国内医用体温计临床使用计量质控现状分析

Analysis of current status of clinical measurement quality control of medical thermometers in China

阐述了国内外医用无汞体温计的临床应用现状,介绍了玻璃体温计、电子体温计、变色体温计3种类型的国内医用体温计计量质控现状,分析了国内医用体温计存在临床需求量大、不同类别体温计测量结果差异性较大、缺少规范性,水银体温计的替换缺乏有效的实施方案及无汞体温计与临床使用过程质量控制标准体系不完善的问题。指出了应制订有效的水银体温计可行性替换方案,进行区域化的体温计计量质控体系建设及深入无汞体温计临床使用过程研究,建立无汞体温计的使用操作规范,对《关于汞的水俣公约》的实施、水银体温计替换方案的制订具有重要的参考价值。

The present situation of clinical application of medical mercury-free thermometers was described in foreign countries and China,and the quality control situation of three types of medical thermometers in China was introduced including glass thermometer,electronic thermometer and color-changing thermometer.The problems of medical thermometers in China were analyzed including large demand for clinical application,big difference in measurement results by types of thermometers,lack of standardization and effective implementation of replacing mercury thermometers,imperfect clinical quality control system of mercury-free thermometer and etc.It was pointed out that an effective feasible replacement scheme for mercury thermometers should be developed,the regional quality control system for thermometers should be built,the clinical application process of mercury-free thermometers should be studied,and the operation specifications for mercury-free thermometers should be established,which had important reference values for the implementation of Minamata Convention on Mercury and the formulation of replacement scheme for mercury thermometers.