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WO2025087377A1 - Method for weakening effect of lipemia on transmission and scattering fusion enhanced immunoturbidimetric assay - Google Patents

Method for weakening effect of lipemia on transmission and scattering fusion enhanced immunoturbidimetric assay Download PDF

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Publication number
WO2025087377A1
WO2025087377A1 PCT/CN2024/127319 CN2024127319W WO2025087377A1 WO 2025087377 A1 WO2025087377 A1 WO 2025087377A1 CN 2024127319 W CN2024127319 W CN 2024127319W WO 2025087377 A1 WO2025087377 A1 WO 2025087377A1
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value
scattering
lipemia
transmission
scatter
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Chinese (zh)
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王钊
刘余
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BYRON DIAGNOSTICS (SHANGHAI) Co Ltd
Hitachi High Tech Corp
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BYRON DIAGNOSTICS (SHANGHAI) Co Ltd
Hitachi High Tech Corp
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/47Scattering, i.e. diffuse reflection
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/59Transmissivity
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/543Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/543Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
    • G01N33/54313Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals the carrier being characterised by its particulate form

Definitions

  • the invention relates to the technical field of through-scattering fusion enhanced immunoturbidimetry detection, in particular to a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetry detection.
  • the reagents for the through-scatter fusion enhanced immunoturbidimetry are usually composed of a reaction buffer solution, marked as R1, a sensitized latex solution marked with the project antibody or antigen, marked as R2, a calibrator of known concentration, and a quality control product.
  • the scattering detection in the through-scatter fusion enhanced immunoturbidimetry inherits all the advantages and disadvantages of the traditional scattering immunoturbidimetry.
  • the defect that the scattering immunoturbidimetry is strongly affected by lipemia during detection is also inherited in the through-scatter fusion enhanced immunoturbidimetry.
  • the scattering results are used in the low-concentration area, so it will be strongly affected by lipemia.
  • the scattered light detection is the scattered light intensity.
  • the scattered light generated by the particles (such as antigen-antibody immune complex) in the solution close to the side of the emitting light source (front end) is blocked by other particles close to the detector side (rear end) and cannot reach the scattered light detector, which will cause the scattered light signal value to decrease. Therefore, turbidimetry usually needs to be carried out in a relatively "dilute” solution, that is, the scattered light generated by the front immune complex will not be blocked or blocked as little as possible by the particles at the back end.
  • lipemia mainly comes from the fat particles in lipemia, which makes the concentration of particles in the tested solution become "thick", resulting in the scattered light signal value generated by the immunoturbidimetric reaction unable to smoothly reach the scattered light detector, resulting in a reduction in the signal value and an underestimated test result.
  • the present invention provides a method for reducing the effect of lipemia on through-scattering fusion enhanced immunoturbidimetric detection to solve the above problem.
  • the present invention provides a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetric detection, which solves the problems mentioned in the above background technology.
  • the present invention is implemented by the following technical scheme: a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetric detection, specifically comprising the following steps:
  • step S3 Compare the value measured in step S1 with the value measured in step S2 to determine whether the nephelometry measurement result needs to be revised.
  • the value measured in step S1 is expressed as R1a
  • the value measured in step S2 is expressed as R1b.
  • the LN value ranges from 0 to LNH (LN upper limit).
  • the revision result is valid.
  • the transmission-scattering fusion zone is a zone where both scattering and transmission can output results normally, that is, an overlapping zone between the lower limit of the transmission technology limit value and the upper limit of the scattering technology limit value.
  • the present invention provides a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetric detection. Compared with the prior art, the method has the following beneficial effects:
  • the method for reducing the influence of lipemia on transmissive fusion enhanced immunoturbidimetric detection is that when performing transmissive fusion enhanced immunoturbidimetric detection, the turbidity of fat particles (not triglyceride or cholesterol concentration) in the lipemia sample is strongly correlated with the transmissive turbidity signal value of the sample added with reagent R1 (reaction buffer), and the correlation is specifically quantified through the transmissive light absorbance value of the sample and R1.
  • LN lipemia R1 transmission turbidity value
  • FIG. 2 is a graph showing the relationship between wavelength and LNH provided by a method of the present invention for reducing the effect of lipemia on through-scattering fusion enhanced immunoturbidimetric detection.
  • the scattering result is directly corrected because the transmission result fluctuates greatly and is unreliable, and the result is not compared with the transmission result; for samples with an initial transmission result of 30-450ng/ml, the above formula is corrected, and the corrected result is compared with the transmission result to verify the reliability of the formula; for samples with a transmission result greater than 450ng/ml, the transmission result is directly reported without correction.
  • Scattering revised value scattering initial measured value + scattering initial measured value * (LN) * correction factor k;
  • Lipemia sample 2 was used up after the 570nm test, and the 660nm and 800nm tests were not completed, so it was not included in the statistics. It can be seen that for some samples with LN greater than 2000, the deviation correction effect of some samples was not good. The samples with LN less than 10000 were diluted 1/5 for re-testing. The extremely serious lipemia sample 45 was diluted 8 times for re-testing. The data are as follows:
  • the revised method performs well for samples in the through-scattering fusion zone and has no effect on the determination of non-lipidemia samples. After the revision, the deviation of lipemia samples is reduced to less than 10% for all samples.
  • the lipemia sample 2 was used up after the 570nm test, and the 660nm and 800nm tests were not completed, so it was not included in the statistics. It can be seen that for some samples with LN greater than 1500 at 660nm, the deviation correction effect of some samples was not good. The samples with LN less than 7500 were diluted 1/5 for re-testing. The extremely serious lipemia sample 45 was diluted 8 times for re-testing. The data are as follows:
  • the revised method performs well for samples in the through-scattering fusion zone and has no effect on the determination of non-lipidemia samples. After the revision, the deviation of lipemia samples is reduced to less than 10% for all samples.
  • the revised method performs well for samples in the through-scattering fusion zone and has no effect on the determination of non-lipidemia samples. After the revision, the deviation of lipemia samples is reduced to less than 10% for all samples.
  • the revised value becomes smaller and the negative deviation increases; as the k value increases, the revised value becomes larger and the positive deviation increases; a suitable k value ensures that as many sample deviations as possible are within 15% or even 10%, minimizing the number of samples that need to be diluted and retested.
  • Scattering revised value scattering initial measured value + scattering initial measured value * (LN) * correction factor k;
  • the optimal k value is in the range of 0.0008-0.00027, following the principle of negative correlation with wavelength.
  • Procalcitonin PCT project 15ul sample, 150ul R1, 75ul R2 (i.e. 1/10 of the sample volume /R1 quantity), transmission wavelength 700nm, scattering angle 20 degrees, 18-34 reading points, the process of establishing a formula suitable for this project to reduce the impact of lipemia is demonstrated on the Hitachi 3500 transmission and scattering all-in-one machine.
  • PCT project transmission and scattering fusion zone the upper limit of the scattering technology limit value is 2000pg/ml, and the lower limit of the transmission technology limit value is 300pg/ml.
  • the range of 300-2000pg/ml is the transmission and scattering fusion zone. Transmission results less than 300pg/ml are unreliable, and scattering results are reported and the formula is revised, but not compared with transmission results. Transmission results greater than 2000pg/ml are reported, and the formula is not revised.
  • Scattering revised value Scattering initial measured value + Scattering initial measured value * (LN) * correction factor k;
  • the closest initial recommended R1b value of 400 and k value of 0.00017 of 660nm were entered at the transmission wavelength of 700nm, and a preliminary revised formula for the scattering output result was established.
  • the formula was then brought into the results of at least 25 selected lipemia samples (selected from the previous lipemia samples in the range of 300-2000pg/ml), as well as 25 non-lipemia samples for comparison analysis. Considering that the PCT project 300-2000pg/ml needs to be inflammatory samples, 15 inflammatory samples and 10 ordinary samples were selected for this type of sample.
  • the formula was revised, the revised deviation was compared with the initial deviation, and the reliability of the initial R1b value and k value was checked.
  • the R1a value is generally high, which is in line with the positive correlation between the R1a value and the sample size/R1 ratio.
  • the R1b value and k value of 660nm were brought in. The deviation was significantly improved after revision, but the negative deviation was still large.
  • Scattering revised value Scattering initial measured value + Scattering initial measured value * (LN) * correction factor k;
  • S2 determine the non-lipidemia turbidity value (i.e., "background") of different samples that do not cause a low scattering measurement after adding the reaction buffer R1, i.e., R1b, such as the absorbance signal value of the sample when adding R1 caused by the sample color, bilirubin, hemolysis, etc.
  • R1b the reaction buffer
  • This value comes from the data summary, among which different parameters such as transmission wavelength, sample volume/R1 volume ratio and other influencing factors have different specific values;
  • step S3 Compare the value measured in step S1 with the value measured in step S2 to determine whether the nephelometry measurement result needs to be revised.
  • LN value output value of selectivity function IF ((R1a-R1b)>0, (R1a-R1b), 0).
  • the following method can be used to accumulate certain data (such as testing a certain amount of hemolysis, jaundice color samples, or turbid samples due to other reasons), debug and obtain a relatively reliable R1b value for the corresponding item, which is negatively correlated with the wavelength and positively correlated with the sample size/R1 ratio.
  • R1b value at a transmission wavelength of 570nm is recommended to be 700
  • the R1b value at a wavelength of 660nm is recommended to be 400
  • the R1b value at a wavelength of 800nm is recommended to be 400.
  • Recommended 150 when the most common sample size/R1 ratio is 1/20, the R1b value at a transmission wavelength of 570nm is recommended to be 700; the R1b value at a wavelength of 660nm is recommended to be 400; the R1b value at a wavelength of 800nm is recommended to be 400. Recommended 150.
  • the wavelength as the X-axis and the recommended R1b value as the Y-axis to create a curve graph, and preliminarily select the R1b value based on the wavelength to debug the above three methods.
  • R1b 500 was selected for the second step of debugging to obtain better results.
  • the value range of LN value is: 0-LNH (LN upper limit).
  • the value is different for different transmission wavelengths and is negatively correlated with the wavelength.
  • the LN range is preferably 0-2000; under the wavelength of 660nm, the LN range is preferably 0-1500; under the wavelength of 800nm, the LN range is preferably 0-800; when it is greater than the upper limit of the range, the computer software can prompt that the range is exceeded, reminding the operator to dilute it to the range for retesting.
  • the dilution ratio is 1/5 (that is, when LN>LNH, the sample is diluted 5 times for measurement, and the reported result is the diluted measurement result multiplied by the dilution multiple of 5).
  • the LN value is greater than 4000, and the dilution multiple needs to be increased so that the LN value after dilution is less than 800 before measurement.
  • the coefficient k is a specific functional relationship value of LN and the low amplitude of the scattering measurement value.
  • the value is different for different projects and different parameters such as transmission wavelength and other influencing factors.
  • a relatively reliable k value for the corresponding project can be obtained through certain data accumulation and debugging.
  • the k value is usually between 0.00008-0.00028; the k value is positively correlated with the wavelength.
  • the k value of the transmission wavelength of 570nm is 0.00012 ⁇ 0.00003; the k value of 660nm wavelength is 0.00017 ⁇ 0.00003; the k value of 800nm wavelength is recommended to be 0.00025 ⁇ 0.00003.
  • the revision result is valid.
  • the transmission-scattering fusion area is a section where both scattering and transmission can output results normally. That is, the overlapping area between the lower limit of the transmission technology limit value and the upper limit of the scattering technology limit value.

