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目的:评价乡镇卫生院、社区卫生服务中心临床实验室乙型肝炎病毒(HBV)血清学标志物的校准及检测能力。方法:由宝鸡市临床检验质控中心向各参评单位每年统一发放2次质控标本,每一次发放5个不同批号质控标本,在规定的时间内测定HBsAg、HBsAb、HBeAg、HBeAb、HBcAb。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。可接受范围参照卫生部临床检验中心质量评价标准[1]。室间质量评价评分标准参照《全国临床检验操作规程》[2]。结果:参评单位总成绩合格率(PT≥80%)依次为85.9%、86.1%、88.3%、91.6%、98.0%,(χ2=7.77,P<0.01),合格率逐次提高。结论:参加乙型肝炎病毒血清学标志物室间质量评价,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。
Objective: To evaluate the calibration and detection of hepatitis B virus (HBV) serological markers in clinical laboratories of township health centers and community health service centers. Methods: Quality control samples were distributed twice a year from the Quality Control Center of Clinical Laboratory of Baoji City to each participating institution. Five quality control samples of different batches were distributed and HBsAg, HBsAb, HBeAg, HBeAb and HBcAb were determined within the prescribed time. The results of the test by the Baoji City Center for Quality Control of clinical laboratory quality evaluation network reporting system for return. All data is collected, processed and analyzed by the system. Acceptable range with reference to the Ministry of Health Clinical Laboratory Quality Evaluation Criteria [1]. Room quality evaluation criteria refer to the “National Clinical Laboratory Procedures” [2]. Results: The qualified rate (PT≥80%) of the total scores of participating units were 85.9%, 86.1%, 88.3%, 91.6% and 98.0%, respectively (χ2 = 7.77, P <0.01). Conclusion: To participate in the quality evaluation of hepatitis B virus serological markers inter room, will help to assess the laboratory testing ability to detect and solve the problems in the experiment, improve the quality of the test results, reduce the experimental error, ensure the test The accuracy of the results.