רÀûÃû³Æ£ºC-·´Ó¦µ°°×¼ì²âÊÔÖ½ÌõµÄÖÆ×÷·½·¨
¼¼ÊõÁìÓò£º
±¾·¢Ã÷Éæ¼°Ò»ÖÖC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ¡£
±³¾°¼¼Êõ£º
C-·´Ó¦µ°°×(C-reactive protein, CRP)ÊÇÔÚ¸ÐȾºÍ×éÖ¯ËðÉËʱѪÐ\Ũ¶È¿ìËÙ¡¢¼±¾çÉý¸ßµÄÖ÷ÒªµÄ¼±ÐÔÆÚµ°°×¡£CRP¿ÉÒÔ¼¤»î²¹ÌåºÍ¼ÓÇ¿ÍÌÊÉϸ°ûµÄÍÌÊɶøÆðµ÷Àí×÷Ó㬴ӶøÇå³ýÈëÇÖ»úÌåµÄ²¡Ô΢ÉúÎïºÍËðÉË£¬»µËÀ£¬µòÍöµÄ×é֯ϸ°û£¬ÔÚ»úÌåµÄÌìÈ»ÃâÒß¹ý³ÌÖз¢»ÓÖØÒªµÄ±£»¤×÷Ó᣹ØÓÚCRPµÄÑо¿ÒѾÓÐ70¶àÄêµÄÀúÊ·£¬´«Í³¹ÛµãÈÏΪCRPÊÇÒ»ÖÖ·ÇÌØÒìµÄÑ×Ö¢±êÖ¾Îµ«½üÊ®ÄêµÄÑо¿½ÒʾÁË CRPÖ±½Ó²ÎÓëÁËÑ×Ö¢Ó붯ÂöÖàÑùÓ²»¯µÈÐÄѪ¹Ü¼²²¡£¬²¢ÇÒÊÇÐÄѪ¹Ü¼²²¡×îÇ¿ÓÐÁ¦µÄԤʾÒò×ÓÓëΣÏÕÒò×Ó¡£Ä¿Ç°£¬CRP¼ì²â²ÉÓýºÌå½ð·¨½øÐУ¬Ò»°ãÓÃÓÚϸ¾ú»ò²¡¶¾¸ÐȾµÄÕï¶Ï¡£CRP½ºÌå½ð·¨ÖУ¬Ê¹ÓÃÒ»¶Ôµ¥¿Ë¡¿¹Ì壬ÆäÖÐÒ»Öêµ¥¿Ë¡¿¹ÌåÓýºÌå½ð½øÐбê¼Ç£¬ÁíÒ»Öêµ¥¿Ë¡¿¹Ìå°ü±»ÔÚÏõËáÏËάĤÉÏ£¬¼ÓÈëѪÇåºó£¬ÑªÇåÖеÄCRPÓ뽺Ìå½ð±ê¼ÇµÄ¿¹Ìå½áºÏ²¢ÑØÏõËáÏËάĤÉÏÅÀ£¬ÔÚÓöµ½ÏõËáÏËάĤÉϰü±»µÄÁíÒ»Ö꿹Ìåºó»áÔÚ´ËÏÔ³ö½ºÌå½ðµÄºìÉ«¡£CRP¼ì²â×÷ΪÐÄÄÔѪ¹Ü¼²²¡Ô¤±¨ÊÇÊ®·ÖÖØÒªµÄ¡£2003ÄêÃÀ¹ú¼²²¡Ô¤·À¿ØÖÆÖÐÐÄ(¢ÇC)ºÍÃÀ¹úÐÄÔàлáAHAÒѾ·¢²¼Îļþ£¬¶Ôhs-CRP½øÐзּ¶±ê׼Ϊ:hs_CRP < lmg/L (µÍ¶ÈΣÏÕ)£¬hs-CRPΪl-3mg/L (ÖжÈΣÏÕ)£¬hs-CRP > 3mg/L (¸ß¶ÈΣÏÕ)¡£È»¶ø£¬ÓÉÓÚCRP½ºÌå½ð·¨ÊÔ¼ÁµÄÁéÃô¶ÈµÍ£¬´ï²»µ½½øÐÐÐÄѪ¹Ü¼²²¡É¸²éµÄÄ¿µÄ¡£Èç¹ûÁéÃô¶È½ÏµÍ£¬¶ÔÓÚhs-CRPΪl_3mg/LµÄ²¿·ÖÈËȺ£¬Æä¼ì²â½á¹û¿ÉÄÜ´æÔÚÆ«²î¡£
·¢Ã÷ÄÚÈÝ
±¾·¢Ã÷µÄÄ¿µÄÊÇÌṩһÖÖ¿ìËٲⶨѪÇåÖÐhs-CRPˮƽµÄ½ºÌå½ð·¨C-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ¡£±¾·¢Ã÷ËùÌṩµÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ£¬°üÀ¨µ×°å7ÒÔ¼°Ìù¸½ÔÚµ×°å7ÉϵÄÑùÆ·Çø6¡¢½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø¡¢ÏõËáÏËÎ¬ËØÄ¤2ºÍÎüË®µæI ;ËùÊöÑùÆ·Çø6¡¢ËùÊö½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø5¡¢ËùÊöÏõËáÏËÎ¬ËØÄ¤2ºÍËùÊöÎüË®µæIÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁУ»ËùÊöÏõËáÏËÎ¬ËØÄ¤2ÉÏÉèÓÐÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁеĵÚÒ»µ¥¿Ë¡¿¹ÌåÏß9¡¢µÚ¶þµ¥¿Ë¡¿¹ÌåÏß8¡¢µÚÈýµ¥¿Ë¡¿¹ÌåÏß4ÒÔ¼°ÖÊ¿ØÏß3 ;ËùÊöµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9°üº¬5 ¦Ì g CRPµ¥¿Ë¡¿¹ÌåII£¬ËùÊöµÚ¶þµ¥¿Ë¡¿¹ÌåÏß8°üº¬15 ¦Ì g CRPµ¥¿Ë¡¿¹ÌåII£¬ËùÊöµÚÈýµ¥¿Ë¡¿¹ÌåÏß4°üº¬5 ¦Ì g CRPµ¥¿Ë¡¿¹ÌåII ;ËùÊöCRPµ¥¿Ë¡¿¹ÌåI½áºÏµÄ¿¹Ô±íλÓëËùÊöCRPµ¥¿Ë¡¿¹ÌåII½áºÏµÄ¿¹Ô±íλ²»Í¬¡£ÆäÖУ¬ËùÊö½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø5ÓÉÎü¸½ÓкìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIµÄ²£Á§ÏËÎ¬ÖÆ³É¡£ËùÊöµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9Êǽ«100 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó´µ¸É¶øÖƳɵġ£ËùÊöµÚ¶þµ¥¿Ë¡¿¹Ìå Ïß8ºÍËùÊöµÚÈýµ¥¿Ë¡¿¹ÌåÏß4¶¼Êǽ«400 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó´µ¸É¶øÖƳɡ£ËùÊöCRPµ¥¿Ë¡¿¹ÌåIIÈÜҺΪÓÃTBSÏ¡ÊÍҺϡÊÍCRPµ¥¿Ë¡¿¹ÌåIIÅäÖÆ¶ø³ÉµÄ£¬ËùÊö TBS Ï¡ÊÍÒº°üº¬ 10-100mmol/L Tris, 100-500mmol/L NaCl, l-30mmol/L KCl, 1-10%(Ìå»ý°Ù·Öº¬Á¿)¸ÊÓÍ£¬0.01-3% (Ìå»ý°Ù·Öº¬Á¿)Òì±û´¼¡£±¾·¢Ã÷µÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½ÌõÔÚÕï¶ÏѸËÙµÄͬʱ¿ÉÒÔ¶ÔÈËȺÖÐCRPµÄº¬Á¿< lmg/L, l-3mg/L»ò> 3mg/L×ö³öÇø·Ö,Äܹ»×¼È·Åжϳö¸ßΣÈËȺ¡£Ê¹Óñ¾·¢Ã÷µÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ²»ÐèÒªÈκÎÒÇÆ÷£¬»¼ÕßÔÚ¼ÒÖм´¿ÉÍê³É¼ì²â£»½ö½öÐèÒªIµÎѪ£¬²»³¬¹ý5·ÖÖÓ¼´¿ÉÍê³ÉÕû¸ö¼ì²â¡£
