摘要
目的分析广东省不同地区孕前优生健康检查项目的异常率,评估基层实验室能力,并初步探讨实验室能力评估体系建立的方法,提高基层实验室的服务能力。方法收集2017年1—12月广东省21个基层地区包括沙眼衣原体、血清葡萄糖、肝功能、肾功能、乙肝、梅毒螺旋体在内的6项孕前优生健康检查部分检验项目的检查结果,对异常率进行分析。结果 21个基层地区沙眼衣原体、血清葡萄糖、肝功能、肾功能、乙肝、梅毒螺旋体异常率比较,差异有统计学意义(均P<0.05),部分地区部分项目异常率与全省平均水平比较,差异有统计学意义(均P<0.05)。结论基层实验室检验项目异常率差异较大,说明基层实验室在检验水平上存在较大差异,部分实验室检验水平较差,有必要建立实验室能力评估体系,提高实验室检验水平,更好地完成国家孕前优生健康检查工作。
Objective To analyze the abnormal rates of pre-pregnancy eugenic health examination items in different areas of Guangdong Province, to evaluate the capacity of grassroots laboratories, and to preliminarily explore the method of establishing laboratory capacity assessment system, so as to improve the service capacity of grassroots laboratories.Methods Six items of pre-pregnancy eugenic health examination including Chlamydia trachomatis, serum glucose, liver function, kidney function, hepatitis B and Treponema pallidum from 21 grassroots areas in Guangdong Province from January to December 2017 were collected, and the abnormal rates were analyzed.Results The abnormal rates of Chlamydia trachomatis, serum glucose, liver function, renal function, hepatitis B and Treponema pallidum in 21 grassroots areas were compared, and the differences were statistically significant(all P<0.05). Abnormal rates of some items in some areas and the average levels of the whole province were compared, and the differences were statistically significant(all P<0.05).Conclusion The abnormal rates of testing items at grassroots laboratories are quite different, which indicates that there are great differences in laboratory testing levels. Some laboratories have poor testing ability. It is necessary to establish a laboratory capacity evaluation system to improve laboratory testing level, so as to better complete the national pre-pregnancy eugenic health examination.
引文
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