{"id":141372,"date":"2024-08-23T06:24:22","date_gmt":"2024-08-23T06:24:22","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e7%9e%ad%e8%a7%a3%e8%87%a8%e5%ba%8a%e5%af%a6%e9%a9%97%e5%ae%a4%e4%b8%ad%e7%9a%84-hba1c%ef%bc%9a%e8%88%87-aw-tar-choon-%e6%95%99%e6%8e%88%e7%9a%84%e5%95%8f%e7%ad%94%ef%bc%88%e7%ac%ac-2-%e9%83%a8\/"},"modified":"2026-01-19T07:28:01","modified_gmt":"2026-01-19T07:28:01","slug":"understanding-hba1c-in-the-clinical-lab-qa-with-prof-aw-tar-choon-part-2","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/operations\/immunoassay\/understanding-hba1c-in-the-clinical-lab-qa-with-prof-aw-tar-choon-part-2\/","title":{"rendered":"\u77ad\u89e3\u81e8\u5e8a\u5be6\u9a57\u5ba4\u4e2d\u7684 HbA1c\uff1a\u8207 Aw Tar Choon \u6559\u6388\u7684\u554f\u7b54\uff08\u7b2c 2 \u90e8\u5206\uff09"},"content":{"rendered":"<p class=\"text-align-justify\">\u5728\u672c\u671f\u95dc\u65bc\u751f\u7269\u6a19\u8a18 HbA1c \u5be6\u65bd\u7684\u5169\u90e8\u5206\u7cfb\u5217\u5831\u5c0e\u4e2d<a href=\"https:\/\/labinsights.com\/zhtw\/reporter\/tar-choon-aw\/\">\uff0cLab Insights \u5718\u968a\u63a1\u8a2a\u65b0\u52a0\u5761\u6a1f\u5b9c\u7d9c\u5408\u91ab\u9662\u5316\u5b78\u75c5\u7406\u5b78\u4e3b\u4efb Aw Tar Choon \u6559\u6388<\/a>\u3002\u4ed6\u662f\u591a\u5bb6\u671f\u520a\u7684\u7de8\u8f2f\u59d4\u54e1\uff0c\u5305\u62ec Proceedings of Singapore Healthcare\u3001The Malaysian Journal of Medical Science \u548c Journal of Hormonal Disorders and Endocrine Research\u3002Aw \u6559\u6388\u7684\u7814\u7a76\u8208\u8da3\u5305\u62ec\u5167\u5206\u6ccc\u75be\u75c5\uff08\u7532\u72c0\u817a\u75be\u75c5\u3001\u7cd6\u5c3f\u75c5\uff09\u3001\u514d\u75ab\u6e2c\u5b9a\u3001\u764c\u75c7\u548c\u5fc3\u81df\u751f\u7269\u6a19\u8a18\u3002<\/p>\n<p>\u5c0d\u65bc\u7b2c 1 \u90e8\u5206 &#8211;<a href=\"https:\/\/labinsights.com\/zhtw\/operations\/immunoassay\/understanding-the-role-of-hba1c-in-diabetes-management-qa-with-prof-aw-tar-choon-part-1\/\"> Aw Tar Choon \u6559\u6388\u5728\u7cd6\u5c3f\u75c5\u7ba1\u7406\u65b9\u9762\u7684 HbA1c<\/a><\/p>\n<p class=\"text-align-justify\">\u5728\u672c\u554f\u7b54\u7684\u7b2c 2 \u90e8\u5206\uff0c\u6211\u5011\u77ad\u89e3\u5be6\u9a57\u5ba4\u5982\u4f55\u5be6\u65bd HbA1c\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\"><strong>\u60a8\u7684\u5be6\u9a57\u5ba4\u63a1\u7528\u54ea\u7a2e HbA1c \u53d6\u6a23\u5de5\u4f5c\u6d41\u7a0b\uff1f<\/strong><\/h2>\n<p class=\"text-align-justify\">\u6211\u5011\u6bcf\u6708\u8655\u7406\u7d04 4000 \u4efd\u6a23\u672c\u9032\u884c HbA1c \u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d04\u56db\u5206\u4e4b\u4e09\u7684\u5de5\u4f5c\u91cf\u4f86\u81ea\u9580\u8a3a\u8a3a\u6240\u3002\u5728\u767d\u5929\u671f\u9593\uff0c\u6240\u6709\u6a23\u672c\u5747\u7d93\u7531 