中國衛(wèi)生檢驗(yàn)雜志2008年1月第18卷第1期 Chinese Joumal of Health Laboratory Technology,Jan2008;l18No1【論著】改良乙醇脫氫酶法測定血清中微量乙醇胡云良2,王慧燕1,張立2,李艷霞3,王友沛,王賢理(1.溫州醫(yī)學(xué)院附屬第二醫(yī)院檢驗(yàn)科浙江溫州325027;2.溫州醫(yī)學(xué)院檢驗(yàn)醫(yī)學(xué)院浙江溫州3250353.溫州醫(yī)學(xué)院藥學(xué)院浙江溫州325035;4.浙江省蒼南縣人民醫(yī)院浙江蒼南3258005.溫州伊利康生物技術(shù)有限公司,浙江溫州325011)[摘要]目的建立一個(gè)簡便靈敏特異試劑穩(wěn)定的乙醇脫氫酶法檢測血清中微量乙醇濃度。方法選擇Tis-HC緩沖液作為乙醇脫氫酶法測定乙醇的反應(yīng)條件通過優(yōu)化反應(yīng)體系及自動(dòng)生化分析儀分析參數(shù)采用兩點(diǎn)終點(diǎn)法對乙醇進(jìn)行檢測并評價(jià)了方法學(xué)性能。結(jié)果乙醇脫氫酶(ADH)最適用量為1.2g/L,氧化型輔酶I(NAD·)最適濃度為9g/L。線性范圍可達(dá)1200mg/L,批內(nèi)變異系數(shù)(CV)小于28%,批間變異系數(shù)(Cv)小于3.9%,平均回收率為9.8%。本法(Y與氣相色譜法(X)比較,具有良好的相關(guān)性,Y=0.993x-9.76,r=0.998。膽紅素159.1umoL、甘油三酯7.4mmo/L、血紅蛋白11.6g/L、乙醛0.3g/L、異丙醇0.2g/L、甲醇0.7g/L、甲醛0.6g/L以下對本法測定乙醇結(jié)果無明顯干擾。結(jié)論:本法測定血清中乙醇無需除蛋白,具有快速、簡便、靈敏特異等優(yōu)點(diǎn)適合于自動(dòng)生化分析儀檢測。[關(guān)鍵詞]乙醇;乙醇脫氫酶法;兩點(diǎn)終點(diǎn)法;自動(dòng)生化分析[中圖分類號]R446.1文獻(xiàn)標(biāo)識碼]B[文章編號]1004-8685(2008)01-0047-03An improved method for determination of a small quantity of alcohol in serum with thealcohol dehydrogenaseHu Yun-liang", Wang Hui- yan, Zhang Li, Li Yan-xia, Wang You-pei, Wang Xian-li(1. Department of Laboratory Medicine of the Second Affiliated Hospital, Wenzhou Medical College, Wenzhou 325027, China;2. School of Laboratory Medicine, Wenzhou Medical College, Wenzhou 325027, China; 3. School of Pharmacy, Wenzhou MedicalCollege, Wenzhou 325027, China; 4. The People's Hospital of Cangnan, Cangnan 325800, China; 5. Yilikang BiotechnologyCo Ltd, Wenzhou 325011, China)Abstract] Objective: To establish a simple, sensitive, specific method of determination of alcohol in serum with stable rea-gents by catalysis of alcohol dehydrogenase. Methods: Tris-HCI buffer was used in this study. In the condition of alkalescencealcohol dehydrogenase(ADH)catalyzed the substance of alcohol to acetaldehyde, with the simultaneous production of deoxidizednicotinamide adenine dinucleotide(NADH). To analyze alcohol by two point end assay after optimizing reaction system and assayparameter of automatic analyzer. Results: The most adaptive quantity of ADH was 1. 2 g/L, and the best concentration of theNAD.*was g/L The linearity was up to 1200 mg/L The within run CV was lower than 2. 8% and the between run CV was lowerthan3.9%.Theaveragerecoverywas99.8%.comparingthismethod(y)withgaschromatography(x),theregressionequationwas obtained, Y=0.993X-9.76, r=0.998. The assays showed no interference from as much as 159. 1 umoV/L of bilirubin7.4 mmol/L of triglyceride, 11.6 g/L of hemoglobin, 0. 3 g/L of acetaldehyde, 0. 2 g/L of isopropanol, 0.7 g/L of methanoland 0.6 g/L of maldehyde. Conclusion: The method established for determining alcohol in serum is a rapid, simple, sensitive, spe-without being deproteinized. It is suiKey words] Alcohol; Alcohol dehydrogenase Two point end assay; Automatic analysis體液中乙醇含量測定是酒精中毒的重要判斷依據(jù),通過量衰竭技術(shù)及氣相色譜法等。其中氣相色譜法是測定乙醇的對攝入酒精后血中乙醇含量的測定,可方便迅速地監(jiān)測和研參考方法,具有較高的靈敏度與特異性,但設(shè)備昂貴操作復(fù)究乙醇在體內(nèi)的代謝過程,從而為預(yù)防和減輕酒精中毒的研雜而其它方法在穩(wěn)定性、靈敏度特異性等方面都存在不同究提供相應(yīng)的指標(biāo)和依據(jù)。測定乙醇的方法主要有化學(xué)比色程度的缺陷。我們對乙醇脫氫酶法測定乙醇進(jìn)行了方法學(xué)探法呼出氣乙醇分析、滲透壓測定法酶試劑分析法放射性能索通中國煤化工分析參數(shù)使其檢測乙醇有定程度的改善,現(xiàn)報(bào)[基金項(xiàng)目]溫州市科技局課題(C2002055道如CNMHG[作者簡介]胡云良(1966-),男,碩士,副教授,主要從事臨床生化教學(xué)與醫(yī)院檢驗(yàn)科工作中國衛(wèi)生檢驗(yàn)雜志2008年1月第18卷第1期Chin" e Journal of Health Laboratory Technolog,Jan200g;val18N11材料與方法7170型自動(dòng)生化分析儀上測定,觀察反應(yīng)動(dòng)力學(xué),結(jié)果見圖1。1.1原理按 NCCLS EP-A文件作線性評價(jià)。在200-100mL范選用三(羥甲基)氨基甲烷-鹽酸(Tni-HC)緩沖液體圍內(nèi)稀釋變異