Ulubay Gaye, Köktürk Nurdan, Görek Dilektaşlı Aslı, Şen Elif, Çiftci Fatma, Demir Tunçalp, Yıldız Öznur, Gemicioğlu Bilun, Saryal Sevgi
Department of Chest Diseases, Faculty of Medicine, Baskent University, Ankara, Turkey.
Tuberk Toraks. 2017 Jun;65(2):117-130. doi: 10.5578/tt.50748.
The application quality of pulmonary function tests (PFT) carries high importance since it affects the quality of health services. "Chronic Diseases and Risk Factors in Turkey Study," which was published in 2013 showed that only 22.6% of PFTs performed in the secondary care institutions in our country were compatible with the standards. This finding reveals the standardization problem in spirometry applications in our country. Currently, the criteria for the application and evaluation of spirometer measurements were defined by American and European Respiratory Societies standards. Several laboratories use these standards in our country as in the world. But, national laboratory standards that are suitable for the conditions in our country have not been defined yet. This report was prepared to ensure the application of spirometry in optimal conditions, to minimize intra-laboratory and inter-laboratory differences and mistakes, and to standardize in our country. In this report, we focused on the standards concerning laboratory conditions, equipment, and technician specifications, test application, evaluation of test quality, infection control, and reference values.
肺功能测试（PFT）的应用质量至关重要，因为它会影响医疗服务的质量。2013年发表的“土耳其慢性病与危险因素研究”表明，我国二级医疗机构中进行的肺功能测试仅有22.6%符合标准。这一发现揭示了我国肺活量测定应用中的标准化问题。目前，肺活量计测量的应用和评估标准由美国和欧洲呼吸协会制定。我国和世界上的一些实验室都采用这些标准。但是，尚未制定出适合我国国情的国家实验室标准。编写本报告是为了确保肺活量测定在最佳条件下进行，尽量减少实验室内和实验室间的差异及错误，并在我国实现标准化。在本报告中，我们重点关注了有关实验室条件、设备、技术人员规范、测试应用、测试质量评估、感染控制和参考值的标准。
