中华检验医学杂志
中華檢驗醫學雜誌
중화검험의학잡지
CHINESE JOURNAL OF LABORATORY MEDICINE
2014年
10期
758-762
,共5页
凌晓午%周湘红%安邦权%许健%黄盛文%苏莉%王伟%黄山%陈小洁%裴秋媛%曾强武%邹阳
凌曉午%週湘紅%安邦權%許健%黃盛文%囌莉%王偉%黃山%陳小潔%裴鞦媛%曾彊武%鄒暘
릉효오%주상홍%안방권%허건%황성문%소리%왕위%황산%진소길%배추원%증강무%추양
阴道%尿道%体内分泌物%诊断试验,常规%质量控制%评价研究
陰道%尿道%體內分泌物%診斷試驗,常規%質量控製%評價研究
음도%뇨도%체내분비물%진단시험,상규%질량공제%평개연구
Vagina%Urethra%Bodily secretions%Diagnostic tests,routine%Quality control%Evaluation studies
目的：初步建立贵州省泌尿生殖道分泌物常规检验室间质量评价（ EQA）体系，以提高其整体检测水平。方法2009至2011年，每年在贵州全省范围内抽取50家以上不同等级医院的临床检验实验室作为参评单位。每年开展两次EQA，每次选取瑞氏和（或）革兰染色良好的泌尿生殖道分泌物涂片5张（相当于5个批号质评品）直接和（或）彩图发给参评实验室进行检测，并对各个实验室的回报结果进行分析评价，以符合率≥80％判为合格。结果2009至2011年EQA参评单位从55家上升至96家，总平均回报率＞80％。3年6次EQA 结果平均符合率＜80％的有球菌4次（73．7％、77．8％、61．1％、77．1％），杆菌2次（75．6％、79．3％），球杆菌2次（64．3％、52．1％），滴虫（79．7％）、上皮细胞（76．1％）、中性粒细胞（75．7％）及清洁度（71．3％）各1次。6次30个质评品中有6个批号（占20．0％）的平均符合率＜80％；30个质评品11个EQA项目分别有1～15个批号的平均符合率＜80％即不合格。总平均符合率以可疑淋球菌为最高（94．2％），以球菌及球杆菌为最低即未达到合格（各占77．0％、75．2％）。结论在一定范围内开展EQA活动并取得良好效果，参评单位明显增加，总的参评成绩呈上升趋势，在一定程度和范围内增强了检验人员的质量意识；初步建立了贵州省泌尿生殖道分泌物常规检验的EQA体系，为临床实验室和上级机构提供了室内质量控制和EQA的一个参考模式。（中华检验医学杂志，2014，37：758-762）
目的：初步建立貴州省泌尿生殖道分泌物常規檢驗室間質量評價（ EQA）體繫，以提高其整體檢測水平。方法2009至2011年，每年在貴州全省範圍內抽取50傢以上不同等級醫院的臨床檢驗實驗室作為參評單位。每年開展兩次EQA，每次選取瑞氏和（或）革蘭染色良好的泌尿生殖道分泌物塗片5張（相噹于5箇批號質評品）直接和（或）綵圖髮給參評實驗室進行檢測，併對各箇實驗室的迴報結果進行分析評價，以符閤率≥80％判為閤格。結果2009至2011年EQA參評單位從55傢上升至96傢，總平均迴報率＞80％。3年6次EQA 結果平均符閤率＜80％的有毬菌4次（73．7％、77．8％、61．1％、77．1％），桿菌2次（75．6％、79．3％），毬桿菌2次（64．3％、52．1％），滴蟲（79．7％）、上皮細胞（76．1％）、中性粒細胞（75．7％）及清潔度（71．3％）各1次。6次30箇質評品中有6箇批號（佔20．0％）的平均符閤率＜80％；30箇質評品11箇EQA項目分彆有1～15箇批號的平均符閤率＜80％即不閤格。總平均符閤率以可疑淋毬菌為最高（94．2％），以毬菌及毬桿菌為最低即未達到閤格（各佔77．0％、75．2％）。結論在一定範圍內開展EQA活動併取得良好效果，參評單位明顯增加，總的參評成績呈上升趨勢，在一定程度和範圍內增彊瞭檢驗人員的質量意識；初步建立瞭貴州省泌尿生殖道分泌物常規檢驗的EQA體繫，為臨床實驗室和上級機構提供瞭室內質量控製和EQA的一箇參攷模式。（中華檢驗醫學雜誌，2014，37：758-762）
목적：초보건립귀주성비뇨생식도분비물상규검험실간질량평개（ EQA）체계，이제고기정체검측수평。방법2009지2011년，매년재귀주전성범위내추취50가이상불동등급의원적림상검험실험실작위삼평단위。매년개전량차EQA，매차선취서씨화（혹）혁란염색량호적비뇨생식도분비물도편5장（상당우5개비호질평품）직접화（혹）채도발급삼평실험실진행검측，병대각개실험실적회보결과진행분석평개，이부합솔≥80％판위합격。결과2009지2011년EQA삼평단위종55가상승지96가，총평균회보솔＞80％。3년6차EQA 결과평균부합솔＜80％적유구균4차（73．7％、77．8％、61．1％、77．1％），간균2차（75．6％、79．3％），구간균2차（64．3％、52．1％），적충（79．7％）、상피세포（76．1％）、중성립세포（75．7％）급청길도（71．3％）각1차。6차30개질평품중유6개비호（점20．0％）적평균부합솔＜80％；30개질평품11개EQA항목분별유1～15개비호적평균부합솔＜80％즉불합격。총평균부합솔이가의림구균위최고（94．2％），이구균급구간균위최저즉미체도합격（각점77．0％、75．2％）。결론재일정범위내개전EQA활동병취득량호효과，삼평단위명현증가，총적삼평성적정상승추세，재일정정도화범위내증강료검험인원적질량의식；초보건립료귀주성비뇨생식도분비물상규검험적EQA체계，위림상실험실화상급궤구제공료실내질량공제화EQA적일개삼고모식。（중화검험의학잡지，2014，37：758-762）
