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血栓弹力图室内质控方案的探讨
引用本文:高旭蓉,马丽,张颖,潘楠,贾金娜,纪宏文,Wang Yue,Liu Na,Ma Zuxuan,Xiong Qian,Ji Hongwen.血栓弹力图室内质控方案的探讨[J].北京医学,2015(4):377-380.
作者姓名:高旭蓉  马丽  张颖  潘楠  贾金娜  纪宏文  Wang Yue  Liu Na  Ma Zuxuan  Xiong Qian  Ji Hongwen
作者单位:中国医学科学院北京协和医学院阜外心血管病医院输血科,北京,100037;Department of Blood Transfusion,Fuwai hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing 100037, China
摘    要:目的:探讨建立适合本实验室特点的血栓弹力图(TEG)检测室内质控方案。方法采用2013年2~7月间的连续20次室内质控数据,绘制Levey-Jennings质控图,并与厂家提供的质控正常参考范围进行对比。结果本实验室2013年的20次TEG质控数据均在厂家提供的质控参考范围内。在绘制质控图后发现R值、α-Angle值和MA值均有超过xˉ±2s或xˉ±3s范围的数据。结论在TEG质控检测中不能单独依据厂家的质控正常参考范围,需结合绘制质控图的方法,来发现是否存在失控数据,以保证试验检测结果的准确性。

关 键 词:血栓弹力图  室内质控  质控图

Study of Internal Quality Control of Thromboelastography
Gao Xurong,Ma Li,Zhang Ying,Pan Nan,Jia Jinna,Qi Hongmei,Wang Yue,Liu Na,Ma Zuxuan,Xiong Qian,Ji Hongwen.Study of Internal Quality Control of Thromboelastography[J].Beijing Medical Journal,2015(4):377-380.
Authors:Gao Xurong  Ma Li  Zhang Ying  Pan Nan  Jia Jinna  Qi Hongmei  Wang Yue  Liu Na  Ma Zuxuan  Xiong Qian  Ji Hongwen
Abstract:Objective To establish the appropriate method of quality control of Thromboelastography(TEG) in lab-oratory. Methods A quality control chart of 20consecutive quality control data in our lab from February to July in 2013 was drawn and compared with the normal reference range from manufacturer. Results All quality control data of TEG in 2013 were in the normal range of the manufacturer. Some data were more than xˉ±2s or xˉ±3s beyond the scope related to R,α-Angle and MA value in the quality control chart. Conclusion The manufacturer's quality control reference range is not enough in TEG Internal quality control test. A quality control chart is needed to distinguish the data that out of range of quality control, and to ensure the accuracy of test results.
Keywords:Thromboelastography Internal quality control(IQC) Control quality chart
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