贵州省临床检验实验室生理盐水质量抽查结果分析  

Spot-check of quality of normal saline in clinical laboratories of Guizhou province

作　　者：凌晓午[1,2] 苏莉[1,3] 安邦权[1,2,1,3] 周湘红[1,2] 王伟[4] 黄盛文[1,2] 裴秋媛[1,2] 陶永德[5] 杨秀华[1,2] 

机构地区：[1]贵阳医学院附属人民医院 [2]贵州省人民医院检验科,贵州贵阳550002 [3]贵州省人民医院输血科,贵州贵阳550002 [4]贵州省肿瘤医院血化中心,贵州贵阳550004 [5]贵州省临床检验中心,贵州贵阳550002

出　　处：《中华医院感染学杂志》2014年第17期4404-4406,共3页Chinese Journal of Nosocomiology

基　　金：贵州省科学技术基金项目(黔科合J字[2009]2168)

摘　　要：目的通过对贵州省医疗机构临床检验实验室常规用生理盐水质量进行追踪调研,以督促各所医院确保生理盐水无污染,从而提高阴道分泌物等常规检测准确性。方法采用直接与离心涂片法于2009-2011年连续3年通过不定期实地突击考察的方式镜检各临床检验实验室生理盐水有形成分;采用SPSS15.0软件进行统计分析。结果生理盐水的合格率从2009年的64.9%上升至2011年95.9%(P<0.01);生理盐水直接涂片和离心涂片的真菌污染率从2009年的27.0%和33.8%显著下降至2011年的4.1%和4.1%(P<0.01);杂质的污染率仅2009年1所临床检验实验室发现滴虫污染,污染率为1.4%。结论经过连续3年对全省临床检验实验室常规用生理盐水质量进行抽查调研和督导,生理盐水的合格率显著上升,说明采取质量控制措施,可有效地降低生理盐水污染,提高实验室相关检测质量。OBJECTIVE To conduct tracking survey of quality of conventional normal saline in clinical laboratories of medical institutions in G-uizhou province so as to ensure the quality of the normal saline and improve the accuracy of conventional examination of vaginal secretions. METHODS By means of direct and centrifugal smear method, a spot-check microscopy was performed to test the visible components of the normal saline in three consecutive years from 2009 to 2011, and the statistical analysis was performed with the use of SPSS15.0 software. RESULTS The qualified rate of the normal saline increased from 64.9% in 2009 to 95.9% in 2011 （P〈0.01）. The rate of fungal contamination of direct smear decreased significantly from 27.0% in 2009 to 4.1% in 9,011, and the rate of fungal contamination of centrifugal smear decreased significantly from 33.8% in 2009 to 4.1% in 2011 （P〈0.01）. The trichomoniasis contamination was only detected in one clinical laboratory in 2009, with the contamination rate of 1.4%.CONCLUSION Through the 3-straight-year spot-check survey and supervision of quality of conventional normal saline in the clinical laboratories, the qualified rate of normal saline is remarkably increased, and the study concludes that it is an effective way to take quality control measures so as to reduce the rate of contamination of normal saline and improve the quality of clinical laboratory examination.

关 键 词：临床检验实验室 生理盐水 真菌 质量抽查 

分 类 号：R181.32[医药卫生—流行病学]