Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
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Experience of Reticulocytes Measurement at 720 nm Using Spectrophotometer

분광광도계를 이용한 720 nm에서 망상적혈구 측정 경험

  • Sung, Hyun-Ho (Department of Clinical Laboratory Science, Dongnam Health University) ;
  • Seok, Dong-In (Department of Clinical Laboratory Science, Dongnam Health University) ;
  • Jung, You-Hyun (Department of Clinical Laboratory Medicine, Dongsuwon General Hospital) ;
  • Kim, Dae-Jung (Department of Clinical Laboratory Science, Dongnam Health University) ;
  • Lee, Seok-Jae (Department of Biomedical Engineering, Seonam University)
  • 성현호 (동남보건대학교 임상병리과) ;
  • 석동인 (동남보건대학교 임상병리과) ;
  • 정유현 (동수원병원 진단검사의학과) ;
  • 김대중 (동남보건대학교 임상병리과) ;
  • 이석재 (서남대학교 의용공학과)
  • Received : 2017.11.08
  • Accepted : 2017.11.13
  • Published : 2017.12.31
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Abstract

Currently, reticulocyte experimental calculation technology used in clinical laboratories are divided two types: manual and automated. Manual reticulocyte counting using a microscopy lacks accuracy due particularly to its low reproducibility, affecting the accuracy of manual reticulocyte count. Moreover, Automatic blood corpuscle analyzer flow cytometry is difficult to be used in underdeveloped countries and small scale laboratories due to relatively high cost. Therefore, this study tried to find a new method to complement these drawbacks. The aim of this study was to compare the stained reticulocytes count by spectrophotometer and also to analyze the statistics of spectrophotometer and flow cytometer. The same 8 EDTA samples were repeated 36 times to compare the agreement between spectrophotometer and flow cytometer. This study measured the specimen diluted 600 times at 700~780 nm by 10 differences. Wavelength between 710 to 730 by absorbance showed a positive correlation between standard data and test data (r=0.967, p<0.01), presenting a correlation between variables. Statistical analyses of regression for test and standard parametric data, the optimal dilution factor was 600 times. Therefore, this study tried to technical utilizes such as contributing economical for the reticulocyte absorbance apply from the auto spectrophotometer, a monitoring system for the reticulocyte relation anemia, etc. Therefore, more extensive studies, including an auto chemical analyzer application, will be needed.

임상 실험실에서의 망상 적혈구 계산은 현재 수동 및 자동으로 구분된다. 현미경에 의한 망상 적혈구 수 검사는 정확성의 결여, 낮은 재현성 등이 망상 적혈구 결과의 정확성에 문제가 있다. 또한, 자동 혈액 분석기의 유동 세포 계측법은 개발 도상국 및 소규모 실험실에서 비용 때문에 사용하기가 어렵다. 따라서 본 연구는 이러한 단점을 보완 할 수 있는 새로운 방법을 찾기 위해 노력했다. 이 연구의 목적은 분광 광도계로 염색 된 망상 적혈구 수를 비교하고 또한 분광 광도계 및 유동 세포 계측기의 통계를 분석하는 것이다. 동일한 8 개의 EDTA 샘플을 36 회 반복하여 분광 광도계와 유동 세포 계측기 사이의 일치도를 비교 하였다. 이 연구는 700~780 nm에서 600 배 희석 한 표본을 10 개의 차이로 측정하였다. 흡광도에 의한 710~730 파장은 표준 및 검사와 양의 상관 관계가 있으며(r=0.967, p<0.01), 변수에 대한 상관 관계를 나타내었다. 결과에 대한 회귀 분석결과 최적 희석 계수는 600 배였다. 따라서 본 연구는 자동 분광 광도계를 이용한 망상 적혈구 흡광도 측정에 대한 경제적인 기여 그리고 망상 적혈구 관련 빈혈에 대한 모니터링 시스템 등에 기여 할 수 있는 기술적 활용을 시도한 것이다. 따라서 더욱 광범위한 연구가 필요할 것으로 사료된다.

Keywords

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