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Abstract

The present invention relates to the technical field of transmission and scattering fusion enhanced immunoturbidimetric assays. Disclosed in the present invention is a method for weakening the effect of lipemia on a transmission and scattering fusion enhanced immunoturbidimetric assay. The method specifically comprises the following steps: S1, measuring the mean value of absorbance signal values at a light measurement point in a specific section after a reaction buffer is added to each sample; S2, measuring non-lipemia turbidity values, i.e., backgrounds, of different samples which do not cause a relatively low scattering measurement, after the reaction buffer is added to each sample; and S3, comparing the value measured in step S1 with the values measured in step S2, so as to determine whether a scattering turbidimetric measurement result needs to be revised. In the method for weakening the effect of lipemia on a transmission and scattering fusion enhanced immunoturbidimetric assay, during the transmission and scattering fusion enhanced immunoturbidimetric assay, there is a strong correlation between the turbidity of fat particles of a lipemia sample and a transmission turbidity signal value after a reaction buffer is added to the sample, and the correlation is specifically quantified by means of transmission light absorbance values of the sample and R1.

Description

一种减弱脂血对透散射融合增强免疫比浊检测影响的方法A method to reduce the effect of lipemia on transmissive fusion enhanced immunoturbidimetric detection 技术领域Technical Field

本发明涉及透散射融合增强免疫比浊法检测技术领域,具体为一种减弱脂血对透散射融合增强免疫比浊检测影响的方法。The invention relates to the technical field of through-scattering fusion enhanced immunoturbidimetry detection, in particular to a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetry detection.

背景技术Background Art

透散射融合增强免疫比浊法检测,是2020年新出现的,在原有胶乳免疫比浊法基础上升级而来的新方法学,该方法学实现需要硬件基础和试剂基础两部分。Through-scattering fusion enhanced immunoturbidimetry detection is a new methodology that emerged in 2020. It is an upgrade of the original latex immunoturbidimetry. The implementation of this methodology requires both hardware and reagent foundations.

