尿常规临床检验应用分析前质量控制的临床效果

Clinical effect of quality control before the application of urine routine clinical test

目的分析尿常规检验进行分析前质量控制的效果。方法选取2019年3月~2020年3月于解放军总医院第八医学中心检验科进行尿常规检验的300例患者为研究对象,采用随机数字表法分为对照组(150例)和试验组(150例)。对照组尿常规检验采用传统的质量管理模式,试验组采用分析前质量控制。比较两组的尿常规标本合格率,尿常规检验质量,医护患三方满意度,分析尿常规标本不合格的原因。结果试验组尿常规标本合格率高于对照组,差异有统计学意义(P<0.05)。试验组尿常规检验质量总分及环境、技术、人员各方面的质量评分均高于对照组,差异有统计学意义(P<0.05)。试验组医护患三方对尿常规检验工作的满意度高于对照组,差异有统计学意义(P<0.05)。不合格标本的原因以样本污染、采集有误、样本量少为主。结论尿常规检验进行分析前质量控制,能提高标本合格率和检验质量,具有推广价值。

Objective To analyze the effect of quality control before the application of routine clinical testing of urine.Methods A total of 300 patients who underwent routine urine examination in the No.8 Medical Center,General Hospital of Chinese PLA laboratory medicine department from March 2019 to March 2020 were selected as the research subjects.The patients were divided into the control group(150 cases)and the experimental group(150 cases)according to the random number table method.The control group used the traditional quality management mode for routine urine test,and the experimental group used pre analysis quality control.The qualified rate of routine urine specimens,the quality of routine urine examination,the satisfaction of doctors and patients were compared between the two groups,and the reasons for unqualified routine urine specimens were analyzed.Results The passing rate of routine urine specimens in test group was higher than that in control group,and the difference was statistically significant(P<0.05).The total score of urine routine test and the quality scores of environment,technology and personnel in experimental group were higher than those in control group,the differences were statistically significant(P<0.05).The satisfaction of routine urine test was higher in the experimental group than in the control group,and the difference was statistically significant(P<0.05).The main reasons for unqualified samples were contamination of samples,wrong collection and small sample size.Conclusion The application of pre-analytical quality control of urine routine clinical testing can improve the sample qualification rate and test quality,and has the value of popularizing.