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目的分析并评价南平市结核病痰检室间质控效果,提高实验室痰检质量。方法按照《中国结核病防治规划痰涂片镜检质量保证手册》规定方法,对南平市下辖10个县级痰检实验室2009—2012年盲法复检数据进行综合分析。结果 2009—2012年共抽查痰涂片5 846张,其中阳性片508张,阴性片5 338张。经盲法复检,总阳性符合率为98.6%,总阴性符合率为99.8%。各年度的阳性符合率和阴性符合率差异均无统计学意义,阳性符合率和阴性符合率均达到国家规定标准;第1复检与第2复检结果比较,漏检较严重。结论县市结核病实验室痰检工作仍存在一些不足,需尽快解决问题,以提高痰检质量。
Objective To analyze and evaluate the quality control results of tuberculosis sputum examination room in Nanping City and to improve the quality of sputum examination in the laboratory. Methods According to the “Tuberculosis Prevention and Control Plan of China sputum smear microscopic quality assurance manual” provisions of the Nanping City, 10 counties under the jurisdiction of the sputum examination laboratory 2009-2012 Blind recheck data for a comprehensive analysis. Results A total of 5 846 sputum smears were collected during 2009-2012, of which 508 were positive and 5 338 were negative. The blind re-examination, the total positive coincidence rate was 98.6%, the total negative coincidence rate was 99.8%. The positive coincidence rate and negative coincidence rate of each year were not statistically significant, the positive coincidence rate and negative coincidence rate reached the national standard; the first retest and the second retest results, missed more serious. Conclusion There are still some shortcomings in the sputum examination work in the county and municipal tuberculosis laboratories, and the problems need to be solved as soon as possible so as to improve the quality of sputum examination.