摘要
目的探讨分析生物学变异在临床化学检验的质量规范设定和在结果评价中的应用价值。方法对总胆红素、总蛋白、尿素、肌酐、清蛋白、三酰甘油、葡萄糖等23个生化项目,根据其室内质控、生物学数据以及两次室间质评,计算其实际变异系数、实际总误差、实际偏差和参考变化值。结果 23个生化项目经过临床化学检查,达到最佳CV质量规范要求的占9项,适当水平要求的项目占11项,最低水平要求项目占2项,大于CV质量规范要求的项目占1项,在不同差值概率中的参考变化值不同。结论把质量规范作为生物变异学的评价标准,能够对各个生化项目进行更为全面客观的分析,利于临床对检验结果的解读。
Objective Biological variation are discussed in the quality of clinical chemistry test specification set up and applied value in the evaluation of results. Methods For urea, creatinine, total bilirubin, total protein, albumin, three acyl glycerol, glucose and other 23 biochemical events, according to the indoor quality control, biological data and qualitative evaluation between two room, calculating the actual deviation and variation coefficient, the actual total error,the actual changes and reference value. Results A total of 23 biochemical events after clinical chemistry examination,to achieve the best CV quality specification requirements of 9, 11 appropriate level requirements of the project, the lowest level for project 2, was greater than the CV quality specification requirements of the project of one. In different reference value change of differential probability. Conclusion Learn quality specifications as biological variation of evaluation standard, to a more comprehensive and objective analysis of various biological project, for the clinical interpretation of test results.
出处
《中国现代医生》
2014年第20期52-54,共3页
China Modern Doctor
关键词
化学检验
生物学
变异
质量规范
Chemistry
Biology
Variation
Quality standard
