摘要
目的分析京津冀血站血液检测前标本质量控制情况,探讨检测前标本质量控制策略的差异对血液质量的影响,为实现京津冀血液检测质量同质化提供依据。方法通过调查问卷形式,对京津冀三地血站血液筛查实验室(简称血站实验室)检测前标本质量控制情况进行调查,包括真空采血管的厂家规格和应用情况、标本采集数目和用途、核酸标本采集后处理方式等数据进行分析。结果15家血站采用的血清学真空采血管来自9个厂家规格均为5mL,核酸真空采血管来自3个厂家规格为5mL和8mL;13家血站采集2管标本,1管标本用于血型、ALT和ELISA检测,1管用于核酸检测,另外2家血站采集3管标本;13家血站采集核酸标本后4h内离心,另外2家中1家仅部分核酸标本4h内离心,1家全部核酸标本4—8h内离心;13家血站采用全自动或半自动方式对核酸标本进行前处理,另外2家为手工方式处理。结论京津冀15家血站血液检测前标本处理过程和质量控制机制存在差异。血清学真空采血管应用厂家较多但只有1种规格,核酸真空采血管应用厂家较少但有2种规格;在采集数目和用途上13家血站相同,2家不同;在核酸标本采集后的处理方式上,13家血站能达到4h内进行离心,2家达不到,13家血站采用自动、半自动方式处理核酸标本,2家为手工方式处理。因此需进一步分析以上差异对京津冀各个血站实验室血液检测质量带来的影响。为推进京津冀血液检测质量同质化提供基础数据。
Objective Analyse the pre-test quality control of specimens in blood banks of Beijing-Tianjin-Hebei Region,discuss the influence of the different for quality control strategy about pre-test specimens,provide a data basis for the homogenization evaluation of blood screening laboratories. Methods Pre-test quality control of specimens were investigated by questionaires in blood banks of Beijing-Tianjin-Hebei Region in 2016,which included specification and application of vacuum blood collecting tube,collected numbers and usage of sample,post-collection treatment mode on NAT sample. Results15 blood banks all used 5 m L vacuum tube for serological test form 9 manufactures,and used 5 m L or 8 m Lvacuum tube for NAT from 3 manufactures.13 blood banks taked 2 samples for testing,of which,1 sample was tested for blood group,ALT and ELISA,1 sample was detected for NAT,another 2 blood banks taked 3 samples; 13 blood banks collected NAT samples and centrifuged them within 4 hours,some NAT samples of one blood banks centrifuged within 4 hours,all NAT samples of another blood bank centrifuged in 4 to 8 hours; NAT samples of 13 blood banks with pretreatment by fully automatic or semiautomatic,another 2 blood banks by manual. Conclusion There are differences of pre-test sample on treating process and quailty control in 15 blood banks,more brands with vacuum tube for serological test,only have 1 specification and less brands with vacuum tube for NAT have 2 specifications.13 blood banks are the same for collected numbers and usage of sample,2 blood banks are different.13 blood banks can finish NAT samples centrifugation within 4 hours,another 2 blood banks can not reach; 13 blood banks treat NAT samples by fully automatic or semi-automatic,another 2 blood banks by manual.Therefore,it needs further analysis on those differences which cause the influence on blood testing of each laboratory,and provide a data basis for advancing the homogenization evaluation of blood screening laboratories in Beijing-Tianjin-Hebei region.
作者
韩卫
张慧贤
王艳彬
黄力勤
葛红卫
王瑞
潘彤
王鹏
杨莉
孙绍秋
曹晓
崔立晔
魏超
于桂军
徐云鹏
房金娟
刘彩侠
王学刚
甄志军
刘晓杰
杜文功
王露楠
戚海
王鸿捷
HANWei;ZHANG Huixian;WANG Yanbin;HUANG Liqin;GE Hongwei;WANG Rui;PAN Tong;WANG Peng;YANG Li;SUN Shaoqiu;CAO Xiao;CUI liye;WEI Chao;YU Guijun;XU Yunpeng;FANG Jinjuan;LIU Caixia;WANG Xue-gang;ZHEN Zhijun;LIU Xiaojie;DU Wengong;WANG Lunan;QI Hai;WANG Hongjie(Hebi Blood Center,Shijianzhuang 050071,China;Beijing Red Cross Center;Tianjing Blood Center;Tongzhou Blood Bank;TangguBlood Bank;Tangshan Bllod Center;Baoding Blood Center;Changzhou Blood Center;Zhangjiakou Blood Center;Hengshui Blood Center;Chengdu Blood Center;Handan Blood Center;Xingtai Blood Center;QinhuangBlood Center;Langfang Bllod Center;National Center for Clinical Laboratories)
出处
《中国输血杂志》
CAS
2018年第10期1110-1113,共4页
Chinese Journal of Blood Transfusion
基金
中国输血协会团体标准制定项目:《血站血液检测实验室质量监测指标》P2018-004
关键词
京津冀
血站
血液筛查实验室
检测前
Beijing-Tianjin-Hebei region
blood banks
blood screening laboratory
pre-test
