| 孙 宇 姜美凤 张金树 杨 涛 高德禄.临床常规生化检验结果的影响因素分析[J].,2015,15(6):1097-1100 |
| 临床常规生化检验结果的影响因素分析 |
| Analysis of the Influencing Factors of Clinical Routine Biochemical TestResults |
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| DOI： |
| 中文关键词: 临床生化检验 影响因 素 标本采集 干扰因 素 |
| 英文关键词: Clinical biochemical test Influencing factor Specimen collection Interference factor |
| 基金项目: |
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| 中文摘要: |
| 目的： 探讨临床常规生化检验结果的影响因 素， 并提出 相应的预防对策。 方法： 回顾性分析 2012 年 2 月 ～ 2013 年 2 月 我院
检验科进行的生化常规检测 1 0256 例 次的检查结果，采用 美国 BIORAD 公司 生化定值多 项 3 水平质控品于检测前、中、后进行质
控分析，对产生偏差的原因 按实验前、实验中、实验后进行归类总结。 结果： 84 例 经复核出现超过 10%以上偏差， 占 总分析例 数的
0.82%
。 实验前不良事件是产生实验结果偏差的主要因 素， 占 总体产生偏差例数的 78.57%， 其中患者因 素与 标本处理不当 构成了
实验前干扰因 素的主体， 分别 占 实验前因 素的 39.39%和 36.36%。 不明原因 溶血与 标本采集方法不当 也是实验前的实验干扰因
素。实验中影响检测结果的因 素主要为 仪器故障、 试剂 过期和失效、 定标品或定标曲线过期， 分别 占 实验中因 素的 46.67%、
33.33%
、20%。 实验后干扰因 素均为审核不及时或不细致导致的检测报告不合格。 结论： 在进行临床常规生化检查的过程中， 任何
一个环节出 现失误均有可能对检查结果造成影响， 特别 是患者因 素、标本采集方法不当 及处理不当 ， 均 应该引起医护人员 的重
视。 |
| 英文摘要: |
| Objective:To explore the influencing factors of clinical routine biochemical test results, and put forward corresponding
preventive countermeasure.Methods:A retrospective analysis was carried out for the biochemical detection test results of 1 0256
hospitalized cases from February, 201 2 to February, 2013. Three levels quality fix value products of American BIORAD company were
detected before the test, during the test and after the test to find analysis fault. The causes of error were classified as the source of
produced in the biochemical detection test, just as the error before the test, during the test and after the test. Results:84 error cases which
had been re-checked in all test results were found and the deviations were more than 10% than their real value. It accounted for 0.82% of
the total analysis cases. The main errors happened before experiment process which accounted for 78.57% of the overall produces
deviation. Factors of patients and the specimens misconduct constituted the main body of before the experiment process interference
factors, accounted for 39.39% and 36.36% of the errors factors from before the experiment process. Unknown cause hemolysis and
improper specimen collection method were also the errors reasons which caused before the experiment interference. Instrument failure,
reagent expiration or expired, calibration or calibration curve expired respectively accounted for 46.67%, 33.33%, 20% of experiment
factors. After the experiment interference factors were test reports disqualifications which were caused by results checked carelessly or
not in time.Conclusion:In clinical routine biochemical examination process, any link wrong could affect the results, especially the
patient factors, improper specimen collection method and improper handling. The medical staffs should pay attention to these causes. |
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