循证检验医学对检验专业发展作用的探讨

循证医学理论基础上形成的循证检验医学。是检验医学发展过程中的一次飞跃。循证检验医学的发展将改变检验医学的现状。面对循证医学检验带来的挑战，检验人员应积极开展循证实验室医学的应用研究，寻找全面促进医学检验的发展与进步的可行性方法。     

临床检验:频频亮起红灯

检验的及时性、全面性、准确性直接关乎临床诊断与治疗的效果。由于医学科学的快速发展,其中临床检验学已经发展为一门独立的学科,并已形成一个庞大的体系,包括的内容繁多、复杂,而检验新知识、新项目的普及和临床应用目前在国内却处于相对落后的态势,使其在临床工作中没有发挥出应有的作用,难免会出现漏诊误治的现象。造成这种状况的原因是多方面的,本文将结合实际调研对此作一简要分析,目的在于促进检验知识的普及和应用,使医护人员和患者重视检验,让检验更好地为人们的健康保健服务。     

Antepartum prediction of respiratory distress syndrome: a comparison of the shake test, the tap test and the turbidity test

The shake test, the tap test and the turbidity test were evaluated to determine their accuracy in predicting lung function maturity, ie their ability to predict respiratory distress syndrome (RDS). The turbidity test was the most efficient with a sensitivity of 60%, a specificity of 97%, a positive predictive value of 82% and a negative predictive value of 92%. The shake test had a sensitivity of 40%, a specificity of 95%, a positive predictive value of 63% and a negative predictive value of 88%. The tap test at 2 minutes had a sensitivity of 57%, a specificity of 78%, a positive predictive value of 35% and a negative predictive value of 89%. It was fortuitous that the simplest and cheapest test was found to be the most efficient test of the three. We recommend that the turbidity test or at least one of these tests should be used to determine the maturity of lung function when non-urgent elective deliveries are contemplated, to help reduce the incidence of RDS in this group of patients.     

检验专业临床检验学教学改革的尝试

临床检验学是医学检验专业的一门主干课程．笔者从教几年来，把教学与临床有机地结合，围绕如何搞好教学、培养实用型人才作了一些探索与研究，并取得较好的效果。     

影响临床血液生化检验标本结果准确性的因素探析及临床检验效果

目的 探讨影响临床血液生化检验标本检验结果准确性的因素及临床检验效果.方法 回顾性分析2019年4月至2020年4月于本院进行血液生化检验的500例患者的临床资料,统计其检验结果准确性,并分析影响检验结果准确性的相关因素,提出防范措施.结果 500例患者临床血液生化检验中,检验准确率为96.40％(482/500),1...     

加强外科学试卷分析,完善题库建设

对临床医学专业本科学生实施教考分离,其中外科学考试试卷从自建外科学试题库中抽取、组成,采用集体阅卷、统一评分,最后使用试卷定量分析系统对考试试卷及考试成绩进行统计学分析,检验试卷质量、教学效果,达到完善外科学试题库建设的目的.     

The relationship between the tuberculin test and the Kveim test in sarcoidosis in Ireland

The aim of this study was to correlate tuberculin reactivity with the Kveim test in sarcoidosis. Case records 1983–91 inclusive, of those patients with positive Kveim tests and recorded tuberculin tests in an acute regional general hospital serving south-west Ireland (counties Cork and Kerry) were reviewed. Of 39 patients with positive Kveim tests 28 (72%) were tuberculin negative to a test dose of 10 tuberculin units or more. The group was slightly though significantly younger (p <0.05) in age than the corresponding group (n = 11; 28%) with positive tuberculin tests. The incidence of tuberculin reactivity in the presence of Kveim reaction is higher than that expected for sarcoidosis. Corresponding studies in Britain and Scandinavia show a considerably lower tuberculin positive rate, which may be due to a lower prevalence of tuberculosis in these countries. However the younger age of the tuberculin negative group in our study may reflect a continuing decline in tuberculosis prevalence in south-west Ireland.     

尿液检验中试纸法及镜检法的效果研究

目的探讨尿液检验中试纸法及镜检法的效果,并进行分析。方法选取2016年2月~2018年1月在本院进行尿液检验的198例患者作为研究对象,采用随机抽签的方式分为对照组和观察组,每组各99例。对照组采用试纸法进行尿检,观察组采用镜检法进行尿检。观察并记录两种检测方法结果,并对比分析。结果镜检法和试纸法在检测中均能准确测出患者尿液中红细胞、白细胞的含量;试纸法及镜检法在检测阳性率、假阳性率、阴性率、假阴性率等方面无明显差异(P0.05)。结论传统单一的试纸法与镜检法在检测尿液时均能保证基本的正确性,在监测结果方面无明显差异。     

药品应急检验中如何进行急性毒性试验研究

急性毒性试验在药品的应急检验中得到了广泛的应用。本文介绍了在应急检验中如何进行药品的急性毒性试验（最大耐受量以及半数致死量测定）,试图为药品的应急检验以及临床应用提供有益的经验。     

前庭单温试验在眼震图中的应用

目的：探讨前庭单温试验在眼震图中的应用。方法：选取门诊主诉眩晕的患者100例行眼震图检查。选取眼震高潮期10s的波形计算最大慢相速度(SPV)，将CP单温及CP双温分别计算，采用stata软件，行x^2检验。结果：单温试验异常65例中，双温试验异常44例，正常21例，单温试验正常35例中，双温试验异常4例，正常31例。结论：当前庭单温正常时前庭双温亦正常，两者差别不显著；而当单温异常时，需要进行双温试验。     

幽门螺杆菌粪便抗原检测及其与胃粘膜抗原检测的对比研究

目的 评价幽门螺杆菌（Ｈｐ）粪便抗原检测方法的可靠性及准确性。方法 用ＥＬＩＳＡ试剂盒对２２４例接受胃镜检查患者的粪便标本进行幽门螺杆菌抗原检测,同时对部分病例进行胃粘膜活组织抗原的检测,以快速尿素酶试验、组织学染色和培养检测Ｈｐ作为“金标准”,三项检查中至少两项阳性判定为Ｈｐ感染。结果 “金标准”诊断Ｈｐ感染阳性１３７例,阴性８７例。“金标准”阳性的１３７例中１３２例粪便抗原检测阳性,阴性８７例