河北省开展国家孕前优生健康检查项目临床检验室室间质评结果分析

Analysis on external quality assessment for national pre-pregnancy health examination project

目的对河北省开展国家孕前优生健康检查的县级机构临床检验室间质评结果进行对照分析,为提高孕前优生健康检查实验室质量管理水平提供依据和建议。方法采用回顾性分析的方法对全省县级机构的回报结果进行统计分析。结果从全国质评结果来看,2014年较2012年和2013年的优良率越来越高,不合格率越来越低(P<0.05)。全省质评结果中,2015年完全回报率已达100.00%,2015年优良率59.07%(101/171)较2013年优良率44.55%(49/110)明显提高(P<0.05)。与2013年比较,2015年全省171个机构在乙型肝炎5项中乙型肝炎核心抗体(hepatitis B core antibody,HBc Ab)、梅毒螺旋体、血肌酐、白细胞、红细胞>80~100分以上的比例明显增加,差异有统计学意义(P<0.05)。结论自开展国家孕前优生健康检查以来,全省孕前优生临床检验质量逐年提高,但仍有一定的提升空间。

Objective To analyze the results of the national and the provincial external quality assessment（ EQA） of the county agencies clinical Laboratory that taking part in the pre-pregnancy health examination project in Hebei province. New suggestions and countermeasures are put forward for the next step. Methods The results of every county agencies was reviewed using the method of retrospective analysis. Results From the results of national EQA,compared to 2012 and 2013,the excellent rate in2014 is higher and higher,while the failure rate is lower and lower（ P〈0. 05）. Hebei provincial EQA showed that the total feedback rate in 2015 has reached 100. 00%. The excellent rate in 2015 is 59. 07%percent（101 /171）,significantly increased than 44. 55%（49 /110） in 2013（ P〈0. 05）. The proportion of HBc Ab,syphilis antibody,senum creatinine,WBC,RBC（ 80- 100） from 171 institutions of Hebeiprovince is increased significantly in 2015 than in 2013,the difference was statistically significant（ P〈0. 05） in 2015. Conclusion Since the launch of the national pre-pregnancy health examination project,the quality of clinical examination in Hebei province is increasing year by year,but there are still some room for improvement.