经皮氧分压测定的质量控制问题及其改进思路
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摘要
目的建立经皮氧分压测定的质量控制管理,以确保经皮氧分压测定在使用中的安全、有效和可靠。方法针对电气安全性、准确性,多学科协作对经皮氧分压测定拟定了科学的、严谨的质量控制实施方案。结果定期检查操作,对发现的问题制定相应解决方法和改进措施。结论该方案解决了经皮氧分压测定在使用过程中因缺乏质量控制环节而出现的各种不规范问题,提出简单有效的提示语"洁""定""换",从而规避由此引出的医疗风险,保障医疗和科研工作顺利进行。
Objective To establish the quality control management of transcutaneous oxygen pressure measurements so as to ensure the safety, efficiency and reliability of transcutaneous oxygen pressure measurements in use. Methods A scientific and rigorous quality control scheme was developed for the determination of transcutaneous oxygen pressure in accordance with the electrical safety and accuracy. Results The operation was checked regularly, and corresponding solutions and improvement measures were made for the problems. Conclusion The scheme solves the transcutaneous oxygen pressure measurements due to the lack of quality control links in the process of using all kinds of non-standard problems, put forward a simple and effective clues "clean" "set" and"change", so as to avoid the raises health risks, guarantee medical and scientific research work smoothly.
Objective To establish the quality control management of transcutaneous oxygen pressure measurements so as to ensure the safety, efficiency and reliability of transcutaneous oxygen pressure measurements in use. Methods A scientific and rigorous quality control scheme was developed for the determination of transcutaneous oxygen pressure in accordance with the electrical safety and accuracy. Results The operation was checked regularly, and corresponding solutions and improvement measures were made for the problems. Conclusion The scheme solves the transcutaneous oxygen pressure measurements due to the lack of quality control links in the process of using all kinds of non-standard problems, put forward a simple and effective clues "clean" "set" and"change", so as to avoid the raises health risks, guarantee medical and scientific research work smoothly.
引文
[1]李鹏,杨兵全,孙子林.经皮氧分压评价糖尿病下肢动脉病变的应用进展[J].中国糖尿病杂志,2015,23(3):284-286.
[2]Wang Z,Hasan R,Firwana B,et al.A systematic review and meta-analysis of tests to predict wound healing in diabetic foot[J].J Vasc Surg,2016,63(2):29-36.
[3]de-Graaff JC,Ubbink DT,Legemate DA,et al.Interobserver and intraobserver reproducibility of peripheral blood and oxygen pressure measurements in the assessment of lower extremity arterial disease[J].J Vasc Surg,2001,33(5):1033-1040.
[4]Pardo M,Alcaraz M,Bernal FL,et al.Transcutaneous oxygen tension measurements following peripheral transluminal angioplasty procedure has more specificity and sensitivity than ankle brachial index[J].Br J Radiol,2015,88(1046):20140571.
[5]中国医疗保健国际交流促进会糖尿病足病分会.中国糖尿病足诊治指南[J].中华医学杂志,2017,97(4):251-258.
[6]叶林芳,郑红英,巫丽萍.2型糖尿病患者经皮氧分压测定结果观察及影响因素分析[J].临床护理杂志,2016,15(6):16-19.
[7]Gazzarusso C,Coppola A,Falcone C,et al.Transcutaneous oxygen tension as a potential predictor of cardiovascular events in type 2 diabetes[J].Diabetes Care,2013,36(6):1720-1725.
[8]Sheffield PJ,Workman WT.Transcutaneous tissue oxygen monitoring in patients undergoing hyperbaric oxygen therapy[A].In:Huch R,Huch A,eds.Continuous Transcutaneous Blood Gas Monitoring[C].New York:Marcel Dekker,1983:655-660.
[9]赵志强,赵涵,吴航,等.医院医学工程部门的学科建设及其内容[J].中国医学装备,2017,14(9):145-148.
[10]张晓峰,曹扬,邹庆辉,等.超声质量控制管理方案探究[J].中国医疗设备,2017,32(10):135-157.
[2]Wang Z,Hasan R,Firwana B,et al.A systematic review and meta-analysis of tests to predict wound healing in diabetic foot[J].J Vasc Surg,2016,63(2):29-36.
[3]de-Graaff JC,Ubbink DT,Legemate DA,et al.Interobserver and intraobserver reproducibility of peripheral blood and oxygen pressure measurements in the assessment of lower extremity arterial disease[J].J Vasc Surg,2001,33(5):1033-1040.
[4]Pardo M,Alcaraz M,Bernal FL,et al.Transcutaneous oxygen tension measurements following peripheral transluminal angioplasty procedure has more specificity and sensitivity than ankle brachial index[J].Br J Radiol,2015,88(1046):20140571.
[5]中国医疗保健国际交流促进会糖尿病足病分会.中国糖尿病足诊治指南[J].中华医学杂志,2017,97(4):251-258.
[6]叶林芳,郑红英,巫丽萍.2型糖尿病患者经皮氧分压测定结果观察及影响因素分析[J].临床护理杂志,2016,15(6):16-19.
[7]Gazzarusso C,Coppola A,Falcone C,et al.Transcutaneous oxygen tension as a potential predictor of cardiovascular events in type 2 diabetes[J].Diabetes Care,2013,36(6):1720-1725.
[8]Sheffield PJ,Workman WT.Transcutaneous tissue oxygen monitoring in patients undergoing hyperbaric oxygen therapy[A].In:Huch R,Huch A,eds.Continuous Transcutaneous Blood Gas Monitoring[C].New York:Marcel Dekker,1983:655-660.
[9]赵志强,赵涵,吴航,等.医院医学工程部门的学科建设及其内容[J].中国医学装备,2017,14(9):145-148.
[10]张晓峰,曹扬,邹庆辉,等.超声质量控制管理方案探究[J].中国医疗设备,2017,32(10):135-157.