透散射融合增强免疫比浊法检测试剂通常由反应缓冲液,标记为R1,标记有项目抗体或者抗原的致敏胶乳溶液,标记为R2,已知浓度的定标品以及质控品组成。透散射融合增强免疫比浊法中的散射检测,继承了传统散射免疫比浊检测的所有优缺点。特别的,散射免疫比浊在检测中受到脂血强烈影响的缺陷,也被继承到透散射融合增强免疫比浊法中。透散射融合增强法,低浓度区域使用散射结果,故会受到脂血的强烈影响。商业化的散射比浊检测,从1980年代开始的西门子BN系列再到2006年的贝克曼IMMAGE800,时至今日,散射比浊检测仍旧未能解决脂血影响,只能通过稀释样本等手段减弱其影响。The reagents for the through-scatter fusion enhanced immunoturbidimetry are usually composed of a reaction buffer solution, marked as R1, a sensitized latex solution marked with the project antibody or antigen, marked as R2, a calibrator of known concentration, and a quality control product. The scattering detection in the through-scatter fusion enhanced immunoturbidimetry inherits all the advantages and disadvantages of the traditional scattering immunoturbidimetry. In particular, the defect that the scattering immunoturbidimetry is strongly affected by lipemia during detection is also inherited in the through-scatter fusion enhanced immunoturbidimetry. In the through-scatter fusion enhanced method, the scattering results are used in the low-concentration area, so it will be strongly affected by lipemia. Commercialized scattering turbidimetry detection, from the Siemens BN series in the 1980s to the Beckman IMMAGE800 in 2006, to this day, scattering turbidimetry detection has still not been able to solve the influence of lipemia, and its influence can only be weakened by diluting the sample and other means.

究其原因,通常自动化散射比浊检测都会在反应比色杯中进行,这样导致溶液有一定的“厚度”,散射光检测的是散射光强度,靠近发射光源的一侧(前端)的溶液中颗粒物(如抗原抗体免疫复合物)产生的散射光,被靠近检测器一侧(后端)的其他颗粒物遮挡,无法到达散射光检测器,则会导致散射光信号值减少。故散射比浊通常需要在相对“稀”的溶液中进行,即前端免疫复合物产生的散射光不会或者尽可能少被后端颗粒物遮挡。脂血的影响主要来自脂血中的脂肪颗粒,使得被测溶液中颗粒物浓度变“浓稠”,导致免疫比浊反应产生的散射光信号值无法顺利到达散射光检测器,从而导致信号值减少,检测结果被低估。 The reason is that usually the automated turbidimetric detection is carried out in a reaction cuvette, which results in a certain "thickness" of the solution. The scattered light detection is the scattered light intensity. The scattered light generated by the particles (such as antigen-antibody immune complex) in the solution close to the side of the emitting light source (front end) is blocked by other particles close to the detector side (rear end) and cannot reach the scattered light detector, which will cause the scattered light signal value to decrease. Therefore, turbidimetry usually needs to be carried out in a relatively "dilute" solution, that is, the scattered light generated by the front immune complex will not be blocked or blocked as little as possible by the particles at the back end. The influence of lipemia mainly comes from the fat particles in lipemia, which makes the concentration of particles in the tested solution become "thick", resulting in the scattered light signal value generated by the immunoturbidimetric reaction unable to smoothly reach the scattered light detector, resulting in a reduction in the signal value and an underestimated test result.

传统散射比浊,通过稀释虽然能够将“浓稠”的颗粒物变“稀”减弱这种影响,但反应溶液过稀,抗原抗体免疫反应是难以发生的,特别是对被测物含量较低(低于1000ug/L浓度时)的项目进行检测时,通常需要增加样本量来提升灵敏度,稀释是完全不可取的;同时,不同样本的脂血“浓稠”度不同,越“浓稠”影响越严重,自动化设备不可能一份样本一个稀释度的进行定制化检测,只能统一稀释度的批量操作,所以时至今日传统的自动化散射检测仍旧无法解决脂血影响问题,为此,本发明提供了一种减弱脂血对透散射融合增强免疫比浊检测影响的方法解决上述问题。Traditional scattering turbidimetry can make "thick" particles "thin" by dilution to reduce this effect, but if the reaction solution is too dilute, it is difficult for the antigen-antibody immune reaction to occur, especially when testing items with low content of the analyte (less than 1000ug/L concentration), it is usually necessary to increase the sample volume to improve the sensitivity, and dilution is completely undesirable; at the same time, the "thickness" of lipemia in different samples is different, and the thicker the sample, the more serious the effect. Automated equipment cannot perform customized testing for each sample with a different dilution, and can only perform batch operations with a unified dilution. Therefore, to this day, traditional automated scattering detection still cannot solve the problem of lipemia. To this end, the present invention provides a method for reducing the effect of lipemia on through-scattering fusion enhanced immunoturbidimetric detection to solve the above problem.

发明内容Summary of the invention

(一)解决的技术问题1. Technical issues to be solved

针对现有技术的不足,本发明提供了一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,解决了上述背景技术提到的问题。In view of the deficiencies of the prior art, the present invention provides a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetric detection, which solves the problems mentioned in the above background technology.

(二)技术方案(II) Technical solution

为实现以上目的,本发明通过以下技术方案予以实现:一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,具体包括以下步骤:To achieve the above objectives, the present invention is implemented by the following technical scheme: a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetric detection, specifically comprising the following steps:

S1、测定各样本加入反应缓冲液后的特定区段测光点的吸光度信号值均值;S1, determining the average value of the absorbance signal value at the photometric point in a specific section after each sample is added with the reaction buffer;

S2、测定各样本加入反应缓冲液后不引起散射测定偏低的不同样本非脂血浊度值,即本底;S2, measuring the non-lipidemia turbidity values of different samples that do not cause a low scattering measurement after adding the reaction buffer to each sample, i.e., background;

S3、将步骤S1中测定的值与步骤S2中测定的值进行比较,从而判定是否需要对散射比浊测定结果进行修订。S3. Compare the value measured in step S1 with the value measured in step S2 to determine whether the nephelometry measurement result needs to be revised.

优选的,所述步骤S1中测定的值表达式为R1a,步骤S2中测定的值表达式为R1b。Preferably, the value measured in step S1 is expressed as R1a, and the value measured in step S2 is expressed as R1b.

优选的,所述步骤S3散射比浊测定结果的判定公式为:散射修订值=散射初始测定值+散射初始测定值*(LN值)*修正系数k,其中,LN值=选择性 函数IF((R1a-R1b)>0,(R1a-R1b),0)输出值。Preferably, the determination formula of the nephelometric measurement result in step S3 is: Scattering revised value = Scattering initial measurement value + Scattering initial measurement value * (LN value) * correction coefficient k, wherein LN value = selectivity The function IF((R1a-R1b)>0, (R1a-R1b), 0) outputs a value.