ͼ1±íʾ±¾·¢Ã÷µÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½ÌõµÄ½á¹¹Ê¾Òâͼ¡£
¾ßÌåʵʩÀý·½Ê½ÊµÊ©Àý1(Ò»)ÖÆ±¸CRPµ¥¿Ë¡¿¹ÌåIIÈÜÒºÓÃTBS Ï¡ÊÍҺϡÊÍ CRP µ¥¿Ë¡¿¹Ìå II (0Y MEDIX BIOCHEMI CA AB:Anti_hCRP6404)£¬·Ö±ð»ñµÃ100 ¦Ì g/ml£¬400 ¦Ì g/ml£¬400 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº£¬ÆäÖÐTBSÏ¡ÊÍÒº°üº¬ 10mmol /I,µÄ Tris, 100mmol/L µÄ NaCl, Immol /I,µÄ KCl, I %¸ÊÓÍ,0.01 %Òì±û´¼£»»òÕß TBS Ï¡ÊÍÒº°üº¬ 100mmol/L µÄ Tris£¬500mmol/L µÄ NaCl£¬30mmol/L µÄ KCl£¬10%¸ÊÓÍ£¬3%
Òì±û´¼¡£(¶þ)CRP ¿¹ÔÈÜÒºÓÃTBS ÈÜÒº½« CRP ¿¹Ô(Scripps Laboratories, C0125)ÅäÖÆ³ÉŨ¶È 10 ¦Ì g/ml µÄCRP¿¹ÔÈÜÒº¡£(Èý)ÖÆ±¸ºìÉ«½ºÌå±ê¼Ç¿¹Ìå1:1.½ºÌå½ðµÄÖÆ±¸:(1)½«ÂÈ»¯½ðÏÈÅäÖÆ³É0.01%Ë®ÈÜÒº£¬È»ºóÈ¡250ml¼ÓÈÈÖÁ·Ð¡£(2)½Á¶¯ÏÂ׼ȷ¼ÓÈë6ºÁÉýµÄI %ÄûÃÊËáÈýÄÆ(Na3C6H5O7.2H20)Ë®ÈÜÒº¡£(3)¼ÌÐø¼ÓÈÈÖó·Ð15min£¬´Ëʱ¿É¹Û²ìµ½µ»ÆÉ«µÄÂȽðËáË®ÈÜÒºÔÚÄûÃÊËáÄÆ¼ÓÈëºóºÜ¿ì±ä»ÒÉ«£¬Ðø¶ø×ª³ÉºÚÉ«£¬ËæºóÖð½¥Îȶ¨³ÉºìÉ«£¬È«¹ý³ÌÔ¼2 3min¡£(4)ÀäÈ´ÖÁÊÒκóÓÃÕôÁóË®»Ö¸´ÖÁÔÌå»ý¡£2.½ºÌå½ð±ê¼Çµ¥¿¹(1)ÓÃ0.1moVLK2CO3µ÷½Ú½ºÌå½ðÈÜÒºµÄpHÖÁ5.8-6.6Ö®¼ä£»(2)½« CRP µ¥¿Ë¡¿¹Ìå I (0Y MEDIX BIOCHEMI CA AB, Ant1-hCRP6405)͸Îö 12 СʱºóÈ¡³ö£¬½«1/10Ìå»ýŨ¶Èlmg/mLµÄCRPµ¥¿Ë¡¿¹ÌåIÈÜÒº¼ÓÈëÉÏÊö½ºÌå½ðÈÜÒºÖУ¬·ÅÖÃÊÒη´Ó¦2 5min £»(3)¼ÓÈëŨ¶ÈΪ0.2 %µÄBSAÒÔ±¥ºÍÓÎÀëµÄ½ºÌå½ð£»(4) 20000r/minÀëÐÄlh£¬È¥³ýÉÏÇåÒºÖÐδ½áºÏµÄµ°°×ÖÊ£»(5)Îü³öÉÏÇåÒº£¬³ÁµíÓú¬BSAµÄPBS»º³åÒº(0.01M, pH7.2)Ðü¸¡£¬»Ö¸´ÔÌå»ýºóÔÙ20000r/minÀëÐÄlh£¬Èç´ËÏ´µÓ2 4´ÎÒÔ³¹µ×³ýȥδ½áºÏµÄµ°°×ÖÊ£»
