CAJ | 학술논문

目的：探讨尿液检验过程中影响检验质量的各种因素，针对各种原因来找到控制检验质量的有效途径。方法利用回顾性分析的方法，对我院检验科于2009年1月至2012年12月收检的49358份尿检样本的资料进行分析，将其中检验结果出现较大偏差的209份样本作为研究对象。具体探究是在分析前、分析中、分析后中何种因素导致结果出现偏差。以此来具体分析尿液检验过程中影响检验质量特点，推进质量控制的深入。结果通过对我院检验科收检的检验结果出现较大偏差的209份样本进行分析。分析前，影响质量的因素主要有采集数据记录、样本采集方法错误、样本运送失误，占29.67%（62/209)。分析中影响质量的因素主要有检验人员操作失误、检验仪器或试剂错误、尿沉渣镜检失误，占46.89%（98/209)。分析后影响质量的因素主要有样本结果审查失误、样本结果运送失误，占23.44%（49/209)。结论尿液检验是我们进行临床诊断的重要辅助手段，医院每天都要进行大量的尿液检验工作。如何保障尿液检验的质量，便是我们相关医护人员需要十分重视的工作。我们要重视整个尿液检查工作的流程，细心对待每个步骤，以保障尿检工作的顺利进行。
목적：탐토뇨액검험과정중영향검험질량적각충인소，침대각충원인래조도공제검험질량적유효도경。방법이용회고성분석적방법，대아원검험과우2009년1월지2012년12월수검적49358빈뇨검양본적자료진행분석，장기중검험결과출현교대편차적209빈양본작위연구대상。구체탐구시재분석전、분석중、분석후중하충인소도치결과출현편차。이차래구체분석뇨액검험과정중영향검험질량특점，추진질량공제적심입。결과통과대아원검험과수검적검험결과출현교대편차적209빈양본진행분석。분석전，영향질량적인소주요유채집수거기록、양본채집방법착오、양본운송실오，점29.67%（62/209)。분석중영향질량적인소주요유검험인원조작실오、검험의기혹시제착오、뇨침사경검실오，점46.89%（98/209)。분석후영향질량적인소주요유양본결과심사실오、양본결과운송실오，점23.44%（49/209)。결론뇨액검험시아문진행림상진단적중요보조수단，의원매천도요진행대량적뇨액검험공작。여하보장뇨액검험적질량，편시아문상관의호인원수요십분중시적공작。아문요중시정개뇨액검사공작적류정，세심대대매개보취，이보장뇨검공작적순리진행。
Objective To investigate the impact of the process of testing urine test the quality of a variety of factors, for various reasons, to find an effective way to control the quality of the examinations. Methods A retrospective analysis, our hospital laboratory from January 2009 to December 2012 to close inspection of the 49358 copies of the data were analyzed urine samples, which will be a larger deviation of the test results to 209 samples for research object. Specific inquiry is before analysis, analysis, and analysis of what factors lead to biased results. Specific analysis of urine tests in order to influence the process of testing the quality characteristics, and promote quality control depth. Results Through the close examination of our hospital laboratory test results showed a larger deviation of 209 samples was analyzed. Prior to analysis the main factors affecting the quality of collected data logging, sample collection method error, the sample delivery errors, accounting for 29.67%(62/209). Analysis of the main factors affecting the quality inspection staff operational errors, wrong test equipment or reagents, urine sediment examination errors, accounting for 46.89%(98/209). Analysis of the main factors affecting the quality of the sample results examined mistakes, mistakes in sample results delivery, accounting for 23.44%(49/209). Conclusion We conducted a urine test is an important adjunct to clinical diagnosis, the hospital every day to work a lot of urine tests. How to protect the quality of the urine test, that is, we need to attach great importance to the relevant staff work. We should pay attention to the work of the whole urine flow, treat each step carefully to ensure the smooth progress of urine.