优选的,所述步骤S3散射初始测定值是否需要修正的判定方法为:当R1a大于R1b时,LN=R1a-R1b,即有实质性脂血浊度值时,对散射比浊测定结果进行修正;当样本实际不为脂血,或脂血的颗粒物不足以引起散射测定结果偏低,仅仅是其他因素带来R1a拥有不为零的数值时,此时R1a小于等于R1b,输出结果0,此时不对散射比浊测定结果进行修正。Preferably, the method for determining whether the initial scattering measurement value in step S3 needs to be corrected is: when R1a is greater than R1b, LN=R1a-R1b, that is, when there is a substantial lipemia turbidity value, the scattering turbidimetric measurement result is corrected; when the sample is not actually lipemia, or the particles in the lipemia are not sufficient to cause the scattering measurement result to be low, and only other factors cause R1a to have a non-zero value, then R1a is less than or equal to R1b, and the output result is 0, and the scattering turbidimetric measurement result is not corrected at this time.

优选的,所述LN值的取值范围为:0-LNH(LN高限)。Preferably, the LN value ranges from 0 to LNH (LN upper limit).

优选的,所述散射修订值在以透散射融合区内透射结果的±15%范围内时,修订结果即为有效。Preferably, when the scattering revision value is within the range of ±15% of the transmission result in the transmission-scattering fusion area, the revision result is valid.

优选的,所述透散射融合区为散射和透射均能正常输出结果的区段,即透射技术界限值下限和散射技术界限值上限之间的交叉重叠区域。Preferably, the transmission-scattering fusion zone is a zone where both scattering and transmission can output results normally, that is, an overlapping zone between the lower limit of the transmission technology limit value and the upper limit of the scattering technology limit value.

(三)有益效果(III) Beneficial effects

本发明提供了一种减弱脂血对透散射融合增强免疫比浊检测影响的方法。与现有技术相比,具备以下有益效果:The present invention provides a method for reducing the influence of lipemia on through-scattering fusion enhanced immunoturbidimetric detection. Compared with the prior art, the method has the following beneficial effects:

(1)、该减弱脂血对透散射融合增强免疫比浊检测影响的方法,通过在进行透散射融合增强免疫比浊检测时,脂血样本的脂肪颗粒物(非甘油三酯或者胆固醇浓度)浊度,与样本加入试剂R1(反应缓冲液)中的透射浊度信号值存在强关联性,同时通过样本与R1的透射光吸光度值将关联性具体数值化。(1) The method for reducing the influence of lipemia on transmissive fusion enhanced immunoturbidimetric detection is that when performing transmissive fusion enhanced immunoturbidimetric detection, the turbidity of fat particles (not triglyceride or cholesterol concentration) in the lipemia sample is strongly correlated with the transmissive turbidity signal value of the sample added with reagent R1 (reaction buffer), and the correlation is specifically quantified through the transmissive light absorbance value of the sample and R1.

(2)、该减弱脂血对透散射融合增强免疫比浊检测影响的方法,通过前述脂血脂肪颗粒物导致反应液“稠度”增加从而阻碍散射光到达光检测器的原理,可以推断,脂血R1透射浊度数值(简称LN)在一定范围内和“稠度”是正相关的,在一定范围内LN与散射测定结果低估幅度存在函数关系。通过研究大批脂血样本的检测结果,确定LN在一定范围内,与透散射融合增强法测定输出的散射测定结果低于透射结果的幅度,存在强关联性;同时利用LN 与散射测定结果低估幅度的函数关系,使用一定函数关系(公式)对脂血散射测定结果进行修正;且将修正公式引入到透散射一体分析仪软件系统或者病人结果输出的Lis系统中,可以对最终输出的结果进行修正,从而增强输出结果的可靠性。(2) This method of reducing the influence of lipemia on the detection of through-scattering fusion enhanced immunoturbidimetric testing can be inferred from the principle that the aforementioned lipemia fat particles increase the "thickness" of the reaction solution, thereby hindering the scattered light from reaching the light detector. The lipemia R1 transmission turbidity value (abbreviated as LN) is positively correlated with the "thickness" within a certain range, and there is a functional relationship between LN and the underestimation of the scattering measurement results within a certain range. By studying the test results of a large number of lipemia samples, it was determined that LN is strongly correlated with the magnitude of the scattering measurement results output by the through-scattering fusion enhanced method being lower than the transmission results within a certain range; at the same time, using LN The functional relationship with the underestimation amplitude of the scattering measurement result is used to correct the lipemia scattering measurement result using a certain functional relationship (formula); and the correction formula is introduced into the software system of the integrated scattering analyzer or the Lis system for patient result output, so that the final output result can be corrected, thereby enhancing the reliability of the output result.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本发明一种减弱脂血对透散射融合增强免疫比浊检测影响的方法提供的波长与R1b的关系图;FIG1 is a graph showing the relationship between wavelength and R1b provided by a method of reducing the effect of lipemia on through-scattering fusion enhanced immunoturbidimetric detection according to the present invention;

图2本发明一种减弱脂血对透散射融合增强免疫比浊检测影响的方法提供的波长与LNH的关系图。FIG. 2 is a graph showing the relationship between wavelength and LNH provided by a method of the present invention for reducing the effect of lipemia on through-scattering fusion enhanced immunoturbidimetric detection.

具体实施方式DETAILED DESCRIPTION

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

本发明实施例提供以下技术方案:The embodiment of the present invention provides the following technical solutions:

一、公式验证:1. Formula verification:

在日立3500透散射分析仪器上,铁蛋白FER项目,8ul样本160ul R1,80ul R2,即样本量/R1量=1/20,透射技术界限值下限30ng/ml,散射技术上限450ng/ml,即透散射融合区30-450ng/ml时,在透射波长为570nm、660nm、800nm波长下对上述方法进行该方法验证,使用相同定标品分别定标后,测定脂血样本,溶血样本和黄疸样本,比较散射修订结果与透射结果的差异。0-30ng/ml的样本由于透射结果波动较大不可靠,散射结果直接修正,结果不与透射结果比较;透射初始结果在30-450ng/ml的样本,进行上述公式修正,修正结果与透射结果比较,以验证公式可靠度;透射结果大于450ng/ml的样本,直接报告透射结果,不需要进行修正。 On the Hitachi 3500 transmission scattering analyzer, for the ferritin FER project, 8ul sample, 160ul R1, 80ul R2, that is, sample volume/R1 volume = 1/20, the lower limit of the transmission technology limit value is 30ng/ml, and the upper limit of the scattering technology is 450ng/ml, that is, when the transmission scattering fusion zone is 30-450ng/ml, the above method is verified at the transmission wavelengths of 570nm, 660nm, and 800nm. After calibration with the same calibration product, the lipemia samples, hemolysis samples, and icterus samples are measured to compare the differences between the scattering revision results and the transmission results. For samples with a transmission result of 0-30ng/ml, the scattering result is directly corrected because the transmission result fluctuates greatly and is unreliable, and the result is not compared with the transmission result; for samples with an initial transmission result of 30-450ng/ml, the above formula is corrected, and the corrected result is compared with the transmission result to verify the reliability of the formula; for samples with a transmission result greater than 450ng/ml, the transmission result is directly reported without correction.

