Indonesian Journal of Clinical Pathology and Medical Laboratory
ISSN 0854-4263
Vol. 20 / No. 1 / Published : 2013-01
Order : 3, and page :12 - 15
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Original Article :
Serum albumin in liver cirrhosis
Author :
- Windu Nafika*1
- Leonita Anniwati*2
- Soehartini*3
- Mahasiswa Fakultas Kedokteran
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Serum albumin measurement can be used for assessing prognosis, determining initial therapy and treatment efficacy for liver cirrhosis patients. The discrepancy result of albumin measurement using different methods can make bias for the albumin concentration. The measurement of albumin was carried out in 20 sera of liver cirrhosis patients using bromcresol green (BCG), BCG conversion as well as bromcresol purple (BCP) methods including protein electrophoresis. The results showed that BCP method has a lower albumin concentration than the other kind (1.68 ± 0.35), BCG (1.94 ± 0.31), BCG conversion (2.09 ± 0.45) as well as protein electrophoresis (2.14 ± 0.35). BCP method has a good correlation with protein electrophoresis as well as BCG conversion (r = 0.935 and r = 0.90 respectively). It can be concluded in this study, that albumin measurement with BCP method has a good correlation with protein electrophoresis. It is important to know that the measurement results of BCP method is lower but more accurate in the albumin concentration, because there is no cross reaction with globulin. That means, there is no overestimation of albumin concentration in hypoalbuminemia condition of the patients. Serum albumin dapat digunakan untuk menilai ramalan perjalanan penyakit, menentukan awal pengobatan dan keberhasilannya bagi penderita sirosis hati. Perbedaan metode memeriksa kadar albumin dapat memberikan hasil yang berbeda dan terjadi penyimpangan. Pengukuran kadar albumin dilakukan di 20 serum penderita sirosis hati dengan metode bromcresol green (BCG), BCG konversi dan bromcresol purple (BCP) serta elektroforesis protein. Metode BCP memberikan hasil yang lebih rendah pada pengukuran albumin dibandingkan dengan jenis lainnya (1,68 ± 0,35), BCG (1,94 ± 0,31), BCG konversi (2,09 ± 0,45) dan elektroforesis protein (2,14 ± 0,35). BCP memiliki kenasaban yang baik dengan elektroforesis protein dan BCG konversi (r = 0,935 dan r= 0,90 berurutan). Pengukuran albumin dengan metode BCP memiliki kenasaban yang baik dengan jenis elektroforesis protein. Penting untuk diketahui bahwa kenasaban BCP memberikan nilai yang lebih rendah, tetapi lebih cermat dalam pengukuran kadar albumin, sebab dengan metode BCP tidak terdapat reaksi silang dengan globulin. Dengan demikian penaksiran terlalu tinggi terhadap kadar albumin penderita hipoalbuminemia tidak terjadi.
Keyword :
References :
Tel RM, Jong J, Berends GT,(1979) Bromcresol purple, a non specific colour reagent for the determinanation of serum albumin London : J. Clin. Chem.Clin. Biochem
Archive Article
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Volume : 20 / No. : 1 / Pub. : 2013-01 |
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