乡镇卫生院、社区卫生服务中心临床实验室全血细胞计.pdfVIP

乡镇卫生院、社区卫生服务中心临床实验室全血细胞计数室间质量评价 葛君琍 薛海鲸 李 宝 林 波 乔正梅 （宝鸡市中心医院 陕西宝鸡 721008） [摘要] 目的 评价乡镇卫生院、社区卫生服务中心临床实验室全血细胞计数测定结果的准确 性和实验室所处的水平。方法 由宝鸡市临床检验质控中心向各参评单位每年发放 2 次质控 品，每一次发放 5 个不同批号的质控品。在规定的时间内测定白细胞计数，红细胞计数，血 红蛋白测定，红细胞比容，血小板计数。将测定结果通过宝鸡市临床检验质控中心室间质量 评价网络上报系统进行回报。所有数据由该系统收集、处理和分析。室间质量评价系统设置 采用加权均值， CLIA’88 推荐允许误差范围，为可接受误差。评价标准参照《临床实验室 室间质量评价要求》（GB/T-361）执行。结果 参评单位全血细胞计数 5 次室间质 量评价总成绩合格率(PT≥80%)依次为 38.2%、43.9%、46.5%、65.0%、72.1%合格率逐次提 2 高（ χ=37.18，P＜0.005）。结论 参加全血细胞计数室间质量评价，有助于评估实验室的 检测能力, 及时发现和解决实验过程中存在的问题, 提高检测结果的质量, 减小实验误差, 保证检验结果的准确性。 [关键词] 乡镇卫生院 社区卫生服务中心 全血细胞计数 室间质量评价 External Quality Assessment For Whole Blood Cell Count In Clinical Laboratories 1 1 Of Township Hospitals And Community Service Centers GE Jun-li ，JIANG Kui ，ZHAO 2 1 1 Hui ，LI Bao , LIN Bo .（1. Baoji Central Hospital，Baoji Shanxi 721008，China； 2. Baoji Municipal Health Bureau，Baoji Shanxi 721004，China） Abstract： Objective To Assess the Accuracy of determine results using whole blood cell count in clinic laboratories and evaluate the level of clinical laboratories of township hospitals and community service centers. Methods Five different specimens were distributed by Baoji Clinical Laboratory Center each time, and 2 times for each year. White blood cell count, red blood cell count, hemoglobin, hematocrit value, blood platelet count were detected in set time. Detected results were reported by each laboratory through external quality assessment (EQA) system of Baoji Clinical Laboratory Center, which were collected and analyzed. Acceptable ranges refer to quality assessment standard of clinical laboratory center for Ministry of Public Health. The standard of EQA score refers to《National Clinical Laboratory Operating Rulers》. Result The coincident rates of EQA for whole