(6)ÃâÒ߽𸴺ÏÎïÓú¬ÓÐ0.3%µÄÍÂÎÂ20ºÍ0.2% BSAµÄPBS»º³åÒº(0.01M,PH7.2)ÅäÖÆ³ÉŨ¶È50 ¦Ì g/mlµÄºìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÈÜÒº¡£(ËÄ)C-·´Ó¦µ°°×¼ì²âÊÔÖ½ÌõC-·´Ó¦µ°°×¼ì²âÊÔÖ½ÌõµÄ½á¹¹Èçͼ1Ëùʾ£¬°üÀ¨µ×°å7ÒÔ¼°Ìù¸½ÔÚµ×°å7ÉϵÄÑùÆ·Çø6¡¢½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø5¡¢ÏõËáÏËÎ¬ËØÄ¤2ºÍÎüË®µæI ;ÑùÆ·Çø6¡¢½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø5¡¢ÏõËáÏËÎ¬ËØÄ¤2ºÍÎüË®µæIÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁв¢½ôÃÜÁ¬½Ó£»ÏõËáÏËÎ¬ËØÄ¤2ÉÏÉèÓÐÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁеĵÚÒ»µ¥¿Ë¡¿¹ÌåÏß9¡¢µÚ¶þµ¥¿Ë¡¿¹ÌåÏß
8¡¢µÚÈýµ¥¿Ë¡¿¹ÌåÏß4ÒÔ¼°ÖÊ¿ØÏß3 ;µÚÒ»µ¥¿Ë¡¿¹ÌåÏß9°üº¬5yg CRPµ¥¿Ë¡¿¹ÌåII£¬µÚ¶þµ¥¿Ë¡¿¹ÌåÏß8°üº¬15 ¦Ì g CRPµ¥¿Ë¡¿¹ÌåII£¬µÚÈýµ¥¿Ë¡¿¹ÌåÏß4°üº¬5¦Ì g CRPµ¥¿Ë¡¿¹ÌåII¡£ÆäÖУ¬ÑùÆ·Çø6ÓÉÌù¸½ÓÐÒ»²ãÏõËáÏËÎ¬ËØÄ¤µÄ²£Á§ÏËÎ¬ÖÆ³É£»½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø5ÊÇÓÉÎü¸½ÓкìÉ«½ºÌå±ê¼Ç¿¹ÌåµÄ²£Á§ÏËÎ¬ÖÆ³É£¬Æäͨ¹ý½«²£Á§ÏËά½þÅÝÔÚŨ¶È50 ¦Ì g/mlµÄºìÉ«½ºÌå±ê¼Ç¿¹ÌåÈÜÒºÖÐ4Сʱ£¬È¡³öºóÔÚ20-35ÉãÊ϶ȴµ¸É¶øÖƱ¸£»µÚÒ»µ¥¿Ë¡¿¹ÌåÏß9ÊÇÓû®Ä¤±Ê½«0.05ml, 100 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó20-35ÉãÊ϶ȴµ¸É¶øÖƳɣ»µÚ¶þµ¥¿Ë¡¿¹ÌåÏß8ÊÇÓû®Ä¤±Ê½«0.0375ml, 400 