贵州省脑死亡判定确认试验技术质控分析与改进

目的对贵州省脑死亡判定确认试验技术质控情况进行分析，针对性提出改进建议。方法对2016年1月—2021年9月贵州省3家示范医院提交的333例脑死亡病例三项确认试验技术指标进行比较分析，依据标准进行确认试验技术质控。结果3家医院脑电图评估实施率均达90%以上，两家医院经颅多普勒超声评估实施率均达90%以上，1家医院短潜伏期体感诱发电位评估实施率达94.59%。两项确认试验符合率分别为93.85%、92.57%和100.00%。经脑死亡病例质控发现的问题分为专业技术问题和非专业技术问题。结论从质控措施和试验技术两方面针对性改进，可提高确认试验规范性和准确性，为脑死亡判定提供客观依据。

Quality Control Analysis and Improvement of Brain Death Determination Confirmation Test Technology in Guizhou Province

ObjectiveTo analyze the quality control of brain death determination confirmation test technology in Guizhou Province to put forward corresponding improvement suggestions.MethodsFrom January 2016 to September 2021, 333 brain death cases from three demonstration hospitals in Guizhou Province were compared and analyzed in terms of technical indexes of three confirmation tests, and the quality control of confirmation tests was carried out according to the standards.ResultsThe application rate of electroencephalogram (EEG) assessment in the three hospitals was above 90%, the application rate of transcranial doppler ultrasound assessment in two hospitals was above 90%, and the application rate of short latency somatosensory evoked potentials assessment in one hospital was 94.59%. The concordance rate of the two confirmed tests were 93.85%, 92.57% and 100%, respectively. The problems found by quality control of brain death cases couid be divided into professional technical problems and non-professional technical problems.Conclusion The improvement of quality control measures and test technology can improve the standardization and accuracy of confirmation test, provide objective basis for the brain death determination.