CAJ | 학술논문

目的：通过将临床病房所用的POCT血糖仪与检验科的全自动生化分析仪进行比对，了解两者之间的差异是否在可接受范围内，保证POCT血糖仪检测的准确性。方法用20台强生血糖仪与贝克曼AU2700全自动生化分析仪同时检测高、中、低三水平的五个不同浓度的血糖标本，进行正顺序和反顺序各测定一次，取平均值，以全自动生化分析仪结果为参比，分析强生血糖仪的准确性。结果检测标本为低浓度时（≤3.9 mmol/L），所有血糖仪的准确性都合格，且均为正偏差；检测标本为中浓度时（3.9～15 mmol/L），所有血糖仪结果均为负偏差，且有5台血糖仪的准确性不合格；检测标本为高浓度时（≥15 mmol/L），所有血糖仪均超出允许范围。结论 POCT血糖仪的检测结果不能代替检验科的血糖检测结果，血糖仪的质量管理需进一步规范。
목적：통과장림상병방소용적POCT혈당의여검험과적전자동생화분석의진행비대，료해량자지간적차이시부재가접수범위내，보증POCT혈당의검측적준학성。방법용20태강생혈당의여패극만AU2700전자동생화분석의동시검측고、중、저삼수평적오개불동농도적혈당표본，진행정순서화반순서각측정일차，취평균치，이전자동생화분석의결과위삼비，분석강생혈당의적준학성。결과검측표본위저농도시（≤3.9 mmol/L），소유혈당의적준학성도합격，차균위정편차；검측표본위중농도시（3.9～15 mmol/L），소유혈당의결과균위부편차，차유5태혈당의적준학성불합격；검측표본위고농도시（≥15 mmol/L），소유혈당의균초출윤허범위。결론 POCT혈당의적검측결과불능대체검험과적혈당검측결과，혈당의적질량관리수진일보규범。
ObjectiveTo insvestigate the differences whether or not in the acceptable range between portable blood meter and biochemical analyzer, ensure the accuracy of POCT blood meter. Method Test the High, Medium and Low levels each of ifve specimens with different concentrations of blood glucose at the same time with 20 Johnson portable blood meter and Beckman AU2700 automatic biochemical analyzer , test specimens in positive sequence and reverse order, averaging, with automatic biochemical analyzerResultsfor reference, analysis the accuracy of the Johnson portable blood meter. ResultsThe test specimen for low concentration (≤3.9mmol/L), all the accuracy of the portable blood meter are qualiifed, and all are positive deviation; Test specimens for the medium concentration (3.9~15 mmol/L), all the portable blood meter Resultsare negative deviation, and there are 5 portable blood meter’s accuracy is unqualiifed; Test specimens for high concentration (≥15mmol/L), all the portable blood meter is beyond the allowed range.ConclusionClinical laboratory blood glucose test Resultscan not be replaced by Portable blood meter test Results, Portable blood meter quality management need to be further standardized.