修正公式参数:Correction formula parameters:

散射修订值=散射初始测定值+散射初始测定值*(LN)*修正系数k;Scattering revised value = scattering initial measured value + scattering initial measured value * (LN) * correction factor k;

570nm时,R1b=700,k=0.00012;LN=IF((R1a-700)>0,(R1a-700),0);At 570 nm, R1b=700, k=0.00012; LN=IF((R1a-700)>0, (R1a-700), 0);

660nm时,R1b=400,k=0.00017;LN=IF((R1a-400)>0,(R1a-400),0);At 660nm, R1b=400, k=0.00017; LN=IF((R1a-400)>0, (R1a-400), 0);

800nm时,R1b=150,k=0.00025;LN=IF((R1a-150)>0,(R1a-150),0)。





At 800nm, R1b=150, k=0.00025; LN=IF((R1a-150)>0, (R1a-150), 0).





脂血样本2测试完570nm后用完,未完成660nm和800nm测试,不纳入统计。可以看到,对于LN大于2000的部分样本,部分样本偏差修订效果不佳,将LN小于10000的样本1/5稀释复检,极为严重的脂血样本45,稀释8倍复检,数据如下:

Lipemia sample 2 was used up after the 570nm test, and the 660nm and 800nm tests were not completed, so it was not included in the statistics. It can be seen that for some samples with LN greater than 2000, the deviation correction effect of some samples was not good. The samples with LN less than 10000 were diluted 1/5 for re-testing. The extremely serious lipemia sample 45 was diluted 8 times for re-testing. The data are as follows:

可以看到在570nm透射波长下,该修订方法对于透散射融合区的样本表现良好,测定非脂血样本没有影响,脂血样本的偏差通过修订后,所有样本偏差均降低到10%以内。





It can be seen that at a transmission wavelength of 570nm, the revised method performs well for samples in the through-scattering fusion zone and has no effect on the determination of non-lipidemia samples. After the revision, the deviation of lipemia samples is reduced to less than 10% for all samples.





脂血样本2测试完570nm后用完,未完成660nm和800nm测试,不纳入统计,可以看到,660nm下对于LN大于1500的部分样本,部分样本偏差修订效果不佳,将LN小于7500的样本1/5稀释复检,极为严重的脂血样本45,稀释8倍复检,数据如下:





The lipemia sample 2 was used up after the 570nm test, and the 660nm and 800nm tests were not completed, so it was not included in the statistics. It can be seen that for some samples with LN greater than 1500 at 660nm, the deviation correction effect of some samples was not good. The samples with LN less than 7500 were diluted 1/5 for re-testing. The extremely serious lipemia sample 45 was diluted 8 times for re-testing. The data are as follows:





血样本2测试完570nm后用完,未完成660nm和800nm测试,不纳入统计,可以看到,800nm下对于LN大于800的部分样本,部分样本偏差修订效果不佳,将LN小于4000的样本1/5稀释复检,极为严重的脂血样本45,稀释9倍复检,数据如下:

Blood sample 2 was used up after the 570nm test, and the 660nm and 800nm tests were not completed, so it was not included in the statistics. It can be seen that for some samples with LN greater than 800 at 800nm, the deviation correction effect of some samples was not good. The samples with LN less than 4000 were diluted 1/5 for re-testing. The extremely severe lipemia sample 45 was diluted 9 times for re-testing. The data are as follows:

可以看到在660nm透射波长下,该修订方法对于透散射融合区的样本表现良好,测定非脂血样本没有影响,脂血样本的偏差通过修订后,所有样本偏差均降低到10%以内。

It can be seen that at a transmission wavelength of 660nm, the revised method performs well for samples in the through-scattering fusion zone and has no effect on the determination of non-lipidemia samples. After the revision, the deviation of lipemia samples is reduced to less than 10% for all samples.

可以看到在800nm透射波长下,该修订方法对于透散射融合区的样本表现良好,测定非脂血样本没有影响,脂血样本的偏差通过修订后,所有样本偏差均降低到10%以内。It can be seen that at a transmission wavelength of 800nm, the revised method performs well for samples in the through-scattering fusion zone and has no effect on the determination of non-lipidemia samples. After the revision, the deviation of lipemia samples is reduced to less than 10% for all samples.

二、参数k范围验证:2. Parameter k range verification:

选取一中570nm数据,展现k值下限影响,选取800nm数据,展现k值上限影响。Select 570nm data to show the impact of the lower limit of the k value, and select 800nm data to show the impact of the upper limit of the k value.

k值降低,修订值变小,负偏差加剧;k值增加,修订值变大,正偏差加剧;合适的k值保障尽可能多的样本偏差在15%甚至10%以内,尽可能减少需要稀释复检的样本数。As the k value decreases, the revised value becomes smaller and the negative deviation increases; as the k value increases, the revised value becomes larger and the positive deviation increases; a suitable k value ensures that as many sample deviations as possible are within 15% or even 10%, minimizing the number of samples that need to be diluted and retested.

散射修订值=散射初始测定值+散射初始测定值*(LN)*修正系数k;Scattering revised value = scattering initial measured value + scattering initial measured value * (LN) * correction factor k;

570nm时,R1b=700,k=0.00007;LN=IF((R1a-700)>0,(R1a-700),0);At 570 nm, R1b=700, k=0.00007; LN=IF((R1a-700)>0, (R1a-700), 0);

800nm时,R1b=150,k=0.00028;LN=IF((R1a-150)>0,(R1a-150), 0)。



At 800nm, R1b=150, k=0.00028; LN=IF((R1a-150)>0, (R1a-150), 0).



可以看到,570nm时,R1b=700,k=0.00007;LN=IF((R1a-700)>0,(R1a-700),0)时,0-LNH区域内有2例样本(脂血样本60和脂血样本18)偏差超过负10%,较多样本处于负10%边缘,修订结果较为不理想。




It can be seen that at 570nm, R1b=700, k=0.00007; when LN=IF((R1a-700)>0, (R1a-700), 0), there are 2 samples (lipemia sample 60 and lipemia sample 18) in the 0-LNH area with deviations exceeding negative 10%, and more samples are on the edge of negative 10%, and the revision results are not ideal.




可以看到,800nm时,R1b=150,k=0.00028;LN=IF((R1a-150)>0,(R1a-150),0)时,0-LNH区域内虽然部分负偏差较大样本有改善,但有2例样本(脂血样本59和脂血样本19)偏差超过正10%,较多样本处于正10%边缘,修订结果较为不理想。It can be seen that at 800nm, R1b=150, k=0.00028; when LN=IF((R1a-150)>0, (R1a-150), 0), although some samples with large negative deviations in the 0-LNH region have improved, there are 2 samples (lipemia sample 59 and lipemia sample 19) with deviations exceeding positive 10%, and more samples are on the edge of positive 10%, and the revision results are not ideal.