yg/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó20-35ÉãÊ϶ȴµ¸É¶øÖƳɣ»µÚÈýµ¥¿Ë¡¿¹ÌåÏß4ÊÇÓû®Ä¤±Ê½«0.0125ml, 400 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó20-35ÉãÊ϶ȴµ¸É¶øÖƳɣ»ÖÊ¿ØÏß3ÊÇÓû®Ä¤±Ê½«0.0lml, 10 ¦Ì g/mlµÄCRP¿¹ÔÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó20-35ÉãÊ϶ȴµ¸É¶øÖƳɡ£ÓÃÓÚ¼ì²âµÄ»¼ÕßµÄѪÇåÑùÆ·½«µÎ¼ÓÔÚÑùÆ·Çø6ÉÏ£¬ÑªÇå½«ÑØÓÉ×óÖÁÓҵķ½ÏòÁ÷¶¯£¬½øÈë½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø5ʱ£¬ÑªÇåÖеÄCRP¿¹Ô½«ÓëºìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåI½áºÏ£¬Ðγɿ¹Ô-ºìÉ«½ºÌå±ê¼Ç¿¹Ì帴ºÏÎ¸Ã´¦µÄºìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÊǹýÁ¿µÄ£¬ËùÓп¹Ô½«Óë×ã¹»µÄºìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåI½áºÏÐγɸ´ºÏÎï¡£¶àÓàµÄºìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåI½«ºÍ¸´ºÏÎïÒ»ÆðÏòÓÒÁ÷¶¯£¬¾¹ýµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9,¿¹Ô-ºìÉ«½ºÌå±ê¼Ç¿¹Ì帴ºÏÎï¿ÉÒÔÓëCRPµ¥¿Ë¡¿¹ÌåIIÐγɿ¹Ìå-¿¹Ô-ºìÉ«½ºÌå±ê¼Ç¿¹Ìå¼ÐÐÄģʽ´Ó¶ø¹Ì¶¨ÔÚµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9ÇøÓòÏÔʾ³öºìÉ«¡£¸ù¾Ý¿¹Ô-ºìÉ«½ºÌå±ê¼Ç¿¹Ì帴ºÏÎïµÄÁ¿£¬¿¹Ô-ºìÉ«½ºÌå±ê¼Ç¿¹Ì帴ºÏÎï¿ÉÄܽö±»µÚÒ»µ¥¿Ë¡¿¹ÌåÏß4½ØÁô£¬Ò²ÓпÉÄÜ·Ö±ð±»ÈýÌõµ¥¿Ë¡¿¹ÌåÏß¡£Èç¹ûѪÇåÑùÆ·Öв»º¬CRP¿¹Ô£¬ºìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåII½«±»ÖÊ¿ØÏß3½ØÁôÏÔʾ³öºìÉ«¡£Èç¹ûµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9ÏÔÉ«£¬µÚ¶þºÍµÚÈýµ¥¿Ë¡¿¹ÌåÏß8ºÍ4²»ÏÔÉ«£¬Ôò»¼ÕßÌåÄÚCRPŨ¶ÈΪ< lmg/L¡£Èç¹ûµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9ºÍµÚ¶þµ¥¿Ë¡¿¹ÌåÏß8ÏÔÉ«£¬µÚÈýµ¥¿Ë¡¿¹ÌåÏß4²»ÏÔÉ«£¬Ôò»¼ÕßÌåÄÚCRPŨ¶ÈΪ< l-3mg/L¡£Èç¹ûµÚÒ»µ¥¿Ë¡¿¹ÌåÏß9¡¢µÚ¶þµ¥¿Ë¡¿¹ÌåÏß8¡¢µÚÈýµ¥¿Ë¡¿¹ÌåÏß4¶¼ÏÔÉ«£¬Ôò»¼ÕßÌåÄÚCRPŨ¶ÈΪ> 