cobas c513 \uff08\u9ad8\u901a\u91cf\u5206\u6790\u5100\uff09\u9032\u884c\u88dd\u8f09\u548c\u5206\u6790\uff0c\u4ee5\u6ce8\u610f\u901f\u5ea6\u548c\u6a23\u672c\u9ad4\u7a4d\u3002\u76f8\u53cd\u5730\uff0c\u5728\u6b63\u5e38\u5be6\u9a57\u5ba4\u6642\u9593\u4e4b\u5f8c\u6216\u9031\u672b\u57f7\u884c\u7684\u6aa2\u6e2c\u6b21\u6578\u8f03\u5c0f\u6642\uff0c\u6211\u5011\u53ef\u4ee5\u4f7f\u7528 cobas c502\uff08\u901a\u91cf\u8f03\u4f4e\u7684\u5206\u6790\u5100\uff09\u3002<\/p>\n<p class=\"text-align-justify\">cobas c513 \u5206\u6790\u5100\u63d0\u4f9b\u5feb\u901f\u9031\u8f49\u6642\u9593\uff08\u5e73\u5747 17 \u5206\u9418\uff09\uff0c\u6211\u5011\u53ef\u4ee5\u5feb\u901f\u5c07\u5176\u50b3\u9054\u7d66\u9580\u8a3a\u90e8\uff08\u4f8b\u5982\u5167\u5206\u6ccc\u8a3a\u6240\u6216\u7cd6\u5c3f\u75c5\u8a3a\u6240\uff09\u7684\u540c\u4e8b\u3002<\/p>\n<p class=\"text-align-justify\">\u4e0d\u904e\uff0c\u5c0d\u65bc\u5177\u6709\u8f03\u4f4e\u6a23\u672c\u9ad4\u7a4d\u7684\u4f4d\u7f6e\uff0cPOCT \u88dd\u7f6e\u9700\u8981\u7d04 8-10 \u5206\u9418\u7684\u5206\u6790\u6642\u9593\uff0c\u800c\u4e14\u6a23\u672c\u4fc2\u4f9d\u5e8f\u8655\u7406\u3002\u56e0\u6b64\uff0c\u6bcf\u5c0f\u6642\u8655\u7406\u7d04 6-7 \u500b\u60a3\u8005\u6a23\u672c\u3002\u5e02\u9762\u4e0a\u6709\u8a31\u591a NGSP \u8a8d\u8b49\u7684 POCT \u88dd\u7f6e\u3002\u6b64\u5916\uff0c\u5728\u8840\u6db2\u5b78\u4e0a\u4f7f\u7528\u76f8\u540c\u7684\u7ba1 (EDTA) \u9032\u884c\u8840\u7d30\u80de\u8a08\u6578\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\"><strong>\u5728\u9078\u64c7\u65b0\u7684 HbA1c \u6e2c\u5b9a\/\u89e3\u6c7a\u65b9\u6848\u6642\uff0c\u60a8\u8003\u616e\u54ea\u4e9b\u56e0\u7d20\uff1f<\/strong><\/h2>\n<p class=\"text-align-justify\"><em>\u901f\u5ea6<\/em>\u3002\u539f\u56e0\u662f\u5982\u679c\u7d50\u679c\u53ef\u7528\u4e26\u4e14\u53ef\u4ee5\u66f4\u6e96\u78ba\u5730\u505a\u51fa\u6c7a\u7b56\uff0c\u5247\u570d\u7e5e\u60a3\u8005\u72c0\u6cc1\u7684\u4e0d\u78ba\u5b9a\u6027\u5c07\u6703\u964d\u4f4e\uff0c\u56e0\u6b64\u6211\u5011\u8003\u616e\u9019\u4e00\u9ede\u3002<\/p>\n<p class=\"text-align-justify\"><em>\u6e2c\u5b9a\u578b\u5225<\/em>\u3002\u00a0\u8a72\u65b9\u6cd5\u5c07\u70ba NGSP \u8a8d\u8b49\u65b9\u6cd5\u3002\u5982\u679c\u9700\u8981 HPLC\uff0c\u5247\u53ea\u80fd\u78ba\u5b9a S\u3001C\u3001D \u548c E \u7684\u8b8a\u7570\u9ad4\u3002\u5982\u679c\u5b58\u5728\u5176\u4ed6\u8b8a\u7570\u9ad4\uff0c\u5247\u5c64\u6790\u5716\u53ef\u80fd\u986f\u793a\u7570\u5e38\u5cf0\u6216\u5927\u7684 A1 \u53ca H0 \u5cf0\uff08\u5982\u679c\u5b83\u5011\u5728\u9019\u4e9b\u5340\u57df\u4e2d\u5171\u6d17\u812b\uff09\u3002\u7e2e\u77ed HPLC \u57f7\u884c\u6642\u9593\u4ee5\u6539\u5584 TAT \u7684\u5617\u8a66\u9069\u5f97\u5176\u53cd\uff0c\u56e0\u70ba\u5b83\u640d\u5bb3\u5cf0\u5206\u96e2\u53ca\u5c64\u6790\u5716\u54c1\u8cea\u3002<\/p>\n<p class=\"text-align-justify\">\u5c0d\u65bc\u514d\u75ab\u5206\u6790\uff0c\u6297\u9ad4\u8fa8\u8b58 \u03b2 \u93c8\u4e0a\u7684\u80fa\u57fa\u9178 4 \u81f3 10\uff0c\u4e14\u8b8a\u7570\u9ad4\u53ef\u5f71\u97ff \u03b2 \u93c8 N \u7aef\u4f4d\u9ede\u4e4b\u6700\u521d 4\/5\/6 aa\uff1b\u5f9e\u5c08\u5bb6\u90a3\u88e1\u5f97\u5230\u7684\u6700\u4f73\u4f30\u8a08\uff08\u95dc\u65bc\u4e0d\u5e38\u898b\u8b8a\u7570\u9ad4\uff09\u662f\u6bcf 50,000 \u500b\u4e2d\u5c31\u6709\u4e00\u500b\u7684\u6d41\u884c\u7387\u3002S\/C\/D\/E \u8b8a\u7570\u9ad4\u6bd4\u6b64\u66f4\u666e\u904d\u3002<\/p>\n<p class=\"text-align-justify\"><em>\u50f9\u683c\u3002<\/em> \u9664 POCT \u5916\uff0c\u5e02\u5834\u4e0a\u5927\u591a\u6578\u514d\u75ab\u6e2c\u5b9a\u7686\u6bd4 HPLC \u4fbf\u5b9c\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\"><strong>Hb \u8b8a\u7570\u9ad4\u901a\u5e38\u70ba\u300c\u96b1\u85cf\u300d\uff0c\u4e26\u4e14\u5c07\u5176\u5b58\u5728\u65bc HPLC \u5c64\u6790\u5716\u4e2d\u53ef\u80fd\u5c0e\u81f4\u5c0d\u60a3\u8005\u7684\u904e\u5ea6\u6cbb\u7642\u548c\u6cbb\u7642\u4e0d\u8db3\uff0c\u9019\u5f88\u5371\u96aa\u3002\u60a8\u5c0d\u6b64\u6709\u4f55\u770b\u6cd5\uff1f<\/strong><\/h2>\n<p class=\"text-align-justify\">\u6211\u5011\u4e0d\u61c9\u904e\u5ea6\u95dc\u6ce8\u8b8a\u7570\u9ad4\uff0c\u56e0\u70ba\u53ea\u6709\u7576\u5b83\u5011\u662f\u7d14\u5408\u5b50\u6642\u624d\u6703\u5f15\u8d77\u95dc\u6ce8\u3002\u7d14\u5408\u6027\u4ea6\u4e0d\u5e38\u898b\uff0c\u5982 NUH \u7814\u7a76\uff08\u505a\u70ba\u8f49\u8a3a\u4e2d\u5fc3\uff09\u6240\u793a\uff0c\u5176\u60a3\u75c5\u7387\u5927\u7d04 &lt; 1%\u3002\u6211\u5011\u4f55\u6642\u61f7\u7591\u8b8a\u7570\u9ad4\u7684\u5b58\u5728\uff1f\u6211\u9075\u5faa\u7684\u7c97\u7565\u7d93\u9a57\u6cd5\u5247\u662f A1c &lt;4-4.5% \u4e14 &gt;14%\u3002\u50c5\u56e0\u70ba\u5b58\u5728\u8b8a\u7570\u9ad4\uff0c\u4e26\u4e0d\u4e00\u5b9a\u610f\u5473\u8457\u6703\u51fa\u73fe\u904e\u5ea6\u6216\u6cbb\u7642\u4e0d\u8db3\u3002\u60a3\u8005\u672c\u8eab\u53ef\u70ba\u4ed6\u5011\u81ea\u5df1\u7684\u5c0d\u7167 &#8211; \u8f03\u9ad8\u6216\u8f03\u4f4e A1c \u53cd\u6620\u8f03\u5dee\u6216\u66f4\u597d\u7684\u8840\u7cd6\u63a7\u5236\u3002<\/p>\n<p class=\"text-align-justify\">\u4e00\u4e9b\u5b78\u6d3e\u53ef\u80fd\u6703\u8981\u6c42\u5728\u8b8a\u7570\u9ad4\u5b58\u5728\u7684\u60c5\u6cc1\u4e0b\u9032\u884c\u984d\u5916\u7684\u6aa2\u6e2c\uff0c\u4f8b\u5982\u4f7f\u7528\u7cd6\u5316\u767d\u86cb\u767d\u3002\u4f46\u9019\u4e9b\u5728\u76ee\u524d\u7684 HbA1c \u6587\u737b\u4e2d\u4e26\u672a\u5f97\u5230\u5145\u5206\u8b49\u660e\uff0c\u56e0\u70ba\u5b83\u5011\u7f3a\u4e4f