中华结核和呼吸杂志
中華結覈和呼吸雜誌
중화결핵화호흡잡지
Chinese Journal of Tuberculosis and Respiratory Diseases
2010年
4期
247-250
,共4页
高怡%郑劲平%安嘉颖%马锦芳%刘文婷%虞欣欣
高怡%鄭勁平%安嘉穎%馬錦芳%劉文婷%虞訢訢
고이%정경평%안가영%마금방%류문정%우흔흔
肺量测定法%呼吸功能试验%质量控制
肺量測定法%呼吸功能試驗%質量控製
폐량측정법%호흡공능시험%질량공제
Spirometry%Respiratory function tests%Quality control
目的 了解我国肺量计检查报告质最控制现状.方法 收集2008年1-10月我国36家大型综合性医院肺功能室的肺量计检查报告单,参照ATS和ERS的肺活量测试标准进行质量分析,肺量计检查各质量控制标准的符合情况以百分率来描述.结果 共收集345例报告单,82.5%(282/342)的报告单符合测试起始质量的标准;65.8%(219/333)的报告单达到分析呼气流畅质量的标准,其余114例不符合标准的报告单中,咳嗽占8.7%(29/333),声门早闭占2.4%(8/333),口嘴漏气占8.7%(29/333),提前中止占7.8%(26/333),阻塞口器占1.8%(6/333),未尽最大努力占14.7%(49/333);50.6%(119/235)的报告单达到分析测试结束质量的标准;测试次数≥3次的占22.6%(78/345),其中65例有各次测试数据报告,可分析其重复性,符合标准的占95.4%(62/65),占总数的18.0%(62/345),AFVC＜150 ml的占95.4%(62/65),△FVC＜100 ml的占92.3%(60/65),△FEV_1＜150 ml的占100.0%(65/65),△FEV_1＜100 ml的占87.7%(57/65);在345例报告单中,同时符合上述4项标准的仅占总数的7.2%(25/345).结论 我国医院的用力肺功能检查质量有待提高.
目的 瞭解我國肺量計檢查報告質最控製現狀.方法 收集2008年1-10月我國36傢大型綜閤性醫院肺功能室的肺量計檢查報告單,參照ATS和ERS的肺活量測試標準進行質量分析,肺量計檢查各質量控製標準的符閤情況以百分率來描述.結果 共收集345例報告單,82.5%(282/342)的報告單符閤測試起始質量的標準;65.8%(219/333)的報告單達到分析呼氣流暢質量的標準,其餘114例不符閤標準的報告單中,咳嗽佔8.7%(29/333),聲門早閉佔2.4%(8/333),口嘴漏氣佔8.7%(29/333),提前中止佔7.8%(26/333),阻塞口器佔1.8%(6/333),未儘最大努力佔14.7%(49/333);50.6%(119/235)的報告單達到分析測試結束質量的標準;測試次數≥3次的佔22.6%(78/345),其中65例有各次測試數據報告,可分析其重複性,符閤標準的佔95.4%(62/65),佔總數的18.0%(62/345),AFVC＜150 ml的佔95.4%(62/65),△FVC＜100 ml的佔92.3%(60/65),△FEV_1＜150 ml的佔100.0%(65/65),△FEV_1＜100 ml的佔87.7%(57/65);在345例報告單中,同時符閤上述4項標準的僅佔總數的7.2%(25/345).結論 我國醫院的用力肺功能檢查質量有待提高.
목적 료해아국폐량계검사보고질최공제현상.방법 수집2008년1-10월아국36가대형종합성의원폐공능실적폐량계검사보고단,삼조ATS화ERS적폐활량측시표준진행질량분석,폐량계검사각질량공제표준적부합정황이백분솔래묘술.결과 공수집345례보고단,82.5%(282/342)적보고단부합측시기시질량적표준;65.8%(219/333)적보고단체도분석호기류창질량적표준,기여114례불부합표준적보고단중,해수점8.7%(29/333),성문조폐점2.4%(8/333),구취루기점8.7%(29/333),제전중지점7.8%(26/333),조새구기점1.8%(6/333),미진최대노력점14.7%(49/333);50.6%(119/235)적보고단체도분석측시결속질량적표준;측시차수≥3차적점22.6%(78/345),기중65례유각차측시수거보고,가분석기중복성,부합표준적점95.4%(62/65),점총수적18.0%(62/345),AFVC＜150 ml적점95.4%(62/65),△FVC＜100 ml적점92.3%(60/65),△FEV_1＜150 ml적점100.0%(65/65),△FEV_1＜100 ml적점87.7%(57/65);재345례보고단중,동시부합상술4항표준적부점총수적7.2%(25/345).결론 아국의원적용력폐공능검사질량유대제고.
Objective To assess the current status of quality control of spirometry reports in China.Methods Spirometry case reports from January 2008 to October 2008 were collected from pulmonary function testing laboratories in 36 large hospitals (provincial or municipal) in China.The quality analysis was performed according to ATS/ERS standardization for measurement of spirometry.The number of reports that met the criteria for quality control was expressed as percentages.Results A total of 345 spirometry test reports were collected.82.5% (282/342) met the start-of-test criteria for quality control.333 reports could be analyzed for free of artifacts,of which 65.8% (219/333) were consistent with the criteria of smooth expiration;the remaining reports (114) failed to meet the criteria,for reasons including cough (29/333,8.7%),premature glottis closure (8/333,2.4%),gas leakage (29/333,8.7%),early termination of expiration (26/333,7.8%),mouthpiece obstruction (6/333,1.8%),and incomplete exertion of efforts (49/333,14.7%).235 reports were analyzed for end-of-test criteria,with 50.6% (119/235) complying to criteria.22.6% (78/345) of the reports were tested for more than 3 times,among which 65 reports with the data of each manoeuvre could be analyzed for repeatability.95.4% (62/65) of the reports met the repeatability criteria,which accounted for 18.0% (62/345)of the total reports collected.The rate of the 2 highest FVC (forced vital capacity) and FEV_1 (forced expiratory volume in one second) of less than 150 ml was 95.4% (62/65) and 100.0% (65/65),respectively.The rate of the 2 highest FVC and FEV_1 of less than 100 ml was 92.3% (60/65) and 87.7% (57/65),respectively.Only 7.2% of the reports (25/345)met all of the 4 criteria listed above.Conclusions The quality of spirometry tests in large (provincial or municipal) hospitals in China needs to be improved in the future.