3mg/L¡£ÊµÊ©Àý21.ѪҺ±ê±¾À´Ô´¿Õ¸¹¾²ÂöȡѪȡ×ÔÌå¼ìÊÜÊÔÕߣ¬15Àý£¬ÆäÓñ±¾©ÓÀå«ÐǸÛÉúÎï¿Æ¼¼¹É·ÝÓÐÏÞ¹«Ë¾Éú²úµÄ¸ßÁéÃôC-·´Ó¦µ°°×(hs-CRP)²â¶¨ÊÔ¼ÁºÐ (øÃâÒß·ÖÎö)²â¶¨½á¹ûÓëÓñ¾·¢Ã÷¸ßÁéÃôC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ¼ì²â½á¹ûÈçϱí:
ȨÀûÒªÇó
1.Ò»ÖÖc-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ£¬°üÀ¨µ×°å(7)ÒÔ¼°Ìù¸½ÔÚµ×°å(7)ÉϵÄÑùÆ·Çø(6)¡¢½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø(5)¡¢ÏõËáÏËÎ¬ËØÄ¤¢ÆºÍÎüË®µæ¢Å£»ËùÊöÑùÆ·Çø(6)¡¢ËùÊö½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø(5)¡¢ËùÊöÏõËáÏËÎ¬ËØÄ¤(2)ºÍËùÊöÎüË®µæ(I)ÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁУ»ËùÊöÏõËáÏËÎ¬ËØÄ¤(2)ÉÏÉèÓÐÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁеĵÚÒ»µ¥¿Ë¡¿¹ÌåÏß(9)¡¢µÚ¶þµ¥¿Ë¡¿¹ÌåÏß(8)¡¢µÚÈýµ¥¿Ë¡¿¹ÌåÏß(4)ÒÔ¼°ÖÊ¿ØÏß(3);ËùÊöµÚÒ»µ¥¿Ë¡¿¹ÌåÏß(9)°üº¬5yg CRPµ¥¿Ë¡¿¹ÌåII£¬ËùÊöµÚ¶þµ¥¿Ë¡¿¹ÌåÏß(8)°üº¬15 ¦Ì g CRPµ¥¿Ë¡¿¹ÌåII£¬ËùÊöµÚÈýµ¥¿Ë¡¿¹ÌåÏß(4)°üº¬5 ¦Ì g CRPµ¥¿Ë¡¿¹ÌåII ;ËùÊöCRPµ¥¿Ë¡¿¹ÌåIµÄ¿¹Ô±íλÓëËùÊöCRPµ¥¿Ë¡¿¹ÌåIIµÄ¿¹Ô±íλ²»Í¬¡£
2.¸ù¾ÝȨÀûÒªÇó1ËùÊöµÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ£¬ÆäÌØÕ÷ÔÚÓÚËùÊö½ð±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIÇø(5)ÓÉÎü¸½ÓкìÉ«½ºÌå±ê¼ÇCRPµ¥¿Ë¡¿¹ÌåIµÄ²£Á§ÏËÎ¬ÖÆ³É¡£