故在570-800nm常用的胶乳比浊波长范围内,较优的k值为0.0008-0.00027范围,遵循波长负相关原则。Therefore, within the commonly used latex turbidity wavelength range of 570-800nm, the optimal k value is in the range of 0.0008-0.00027, following the principle of negative correlation with wavelength.

三、其他项目通用性演示:3. General demonstration of other projects:

降钙素原PCT项目,15ul样本,150ul R1,75ul R2(即1/10的样本量 /R1量),透射波长700nm,散射20度角,18-34读点,在日立3500透散射一体机上演示建立适合该项目的减弱脂血影响公式的过程。Procalcitonin PCT project, 15ul sample, 150ul R1, 75ul R2 (i.e. 1/10 of the sample volume /R1 quantity), transmission wavelength 700nm, scattering angle 20 degrees, 18-34 reading points, the process of establishing a formula suitable for this project to reduce the impact of lipemia is demonstrated on the Hitachi 3500 transmission and scattering all-in-one machine.

PCT项目透散射融合区:散射技术界限值上限为2000pg/ml,透射技术界限值下限为300pg/ml,300-2000pg/ml范围内为透散射融合区;小于300pg/ml透射结果不可靠,报告散射结果,进行公式修订,但不与透射结果比较;大于2000pg/ml报告透射结果,不参与公式修订。PCT project transmission and scattering fusion zone: the upper limit of the scattering technology limit value is 2000pg/ml, and the lower limit of the transmission technology limit value is 300pg/ml. The range of 300-2000pg/ml is the transmission and scattering fusion zone. Transmission results less than 300pg/ml are unreliable, and scattering results are reported and the formula is revised, but not compared with transmission results. Transmission results greater than 2000pg/ml are reported, and the formula is not revised.

模板公式:散射修订值=散射初始测定值+散射初始测定值*(LN)*修正系数k;Template formula: Scattering revised value = Scattering initial measured value + Scattering initial measured value * (LN) * correction factor k;

首先,在“模板公式”基础上,700nm透射波长时代入最接近的660nm初始推荐R1b值400,k值0.00017,建立初步的散射输出结果修订公式,带入到选取的至少25例脂血样本测定结果(挑选前序脂血样本中在300-2000pg/ml范围内的),以及25例非脂血普通其他样本结果对照分析,考虑到PCT项目300-2000pg/ml需要是炎症样本,故此类样本均选择炎症样本15例,普通样本10例。测定上述后进行公式修订,比较修订后偏差与初始偏差,查看初始R1b值,k值可靠性。


First, based on the "template formula", the closest initial recommended R1b value of 400 and k value of 0.00017 of 660nm were entered at the transmission wavelength of 700nm, and a preliminary revised formula for the scattering output result was established. The formula was then brought into the results of at least 25 selected lipemia samples (selected from the previous lipemia samples in the range of 300-2000pg/ml), as well as 25 non-lipemia samples for comparison analysis. Considering that the PCT project 300-2000pg/ml needs to be inflammatory samples, 15 inflammatory samples and 10 ordinary samples were selected for this type of sample. After the above determination, the formula was revised, the revised deviation was compared with the initial deviation, and the reliability of the initial R1b value and k value was checked.


可以看到,700nm,1/10样本量/R1量比值下,R1a值普遍较高,符合R1a值与样本量/R1量比值正相关原理。同时,带入660nm的R1b值和k值,修订后偏差有显著改善,但负偏差还较大,进一步精修参数:根据k与波长正相关原理,增加k值为k=0.00020;R1b值根测试了黄疸和溶血样本后估计 R1b=500较优。



It can be seen that at 700nm, under the ratio of 1/10 sample size/R1, the R1a value is generally high, which is in line with the positive correlation between the R1a value and the sample size/R1 ratio. At the same time, the R1b value and k value of 660nm were brought in. The deviation was significantly improved after revision, but the negative deviation was still large. The parameters were further refined: according to the positive correlation between k and wavelength, the k value was increased to k = 0.00020; the R1b value was estimated after testing the jaundice and hemolysis samples. R1b=500 is more preferred.



可以看到LN大于1300的样本,偏差较多,进行5倍稀释,稀释后测定 结果乘以稀释倍数。
It can be seen that the samples with LN greater than 1300 have more deviations, so they are diluted 5 times and measured after dilution. Multiply the result by the dilution factor.

可以看到PCT项目,通过参数精修优化,在700nm,1/10样本量/R1量比值下,R1b=500,k=0.00020,LN大于1300时进行1/5稀释复测可以获得非常良好的效果。所有样本修订后偏差均小于10%;It can be seen that for the PCT project, through parameter refinement and optimization, very good results can be obtained by retesting with 1/5 dilution at 700nm, 1/10 sample volume/R1 volume ratio, R1b=500, k=0.00020, and LN greater than 1300. The deviation of all samples after revision is less than 10%;

然后对大于40例随机样本进行测试,保证至少20例位于透散射融合区(即300-2000pg/ml)范围内,对在700nm,1/10样本量/R1量比值下,R1b=500,k=0.00020,LN大于1300时进行1/5稀释复测的参数。Then more than 40 random samples were tested to ensure that at least 20 samples were within the through-scatter fusion zone (i.e. 300-2000pg/ml), and the parameters were retested with 1/5 dilution at 700nm, 1/10 sample volume/R1 volume ratio, R1b=500, k=0.00020, and LN greater than 1300.

模板公式:散射修订值=散射初始测定值+散射初始测定值*(LN)*修正系数k;Template formula: Scattering revised value = Scattering initial measured value + Scattering initial measured value * (LN) * correction factor k;

进行验证,结果如下:



Verify and the results are as follows:



请参阅图1-图2,一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,具体包括以下步骤:Please refer to Figures 1 and 2, a method for reducing the effect of lipemia on through-scattering fusion enhanced immunoturbidimetric detection, specifically comprising the following steps:

S1、测定各样本加入反应缓冲液R1后的特定区段测光点的吸光度信号值均值,即R1a;S1, determining the average value of the absorbance signal value at the photometric point in a specific section after each sample is added with the reaction buffer R1, i.e. R1a;

S2、测定各样本加入反应缓冲液R1后不引起散射测定偏低的不同样本非脂血浊度值(即“本底”),即R1b,比如样本颜色、胆红素、溶血等带来的样本加入R1时吸光度信号值,该数值来源于数据总结,其中,不同参数如透射波长,样本量/R1量比值等影响因素,具体数值不同;S2, determine the non-lipidemia turbidity value (i.e., "background") of different samples that do not cause a low scattering measurement after adding the reaction buffer R1, i.e., R1b, such as the absorbance signal value of the sample when adding R1 caused by the sample color, bilirubin, hemolysis, etc. This value comes from the data summary, among which different parameters such as transmission wavelength, sample volume/R1 volume ratio and other influencing factors have different specific values;

S3、将步骤S1中测定的值与步骤S2中测定的值进行比较,从而判定是否需要对散射比浊测定结果进行修订。S3. Compare the value measured in step S1 with the value measured in step S2 to determine whether the nephelometry measurement result needs to be revised.

