AxSYM替代TDXFLX应用于环孢素血药浓度检测的可行性研究  

Feasibility study of replacing TDXFLX by AxSYM in determination of whole blood concentration of ciclosporin

作　　者：王学彬[1] 段慧钧[2] 黄瑾[1] 王卓[1] 

机构地区：[1]第二军医大学长海医院药学部,上海200433 [2]蚌埠医学院药学系,2007级本科生安徽蚌埠233000

出　　处：《药学服务与研究》2011年第4期272-275,共4页Pharmaceutical Care and Research

摘　　要：目的:研究AxSYM与TDXFLX两台仪器测定环孢素(cyclosporin,CsA)血药浓度结果的相关性,评价AxSYM替代TDXFLX用于常规治疗药物监测的可行性。方法:收集第二军医大学长海医院门诊和住院共113例肾移植和造血干细胞移植病人的血样,在同一天内用AxSYM和TDXFLX两种仪器同时测定CsA的血药浓度。以TDXFLX测定值为x,以AxSYM测定值为y,进行相关回归分析,评价其相关性。对测定值x和y进行配对t检验,P<0.05为差异有统计学意义。结果:AxSYM和TDXFLX测定的CsA血药浓度相关性良好,线性方程为y=1.001 9x-6.101 7(n=113,r=0.988 3)。AxSYM测定值比TDXFLX测定值平均低4.76%,有显著性差异(n=113,P<0.05)。结论:AxSYM可以替代TDXFLX用于本院临床CsA的血药浓度检测。Objective：To study the correlation of whole blood concentrations of ciclosporin（CsA） determined by AxSYM and TDXFLX,and evalute the feasibility of replacing TDXFLX with AxSYM.Methods：A total of 113 blood samples from outpatients and inpatients,who had underwent renal transplantation or hematopoietic stem cell transplantation in Changhai Hospital,Second Military Medical University,were determined by AxSYM and TDXFLX monoclonal analyzer simultaneously.Linear regression analyses was performed with TDXFLX results as x-axis and AxSYM results as y-axis to evaluate the correlation.Paired t-test was performed with these data.A P value less than 0.05 was taken as significantly different.Results：There was a good correlation between AxSYM and TDXFLX results.The linear equation was y=1.001 9 x-6.101 7（n=113,r=0.988 3）.The results determined by AxSYM were significantly lower than those by TDXFLX by average 4.76%（n=113,P〈0.05）.Conclusion：AxSYM can replace TDXFLX for routine assay of whole blood CsA concentration in our hospital.

关 键 词：环孢素 治疗药物监测 AXSYM TDXFLX 

分 类 号：R979.5[医药卫生—药品]