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| Analysis of influence factors of biochemical pre-test process on test quality |
| YE Chang-yuan CHENG Xiao-ling CHEN Wei-jun |
| Department of Laboratory, Traditional Chinese Medicine Hospital of Heyuan City in Guangdong Province, Heyuan 517000, China |
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Abstract Objective To explore the influence of pre-clinical biochemical examination process on test quality and analyze its main influencing factors. Methods The clinical data of 368 patients undergoing blood biochemical test in our hospital from February 2017 to March 2018 were analyzed retrospectively.the deviation of test results, the incidence of errors and the main influencing factors of errors were observed and analyzed. Results After 368 patients underwent blood biochemical test, 46 patients had errors, the incidence rate was 12.50%, there was no significant difference in sex between the two groups (P＞0.05).The smoking history, posture (standing posture), sample hemolysis, collection time(feeding time≤12 h) and drug use in the error group were higher than those in the error-free group, the differences were statistically significant (P＜0.05).Logistic regression analysis showed that smoking history, sample hemolysis, collection time (feeding time≤12 h), drug use and posture (station) were the influencing factors of biochemical test results(OR＞1, P＜0.05). Conclusion The pre-biochemical process has a great influence on the quality of clinical examination,and the quality of clinical examination should be controlled actively, which is beneficial to improving the accuracy of clinical examination results.
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| [1] |
李润青，宫丽君，王腾蛟，等.西格玛方法在临床生化检验质量管理中的应用[J].中华检验医学杂志，2017，40（9）：727-732.
|
| [2] |
汪怀周，方雯，陈明坤，等.真空采血管采血量对常用临床生化检验项目结果的影响[J].检验医学，2017，32（2）：94-98.
|
| [3] |
刘春龙，陈龙，孙慧颖，等.临床生化检验反应面法中的统计学介绍[J].中国卫生统计，2015，32（5）：906-907.
|
| [4] |
陈文祥.临床生化检验质量评价与改进[J].中华检验医学杂志，2015，38（5）：289-291.
|
| [5] |
费阳，王薇，王治国.临床检验前阶段质量指标及其质量规范[J].临床检验杂志，2015，33（8）：626-629.
|
| [6] |
吴红霞.标本溶血对生化检验中电解质、心肌酶、肝功能、血脂水平的影响[J].国际检验医学杂志，2017，38（24）：3486-3488.
|
| [7] |
马燕.标本溶血对生化检验结果的主要影响和解决措施探讨[J].国际检验医学杂志，2017，38（16）：2304-2306.
|
| [8] |
谢晓婷，毛凌哲.溶血对11 项生化检验结果的干扰和影响及对策分析[J].检验医学，2015，30（10）：1002-1003.
|
| [9] |
李嫦女，郑桂君.血液标本采集及送检对生化检验结果的影响分析[J].中国基层医药，2015，22（23）：3632-3635.
|
| [10] |
代莉，苏适.应用血清分离胶与肝素锂血浆真空采血管采集血标本对急诊生化检验结果的影响[J].解放军医药杂志，2016，28（2）：100-102.
|
| [11] |
李祖新.临床生化检验测试的质量控制探析[J].检验医学与临床，2015，12（6）：832-833.
|
| [12] |
李艳坤.生化检验的影响因素分析[J].中国伤残医学，2015，23（22）：25-26.
|
| [13] |
孙宇，姜美凤，张金树，等.临床常规生化检验结果的影响因素分析[J].现代生物医学进展，2015，15（6）：1097-1100.
|
| [14] |
刘胜峰，刘玉玲，潘效营.标本溶血现象对临床生化检验项目的影响分析[J].检验医学与临床，2016，13（1）：192-193.
|
| [15] |
张喜梅.临床生化检验结果的影响原因及完善措施的分析[J].中国伤残医学，2016，24（11）：188-189.
|
|
|
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