Objective To establish an external quality assessment ( EQA) system of genitourinary tract secretions routine testing in Guizhou Province and improve the overall testing level.Methods From 2009 to 2011, more than 50 clinical laboratories in different grade hospitals from Guizhou Province were enrolled as participating units every year.EQA was carried out twice a year.Each time, five slides of high quality Wright′s or Gram stain smear of the genitourinary tract secretions or photographs obtained from these smears were selected to send to the participating laboratories for testing, and the feedback results from each laboratory were analyzed.The qualification was judged by the coincidence rate equal to or more than 80%. The average coincidence rates of each time and each year were statistically analyzed by Chi-squared test. Results From 2009 to 2011, the number of EQA participating units increased from 55 to 96, with an average return rate of >80%.Coincidence rates <80%of the 6 EQA results in the 3 years were as follow:four times for coccobacteria (73.7%,77.8%,61.1%,77.1%), twice for bacillus (75.6%,79.3%) and coccobacillus (64.3%,52.1%), once for infusorian (79.7%), epithelial cells (76.1%), neutropenia (75.7%) and cleanliness (71.3%).There were six batches of 30 quality assessment controls (accounting for 20.0%) in the six EQAs had the coincidence rate of <80%.Eleven items of 30 quality assessment controls with 1 to 15 batches were unqualified ( average coincidence rate of<80%) respectively.The item with the highest total average coincidence rate was suspected gonococcus (94.2%), and two items with the lowest total average coincidence rates were coccus and coccobacillus ( 77.0%, 75.2%, respectively ) . Conclusions This EQA program carried out within a certain range of clinical laboratories achieved good results:participating units increased significantly;the total score of all the items showed an obviously upward trend;the quality awareness of clinical lab technicians has enhanced to a certain extent.In this study, EQA system of genitourinary tract secretion routine testing were preliminarily established in Guizhou province, which provided a reference model of internal quality control ( IQC ) and EQA for clinical laboratories and higher authorities, and will be bound to have a positive impact on improvement of the overall level of genitourinary tract secretion routine testing.
