中国维和二级医院检验试剂管理实践与思考

Practice and Thinking of Laboratory Reagent Management in Peacekeeping Chinese Level Ⅱ Hospital

目的 分析临床检验在中国维和医疗分队中的作用,以及在维和实践中常见的检验项目、时间分布和试剂管理问题。方法 回顾性分析2021-01/2022-12月在刚果(金)南战区中国二级医院开展的检验项目和试剂相关数据。对检验项目检测数量、时间分布、分类分布、检验试剂保质期和存储温度情况进行分析。结果 2021-01/2022-12月期间检验工作总量分布最多的是血常规(567人次),其次是疟疾快检(439人次)、肝功能检测(328人次)。2021、2022年中,在1~2月份和6~8月份期间为检测高峰期,而在4、9和10月份为低谷期。生化检验中,肝功能、肾功能和尿酸检测是最常见的检测项目;临床检验中,血常规、疟疾快检和大便常规检测最常见;免疫检验中,乙肝/五项检测、人类免疫缺陷病毒(human immunodeficiency virus,HIV)检测和丙型肝炎病毒(hepatitis C virus,HCV)测试最常见。结论 检验工作在中国维和二级医院中发挥了重要作用,在准备检验试剂时应针对性重点准备试剂。针对试剂管理问题,选择保存温度要求低、保质期长的试剂,建议提前准备血常规、疟疾和肝功能检测试剂。本研究为提高维和医疗分队的检验质量提供了参考。

Objective To analyze the role of clinical laboratory testing in Chinese peacekeeping medical detachment,as well as issues of common testing projects,time distribution and reagent management in peacekeeping practice.Methods Related data on testing projects and reagents conducted from January 2021 to December 2022 at a Chinese Level Ⅱ hospital in the south sector of the Democratic Republic of Congo was retrospectively analyzed.The quantity of inspection tests,time distribution,classification distribution,reagent shelf life and storage temperature were analyzed.Results The results showed that the most common testing projects from January 2021 to December 2022 were blood routine(567 cases),followed by malaria rapid diagnostic test(439 cases) and liver function test(328 cases).In 2021 and 2022,the peak time of detection was from January to February and from June to August,while the low period was in April,September and October.In the biochemical detection,liver function,renal function and uric acid testing were the most common test items;in the clinical detection,blood routine,malaria rapid diagnostic test and stool routine test were the most common items;in the immunological detection,5 indexes of hepatitis B,human immunodeficiency virus(HIV) test and hepatitis C virus(HCV) test were the most common items.Conclusion Laboratory testing plays an important role in peacekeeping Chinese Level Ⅱ hospital,which suggests targeted preparation of reagents when conducting tests.To address reagent management issues,it is recommended to choose reagents with low-temperature requirements and long shelf life and to prepare blood routine,malaria and liver function test kits in advance.This study provides a reference for improving the quality of testing in peacekeeping medical teams.