• Journal of Yeungnam Medical Science
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• 제13권1호
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• pp.110-115
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• 1996

적혈구 침강속도는 전통적인 검사의 하나로서 진단에 있어서는 다소 비특이적인 검사이지만 몇몇 질병의 activity를 평가하고 추적검사에 유용한 것으로 평가되고 있다. Westergren법이 표준화된 검사법으로 인정받고 있으나 보고자에 따라 CV값이 0.8-22.9%로 보고되고 있다. 저자들은 143명의 검체를 대상으로 ESR 자동화 기기인$SEDIsystem^{TM}$ 사용하여 ESR을 측정하고 modified Westergren법, Wintrobe법과 비교하여 임상에 적용될 수 있는지를 검토하였다. $SEDIsystem^{TM}$로 측정한 ESR 결과와 modified Westergren법으로 측정한 ESR 결과사이의 상관식 및 상관계수(r)는 y = 0.863x - 1.69 (r=0.830)이었고, $SEDIsystem^{TM}$로 측정한 ESR 결과와 Wintrobe법으로 측정한 ESR 결과사이의 상관식 및 상관계수(r)는 y = 1. 14x - 14.7 (r=0.789)이었고, 검체의 안정성을 평가하기 위해 시간에 따른 ESR의 반복 측정치는 통계적으로 유의한 차이는 없었다. 위의 결과로 볼 때 $SEDIsystem^{TM}$을 이용한 검사는 기존의 modified Westergren, Wintrobe법들과의 상관성이 높았고 4시간까지 안정된 결과를 보였으며 또한 대량의 검체를 신속하게 보고할 수 있어서 임상 혈액검사실에서 이용하기에 적합하다고 생각된다.

• 대한수의학회지
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• 제36권1호
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• pp.75-82
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• 1996

Erythrocyte sedimentation rate is influenced by plasma protein, red cell itself and physiological conditions and it is clear that the measurement of erythrocyte sedimentation rate varies with technique and various environmental factors. The effect of temperature, angle of test tube, and osmobility with different percent of NaCl solution on erythrocyte sedimentation rate on sheep was determined by modified Westergren method. In sheep, as the angle of Westergren tube was decreased from $90^{\circ}$ to $45^{\circ}$, erythrocyte sedimentation rate was increased in both diluted plasma and NaCl solutions. As temperature was increased from $4^{\circ}C$ to $20^{\circ}C$ at $45^{\circ}$ angle. erythrocyte sedimentation rate was increased. In ruminants, this modified Westergren methods, erythrocyte 1 : plasma 9 instead of erythrocyte 4 : plasma 6(whole blood), enable them to have meanings as dog therefor, using this method, clinical can determine the erythrocyte sedimentation rate of ruminants for diagnosis. Because erythrocyte sedimentation rate was changed according to the angle of Westergren tube, temperature as erythrocyte diluted with NaCl, this study detected that the change of temperature, the angle of Westergren tube could change erythrocyte sedimentation rate by effecting red cell itself. The increase of osmobility owing to change of NaCl percent resulted in the decrease of rapid erythrocyte sedimentation rate. So this fact indicate that deformibility and the change of red cell volume have meaning in the change of erythrocyte sedimentation rate.