摘要
目的规范本院即时检验(POCT)血糖仪的使用,确保院内血糖仪检测结果的准确性和一致性。方法结合本院实际情况,对各临床科室的护理人员进行规范化培训,在对全院临床科室所有POCT血糖仪进行现状调查后,规定统一使用博士医生TD-4279a型血糖仪。同时在检验科指定一台博士医生TD-4279a型血糖仪进行校准,用厂家配送的高、低值质控品进行批内、批间精密度检测,并参加卫健委临检中心室间质评,定期将POCT血糖仪与全自动生化分析仪进行比对。临床各科室每天派一名经过培训的工作人员携带本科室血糖仪至检验科做室内质量控制(质控),与检验科血糖仪同步进行,由检验科工作人员把关并做好记录。结果博士医生血糖仪达到卫健委规定的血糖仪精密度和准确性要求,但仍具有一定的局限性。如血糖明显偏高或偏低时,应抽取静脉血至检验科进行检测。血糖仪只能用于临床糖尿病患者的血糖检测,但不能代替全自动生化分析仪的血糖监测结果作为确诊实验,防止因POCT血糖仪测量结果的误差影响临床医生对病情的诊断。结论为保证检验结果的准确性和一致性,规范POCT血糖仪的应用,应及时校准血糖仪的准确性和精密度测定,认真做好室内质控和室间质评,对操作者进行规范化培训,定期进行生化比对,从而提高POCT检测结果的准确性,更好地为临床和患者服务。
Objective To standardize the use of POCT blood glucose meter to ensure the accuracy and consistency of the meter test results in this hospital. Methods According to the actual situation of our hospital, standardized training was conducted to cultivate the nursing members in various clinical departments, and after investigation on the current situation of all point-of-care testing(POCT) blood glucose meters in clinical departments of our whole hospital, the doctorate doctor TD-4279 a type blood glucose meter was stipulated to be used uniformly. In the mean time, a doctorate doctor TD-4279 a blood glucose meter was appointed to carry out calibration in the clinical laboratory. The high and low quality control products delivered by the manufacturer were used to proceed intra-batch and inter-batch precision tests, the performance of the meter tests also participated in the inter-center department quality evaluation hosted by the Health Planning Commission, and regularly the POCT blood glucose meter was compared with the full-automatic biochemical analyzer. In addition, each clinical department sent a trained nurse to bring the blood glucose meter of her own department to the clinical laboratory everyday for intra-department quality control, which was carried out simultaneously with the blood glucose meter of the clinical laboratory, and the working member in the clinical laboratory checked and kept the records. Results The doctorate doctor blood glucose meter has met the precision and accuracy requirements of the blood glucose meter stipulated by the Health Planning Commission, but it still had certain limitations. If blood glocose was significantly higher or lower than normal range, the venous blood should be collected to immediately send to the laboratory for testing. The blood glucose meter was only used by clinical diabetes patients to test their blood glucose levels, but it could not replace the blood glucose monitoring results of the full automatic biochemical analyzer as a definite diagnostic experiment. It was important to prevent the errors in the measurement results of POCT blood glucose meter from affecting clinicians’ diagnosis of the disease. Conclusions The application of POCT blood glucose meter should be standardized to ensure the accuracy and consistency of the blood glucose test results. The accuracy and precision of the blood glucose meter ought to be calibrated in time, the indoor-and inter-department quality evaluation should be done seriously, the operators should be trained by standardized training, and the biochemical comparison should be carried out regularly to improve the accuracy of the POCT test results and serve the clinics and patients better.
作者
郭炜
马玲
Guo Wei;Ma Ling(Department of Clinical Labaratory,Changji Prefecture People's Hospital,Changji 831100, Xinjiang Uygur Autonomous Region,China)
出处
《实用检验医师杂志》
2018年第4期250-251,共2页
Chinese Journal of Clinical Pathologist
关键词
即时检验血糖仪
规范应用
质量控制
准确性
POCT blood glucose meter
Standardized application
Quality control
Accuracy
作者简介
通讯作者:郭炜,Email:349429959@qq.com.