本发明实施例中,步骤S3散射比浊测定结果的判定公式为:散射修订值=散射初始测定值+散射初始测定值*(LN值)*修正系数k,其中,LN值=选择性函数IF((R1a-R1b)>0,(R1a-R1b),0)输出值。其中,低于透射技术界限值下限,但在散射测定范围内的样本,即直接输出散射结果的区段,无法与透射结果进行比较,默认有效,直接按照该公式进行修订。In the embodiment of the present invention, the determination formula of the scattering turbidimetric measurement result in step S3 is: scattering revised value = scattering initial measurement value + scattering initial measurement value * (LN value) * correction coefficient k, where LN value = output value of selectivity function IF ((R1a-R1b)>0, (R1a-R1b), 0). Among them, samples that are lower than the lower limit of the transmission technology limit value but within the scattering measurement range, that is, the section where the scattering result is directly output, cannot be compared with the transmission result, and are valid by default, and are directly revised according to this formula.

本发明实施例中,步骤S3散射初始测定值是否需要修正的判定方法为:当R1a大于R1b时,LN=R1a-R1b,即有实质性脂血浊度值时,对散射比浊测定结果进行修正;当样本实际不为脂血,或脂血的颗粒物不足以引起散射测定结果偏低,仅仅是其他因素带来R1a拥有不为零的数值时,此时R1a小于等于R1b,输出结果0,此时不对散射比浊测定结果进行修正。可以按照下述方法通过一定的数据积累(如测试一定量溶血,黄疸的颜色样本,或者其他原因的浑浊样本),调试获取对应项目的相对可靠的R1b值,与波长负相关,与样本量/R1比正相关,如最常见的1/20样本量/R1量比时,透射570nm波长下R1b值推荐700;660nm波长下R1b值推荐400;800nm波长下R1b值推 荐150。本领域技术人员在改变波长或样本量/R1量时,按照下述方法进行:相同波长下,R1b值与样本量/R1量比值成正比,比如660nm时,1/20比值时,R1b值为400;1/10比值时,R1b值=(1/10)/(1/20)*400=800;其他波长同理。使用不同波长时,以波长为X轴,推荐R1b值为Y轴,建立曲线图,根据波长初步选择R1b值进行上述三中方法的调试。在推荐R1b值±300范围内,调试最适合其项目的R1b值。如上述三中所述,在700nm,1/10比值下,选择了R1b=500进行第二步调试,获得较优的结果。In the embodiment of the present invention, the method for determining whether the initial scattering measurement value in step S3 needs to be corrected is: when R1a is greater than R1b, LN=R1a-R1b, that is, when there is a substantial lipemia turbidity value, the scattering turbidimetric measurement result is corrected; when the sample is not actually lipemia, or the particles in the lipemia are not enough to cause the scattering measurement result to be low, and only other factors cause R1a to have a non-zero value, then R1a is less than or equal to R1b, and the output result is 0, and the scattering turbidimetric measurement result is not corrected at this time. The following method can be used to accumulate certain data (such as testing a certain amount of hemolysis, jaundice color samples, or turbid samples due to other reasons), debug and obtain a relatively reliable R1b value for the corresponding item, which is negatively correlated with the wavelength and positively correlated with the sample size/R1 ratio. For example, when the most common sample size/R1 ratio is 1/20, the R1b value at a transmission wavelength of 570nm is recommended to be 700; the R1b value at a wavelength of 660nm is recommended to be 400; the R1b value at a wavelength of 800nm is recommended to be 400. Recommended 150. When changing the wavelength or sample size/R1 amount, those skilled in the art follow the following method: at the same wavelength, the R1b value is proportional to the sample size/R1 amount ratio. For example, at 660nm, when the ratio is 1/20, the R1b value is 400; when the ratio is 1/10, the R1b value = (1/10)/(1/20)*400 = 800; the same applies to other wavelengths. When using different wavelengths, use the wavelength as the X-axis and the recommended R1b value as the Y-axis to create a curve graph, and preliminarily select the R1b value based on the wavelength to debug the above three methods. Within the range of ±300 of the recommended R1b value, debug the R1b value that best suits the project. As described in the above three, at 700nm and a ratio of 1/10, R1b = 500 was selected for the second step of debugging to obtain better results.

本发明实施例中,LN值的取值范围为:0-LNH(LN高限)。不同透射波长该数值不同,与波长负相关。透射570nm波长下,LN范围优选为0-2000;660nm波长下,LN范围优选为0-1500;800nm波长下,LN范围优选为0-800;大于该范围上限时,可通过计算机软件提示超范围,提醒操作人员稀释到范围内复测,优选的,稀释比例为1/5(即LN>LNH时,样本稀释5倍测定,报告结果为稀释测定结果乘以稀释倍数5),仅极为罕见的极高值脂血,比如800nm波长下,LN值大于4000的,需要加大稀释倍数,使得稀释后LN值小于800再进行测定,计算方式同样是报告结果=稀释测定结果*稀释倍数。LNH值与波长负相关,以波长为X轴,LNH值为Y轴,建立曲线图如图2。不同波长时,根据实际修改数据在推荐值±20%范围内选择较优的LNH值。如上述三中所述,700nm波长,选择LNH=1300。In the embodiment of the present invention, the value range of LN value is: 0-LNH (LN upper limit). The value is different for different transmission wavelengths and is negatively correlated with the wavelength. Under the transmission wavelength of 570nm, the LN range is preferably 0-2000; under the wavelength of 660nm, the LN range is preferably 0-1500; under the wavelength of 800nm, the LN range is preferably 0-800; when it is greater than the upper limit of the range, the computer software can prompt that the range is exceeded, reminding the operator to dilute it to the range for retesting. Preferably, the dilution ratio is 1/5 (that is, when LN>LNH, the sample is diluted 5 times for measurement, and the reported result is the diluted measurement result multiplied by the dilution multiple of 5). Only extremely rare extremely high-value lipemia, such as 800nm wavelength, the LN value is greater than 4000, and the dilution multiple needs to be increased so that the LN value after dilution is less than 800 before measurement. The calculation method is also reported result = diluted measurement result * dilution multiple. The LNH value is negatively correlated with the wavelength. With the wavelength as the X-axis and the LNH value as the Y-axis, a curve chart is established as shown in Figure 2. For different wavelengths, select a better LNH value within the recommended value ±20% range according to the actual modification data. As described in the above three, for a wavelength of 700nm, select LNH=1300.

