mixed and distributed into 45 parts. In each level group, a random selected sample was measured immediately, and the remaining samples were immediately grouped and stored at room temperature (22 ~ 25℃), refrigerated (2 ~ 8℃), frozen (≤-20℃), cryopreservation (≤-70℃), which were measured at 1,2,3,7,15,20 day and 1,2,3,6 month and 1y respectively. HbA1c levels were detected by HPLC method. The changes of average level of HbA1c versus time with 4 different temperatures were observed and the stability of HbA1c was evaluated by different method or judgment. Results Judge by different less than 6%, HbA1c was stable for 1 year at -70℃; HbA1c in low concentration levels was stable for 7 days at -20℃, while in high concentration levels could be stable for 20 days with 11.2% average annual decline rate. HbA1c at room temperature and refrigerated storage conditions could be stable for 3 days, till 7 days, HbA1c level dropped by average -9.1% and -7.1% respectively. Conclusions This study provides a basis to formulate and improve HbA1c specimens preservation conditions. The Cryopreservation is more favorable for large-scale epidemiological studies of HbA1c.

Key words: HbA1c, Stability