3.¸ù¾ÝȨÀûÒªÇó1»ò2ËùÊöµÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ£¬ÆäÌØÕ÷ÔÚÓÚËùÊöµÚÒ»µ¥¿Ë¡¿¹ÌåÏß(9)Êǽ«100 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó´µ¸É¶øÖƳɵġ£
4.¸ù¾ÝȨÀûÒªÇó3ËùÊöµÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ£¬ÆäÌØÕ÷ÔÚÓÚËùÊöµÚ¶þµ¥¿Ë¡¿¹ÌåÏß(8)ºÍËùÊöµÚÈýµ¥¿Ë¡¿¹ ÌåÏß(4)¶¼Êǽ«400 ¦Ì g/mlµÄCRPµ¥¿Ë¡¿¹ÌåIIÈÜÒº»µ½ÏõËáÏËάĤÉÏ£¬È»ºó´µ¸É¶øÖƳɡ£
5.¸ù¾ÝȨÀûÒªÇó4ËùÊöµÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ£¬ÆäÌØÕ÷ÔÚÓÚËùÊöCRPµ¥¿Ë¡¿¹Ìå11ÈÜҺΪÓÃTBSÏ¡ÊÍҺϡÊÍCRPµ¥¿Ë¡¿¹Ìå11ÅäÖÆ¶ø³ÉµÄ£¬ËùÊöTBSÏ¡ÊÍÒº°üº¬lO-lOOmmol/L Tris, 100-500mmol/L NaCl, l-30mmol/L KC1£¬Ìå»ý°Ù·Öº¬Á¿ 1-10%¸ÊÓÍ£¬Ìå»ý°Ù·Öº¬Á¿.0.01-3%Òì±û´¼¡£
È«ÎÄÕªÒª
±¾·¢Ã÷¹«¿ªÁËÒ»ÖÖC-·´Ó¦µ°°×¼ì²âÊÔÖ½Ìõ¡£¸ÃÊÔÖ½ÌõµÄÏõËáÏËÎ¬ËØÄ¤(2)ÉÏÉèÓÐÔÚÒºÌåÁ÷¶¯·½ÏòÉÏ˳ÐòÅÅÁеĵÚÒ»µ¥¿Ë¡¿¹ÌåÏß(9)¡¢µÚ¶þµ¥¿Ë¡¿¹ÌåÏß(8)¡¢µÚÈýµ¥¿Ë¡¿¹ÌåÏß(4)ÒÔ¼°ÖÊ¿ØÏß(3)£»ËùÊöµÚÒ»µ¥¿Ë¡¿¹ÌåÏß(9)°üº¬5¦Ìg CRPµ¥¿Ë¡¿¹ÌåII£¬ËùÊöµÚ¶þµ¥¿Ë¡¿¹ÌåÏß(8)°üº¬15¦Ìg CRPµ¥¿Ë¡¿¹ÌåII£¬ËùÊöµÚÈýµ¥¿Ë¡¿¹ÌåÏß(4)°üº¬5¦Ìg CRPµ¥¿Ë¡¿¹ÌåII£»ËùÊöCRPµ¥¿Ë¡¿¹ÌåIµÄ¿¹Ô±íλÓëËùÊöCRPµ¥¿Ë¡¿¹ÌåIIµÄ¿¹Ô±íλ²»Í¬¡£±¾·¢Ã÷µÄC-·´Ó¦µ°°×¼ì²âÊÔÖ½ÌõÔÚÕï¶ÏѸËÙµÄͬʱ¿ÉÒÔ¶ÔÈËȺÖÐCRPµÄº¬Á¿£¼1mg/L£¬1-3mg/L»ò£¾3mg/L×ö³öÇø·Ö£¬Äܹ»×¼È·Åжϳö¸ßΣÈËȺ¡£
Îĵµ±àºÅG01N33/68GK103217532SQ201210019219
¹«¿ªÈÕ2013Äê7ÔÂ24ÈÕ ÉêÇëÈÕÆÚ2012Äê1ÔÂ18ÈÕ ÓÅÏÈȨÈÕ2012Äê1ÔÂ18ÈÕ
·¢Ã÷Õß·¶·ÉÖÛ, ÒüÐÇ, ³ÂÖÇÖÜ, ÕÅê»ÑÒ ÉêÇëÈË:±±¾©ÓÀå«ÐǸÛÉúÎï¿Æ¼¼¹É·ÝÓÐÏÞ¹«Ë¾