依照ELISA試劑盒說(shuō)明書(shū)請(qǐng)求用處
<p class="MsoNormal"><strong><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;">ELISA<font face="宋體">試劑盒</font></span></strong><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">檢查試劑每次實(shí)驗(yàn)、每塊扳上都要設(shè)置以下</font><font face="Calibri">3</font><font face="宋體">項(xiàng)對(duì)照和用處:</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;">1<font face="宋體">.空白對(duì)照:僅用稀釋液替代檢查樣本、</font><font face="Calibri">ELISA</font><font face="宋體">試劑盒用來(lái)觀察終究反響的顯色“本底</font><font face="Calibri">"</font><font face="宋體">、</font><font face="Calibri">ELISA</font><font face="宋體">試劑盒并用于酶標(biāo)儀消除、扣減“本底</font><font face="Calibri">"</font><font face="宋體">,也即是說(shuō):以本底為“零</font><font face="Calibri">"</font><font face="宋體">讀取陽(yáng)性、陰性對(duì)照孔和樣本檢查孔的吸光值(</font><font face="Calibri">A</font><font face="宋體">);或許,在核算陰性對(duì)照均值(</font><font face="Calibri">NCx</font><font face="宋體">)、陽(yáng)性對(duì)照均值(</font><font face="Calibri">PCx</font><font face="宋體">)、樣本讀數(shù)的</font><font face="Calibri">S/C.O.</font><font face="宋體">值時(shí)減去空白對(duì)照的本底吸光值。</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">前期的酶標(biāo)儀沒(méi)有主動(dòng)扣減空白對(duì)照孔讀數(shù)的功用,</font>ELISA<font face="宋體">試劑盒這種酶標(biāo)儀現(xiàn)在現(xiàn)已被篩選了,寫(xiě)上這段話的意圖是彌補(bǔ)說(shuō)明設(shè)置空白對(duì)照的用處。空白孔詳細(xì)怎么讀取讀數(shù),應(yīng)當(dāng)依照說(shuō)明書(shū)操作。</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;">2<font face="宋體">.陰性對(duì)照:</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">(</font>1<font face="宋體">) </font><strong><font face="Calibri">ELISA</font><font face="宋體">試劑盒</font></strong><font face="宋體">陰性對(duì)照的意義與請(qǐng)求:</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;">ELISA<font face="宋體">試劑盒所謂陰性對(duì)照,是本次檢查實(shí)驗(yàn)中選用與待檢查物(樣品、人用試劑即是人的血清等)具有同源性和同質(zhì)性,又不富含待檢物質(zhì),而且可以客觀比照和區(qū)分處理要素(血清免疫學(xué)實(shí)驗(yàn)中有特異性抗原與抗體反響)之間的區(qū)別。</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">因而,用動(dòng)物血清或其成品替代陰性人血清作為對(duì)照品,無(wú)論是從理論仍是實(shí)踐上都是不可取的。留意:據(jù)我所知,國(guó)產(chǎn)</font>ELISA<font face="宋體">試劑盒中,有的廠家是用動(dòng)物血清成品稀釋裝備或與有些人血清混合裝備的;陰性對(duì)照讀數(shù),并不是“越低越好</font><font face="Calibri">"</font><font face="宋體">。</font><font face="Calibri">NCx</font><font face="宋體">值挨近</font><font face="Calibri">0.00X</font><font face="宋體">水平,這是假象!</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">試想一下,真實(shí)選用</font>“陰性人血清<font face="Calibri">"</font><font face="宋體">的陰性對(duì)照品,</font><font face="Calibri">NCx</font><font face="宋體">值會(huì)如此之低嗎?例如,雅培乙肝六項(xiàng)</font><font face="Calibri">ELISA</font><font face="宋體">試劑盒的</font><font face="Calibri">NCx</font><font face="宋體">值,分別為:</font><font face="Calibri">0.010</font><font face="宋體">(</font><font face="Calibri">HBsAg</font><font face="宋體">)、</font><font face="Calibri">0.027</font><font face="宋體">(抗—</font><font face="Calibri">HBs</font><font face="宋體">)、</font><font face="Calibri">0.035</font><font face="宋體">(</font><font face="Calibri">HBeAg</font><font face="宋體">)、</font><font face="Calibri">1.083</font><font face="宋體">(抗—</font><font face="Calibri">HBe</font><font face="宋體">)、</font><font face="Calibri">1.065</font><font face="宋體">(抗—</font><font face="Calibri">HBc</font><font face="宋體">)、</font><font face="Calibri">0.045</font><font face="宋體">(抗</font><font face="Calibri">HBc-IgM</font><font face="宋體">)。</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">生物梅里埃的</font>HIV<font face="宋體">試劑</font><font face="Calibri">NCx</font><font face="宋體">是</font><font face="Calibri">0.091</font><font face="宋體">。區(qū)分試劑</font><font face="Calibri">NCx</font><font face="宋體">值是不是合理的一個(gè)很簡(jiǎn)單的辦法,只需比照大量陰性樣本的實(shí)際讀數(shù)就“一目了然</font><font face="Calibri">"</font><font face="宋體">啦!</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">(</font>2<font face="宋體">)陰性對(duì)照分為兩類</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"> ELISA<font face="宋體">試劑盒一是受檢人血清中并不富含或辦法學(xué)靈敏度未能檢出的待檢物的基準(zhǔn)水平,而且結(jié)果判斷值(</font><font face="Calibri">Cut off</font><font face="宋體">)核算式中決議“是</font><font face="Calibri">"</font><font face="宋體">(陽(yáng)性)、或“否</font><font face="Calibri">"</font><font face="宋體">(陰性)的僅有可變值。陰性對(duì)照值高,致使假陰性;反之,</font><font face="Calibri">ELISA</font><font face="宋體">試劑盒致使假陽(yáng)性。</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">二是陰性對(duì)照設(shè)置,在辦法學(xué)上請(qǐng)求參加指示性定量規(guī)范品,</font>ELISA<font face="宋體">試劑盒如中和劑</font><font face="Calibri">HBeAg</font><font face="宋體">,定量</font><font face="Calibri">HBcAg</font><font face="宋體">等,用以檢查抗—</font><font face="Calibri">HBe</font><font face="宋體">、抗—</font><font face="Calibri">HBc</font><font face="宋體">。或許,選擇代表平均水平的正常人血清用作陰性對(duì)照,</font><font face="Calibri">ELISA</font><font face="宋體">試劑盒如檢查抗—</font><font face="Calibri">HBc IgM</font><font face="宋體">。此類</font><font face="Calibri">Cut off </font><font face="宋體">值核算時(shí),大都均包含陰性和陽(yáng)性對(duì)照值</font><font face="Calibri">2</font><font face="宋體">個(gè)可變值。</font></span><span style="mso-spacerun:'yes';font-family:宋體;mso-ascii-font-family:Calibri;mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:9.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p>