DCCT \u6216 UKPDS \u7b49\u5927\u578b\u7e31\u5411\u7814\u7a76\uff0c\u4e26\u4e14\u65b9\u6cd5\u5c1a\u672a\u6a19\u6e96\u5316\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\"><strong>\u5be6\u9a57\u5ba4\u5982\u4f55\u8655\u7406\u548c\u7ba1\u7406\u5b58\u5728\u8840\u7d05\u7d20\u8b8a\u7570\u9ad4\u7684\u6aa2\u9ad4\uff1f<\/strong><\/h2>\n<p class=\"text-align-justify\">\u9019\u76f8\u7576\u76f4\u622a\u4e86\u7576\u3002\u5982\u6709\u9700\u8981\uff0c\u5fc5\u9808\u4f7f\u7528\u73e0\u86cb\u767d\u93c8\u5408\u6210\u548c\u5c08\u9580\u7684\u65b9\u6cd5\u78ba\u8a8d\u7591\u4f3c\u3002\u7d14\u5408\u5b50\u8b8a\u7570\u9ad4\u50c5\u5c0d\u80b2\u9f61\u5973\u6027\u60a3\u8005\u5f88\u91cd\u8981\uff0c\u56e0\u70ba\u61f7\u5b55\u6642\u53ef\u80fd\u7f79\u60a3\u5730\u4e2d\u6d77\u578b\u8ca7\u8840\u3002\u6b64\u5916\uff0c\u7d14\u5408\u5b50\u8b8a\u7570\u9ad4\u76f8\u7576\u5c11\u898b\u3002<\/p>\n<p class=\"text-align-justify\">\u5c0d\u65bc\u96dc\u5408\u8b8a\u7570\u9ad4\uff0c\u5f71\u97ff\u6975\u5c0f\uff0c\u4e26\u4e14\u6211\u5011\u53ef\u4ee5\u61f7\u7591\uff0c\u5982\u679c A1c &lt;4-4.5%\/&gt;14%\uff0c\u5982\u524d\u6240\u8ff0\u3002\u6211\u5011\u5c07\u5728\u5be6\u9a57\u5ba4\u5831\u544a\u4e2d\u589e\u52a0\u4e00\u500b\u7de8\u78bc\u8a3b\u91cb\uff0c\u4e26\u5efa\u8b70\u5728\u9700\u8981\u6642\u9032\u884c\u984d\u5916\u6aa2\u6e2c\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\"><strong>\u5c0d\u65bc\u6b63\u5728\u8003\u616e\u63a1\u7528\u65b0 HbA1c \u89e3\u6c7a\u65b9\u6848\u7684\u5be6\u9a57\u5ba4\uff0c\u60a8\u6703\u6709\u4ec0\u9ebc\u5efa\u8b70\uff1f<\/strong><\/h2>\n<p 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class=\"text-align-justify\"><em>\u5982\u9700\u9032\u4e00\u6b65\u77ad\u89e3\u60a8\u7684\u5be6\u9a57\u5ba4\u5982\u4f55\u53d7\u76ca\u65bc HbA1c \u6aa2\u6e2c\u53ca\u5176\u64cd\u4f5c\u5be6\u4f5c\uff0c\u8acb\u806f\u7d61 Roche Diagnostics Asia Pacific \u696d\u52d9\u7d93\u7406\uff08\u6838\u5fc3\u5be6\u9a57\u5ba4\uff09Yingli Huang (yingli.huang@roche.com)\u3002\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5728\u672c\u671f\u95dc\u65bc\u751f\u7269\u6a19\u8a18 HbA1c \u5be6\u65bd\u7684\u5169\u90e8\u5206\u7cfb\u5217\u5831\u5c0e\u4e2d\uff0cLab Insights \u5718\u968a\u63a1\u8a2a\u65b0\u52a0\u5761\u6a1f\u5b9c\u7d9c\u5408\u91ab\u9662\u5316\u5b78\u75c5\u7406\u5b78\u4e3b\u4efb Aw Tar Choon \u6559\u6388\u3002\u4ed6\u662f\u591a\u5bb6\u671f\u520a\u7684\u7de8\u8f2f\u59d4\u54e1\uff0c\u5305\u62ec Proceedings of Singapore Healthcare\u3001The Malaysian Journal of Medical Science \u548c Journal of Hormonal Disorders and Endocrine Research\u3002Aw 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