其中,系数k为LN与散射测定值偏低幅度的特定函数关系值,不同项目,不同参数如透射波长等影响因素,该数值不同。可以按照上述方法通过一定的数据积累,调试获取对应项目的相对可靠的k值。优选的,胶乳比浊常用的570-800nm波长范围内,通常k数值在0.00008-0.00028之间;k值与波长正相关,优选的,透射570nm波长k值为0.00012±0.00003;660nm波长k值为0.00017±0.00003;800nm波长k值推荐为0.00025±0.00003。Among them, the coefficient k is a specific functional relationship value of LN and the low amplitude of the scattering measurement value. The value is different for different projects and different parameters such as transmission wavelength and other influencing factors. According to the above method, a relatively reliable k value for the corresponding project can be obtained through certain data accumulation and debugging. Preferably, in the wavelength range of 570-800nm commonly used for latex turbidity, the k value is usually between 0.00008-0.00028; the k value is positively correlated with the wavelength. Preferably, the k value of the transmission wavelength of 570nm is 0.00012±0.00003; the k value of 660nm wavelength is 0.00017±0.00003; the k value of 800nm wavelength is recommended to be 0.00025±0.00003.

本发明实施例中,散射修订值在以透散射融合区内透射结果的±15%范围内时,修订结果即为有效。In the embodiment of the present invention, when the scattering revision value is within the range of ±15% of the transmission result in the transmission-scattering fusion area, the revision result is valid.

本发明实施例中,透散射融合区为散射和透射均能正常输出结果的区段, 即透射技术界限值下限和散射技术界限值上限之间的交叉重叠区域。In the embodiment of the present invention, the transmission-scattering fusion area is a section where both scattering and transmission can output results normally. That is, the overlapping area between the lower limit of the transmission technology limit value and the upper limit of the scattering technology limit value.

同时本说明书中未作详细描述的内容均属于本领域技术人员公知的现有技术。Meanwhile, the contents not described in detail in this specification belong to the prior art known to those skilled in the art.

需要说明的是,在本文中,诸如第一和第二等之类的关系术语仅仅用来将一个实体或者操作与另一个实体或操作区分开来,而不一定要求或者暗示这些实体或操作之间存在任何这种实际的关系或者顺序。而且,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。It should be noted that, in this article, relational terms such as first and second, etc. are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any such actual relationship or order between these entities or operations. Moreover, the terms "include", "comprise" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements includes not only those elements, but also other elements not explicitly listed, or also includes elements inherent to such process, method, article or device.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。 Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.

Claims (7)

一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于,具体包括以下步骤:A method for reducing the effect of lipemia on through-scatter fusion enhanced immunoturbidimetric detection, characterized in that it specifically comprises the following steps: S1、测定各样本加入反应缓冲液后的特定区段测光点的吸光度信号值均值;S1, determining the average value of the absorbance signal value at the photometric point in a specific section after each sample is added with the reaction buffer; S2、测定各样本加入反应缓冲液后不引起散射测定偏低的不同样本非脂血浊度值,即本底;S2, measuring the non-lipidemia turbidity values of different samples that do not cause a low scattering measurement after adding the reaction buffer to each sample, i.e., background; S3、将步骤S1中测定的值与步骤S2中测定的值进行比较,从而判定是否需要对散射比浊测定结果进行修订。S3. Compare the value measured in step S1 with the value measured in step S2 to determine whether the nephelometry measurement result needs to be revised. 根据权利要求1所述的一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于:所述步骤S1中测定的值表达式为R1a,步骤S2中测定的值表达式为R1b。According to the method for reducing the influence of lipemia on through-scatter fusion enhanced immunoturbidimetric detection as described in claim 1, it is characterized in that the value measured in step S1 is expressed as R1a, and the value measured in step S2 is expressed as R1b. 根据权利要求1所述的一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于:所述步骤S3散射比浊测定结果的判定公式为:散射修订值=散射初始测定值+散射初始测定值*(LN值)*修正系数k,其中,LN值=选择性函数IF((R1a-R1b)>0,(R1a-R1b),0)输出值。According to the method for reducing the influence of lipemia on the through-scatter fusion enhanced immunoturbidimetric detection according to claim 1, it is characterized in that: the determination formula of the scatter turbidimetric measurement result in step S3 is: scatter revised value = scatter initial measurement value + scatter initial measurement value * (LN value) * correction coefficient k, wherein LN value = output value of selectivity function IF ((R1a-R1b)>0, (R1a-R1b), 0). 根据权利要求3所述的一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于:所述步骤S3散射初始测定值是否需要修正的判定方法为:当R1a大于R1b时,LN=R1a-R1b,即有实质性脂血浊度值时,对散射比浊测定结果进行修正;当样本实际不为脂血,或脂血的颗粒物不足以引起散射测定结果偏低,仅仅是其他因素带来R1a拥有不为零的数值时,此时R1a小于等于R1b,输出结果0,此时不对散射比浊测定结果进行修正。According to the method for reducing the influence of lipemia on through-scatter fusion enhanced immunoturbidimetric detection as described in claim 3, it is characterized in that: the method for determining whether the initial scattering measurement value in step S3 needs to be corrected is: when R1a is greater than R1b, LN=R1a-R1b, that is, when there is a substantial lipemia turbidity value, the scattering turbidimetric measurement result is corrected; when the sample is not actually lipemia, or the particles in the lipemia are not sufficient to cause the scattering measurement result to be low, and only other factors cause R1a to have a non-zero value, at this time R1a is less than or equal to R1b, and the output result is 0, and the scattering turbidimetric measurement result is not corrected at this time. 根据权利要求3所述的一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于:所述LN值的取值范围为:0-LNH(LN高限)。According to claim 3, a method for reducing the influence of lipemia on through-scatter fusion enhanced immunoturbidimetric detection is characterized in that the LN value ranges from 0 to LNH (LN upper limit). 根据权利要求3所述的一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于:所述散射修订值在以透散射融合区内透射结果的 ±15%范围内时,修订结果即为有效。The method for reducing the influence of lipemia on the transmission scatter fusion enhanced immunoturbidimetric detection according to claim 3 is characterized in that: the scatter correction value is based on the transmission result in the transmission scatter fusion area. The revised result is valid within the range of ±15%. 根据权利要求6所述的一种减弱脂血对透散射融合增强免疫比浊检测影响的方法,其特征在于:所述透散射融合区为散射和透射均能正常输出结果的区段,即透射技术界限值下限和散射技术界限值上限之间的交叉重叠区域。 According to claim 6, a method for reducing the influence of lipemia on transmission-scattering fusion-enhanced immunoturbidimetric detection is characterized in that the transmission-scattering fusion area is a section where both scattering and transmission can output results normally, that is, the overlapping area between the lower limit of the transmission technology limit value and the upper limit of the scattering technology limit value.
PCT/CN2024/127319 2023-10-28 2024-10-25 Method for weakening effect of lipemia on transmission and scattering fusion enhanced immunoturbidimetric assay Pending WO2025087377A1 (en)

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