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台式胆固醇分析仪在全科医疗中的应用。

The use of desk-top cholesterol analysers in general practice.

作者信息

Summerton A M, Summerton N

机构信息

Royal Hallamshire Hospital, Sheffield.

出版信息

Public Health. 1995 Sep;109(5):363-7. doi: 10.1016/s0033-3506(95)80008-5.

DOI:10.1016/s0033-3506(95)80008-5
PMID:7480601
Abstract

An examination of the use of desk-top cholesterol analysers was performed within 10 practices in Kirklees, West Yorkshire. The survey entailed a questionnaire survey of the principal users of desk-top cholesterol analysers and the analysis of two laboratory quality control samples. The majority of practices used Boehringer Lipotrend, with frequency of use varying from < 5 tests/week to a maximum of 20/week. Training by manufacturers was absent in four practices. The maintenance of analysers was inadequate in seven practices as was quality control in five practices. Analysis of laboratory quality control samples showed about 50% of results within 0.5 mmol/l of mean, but 20.6% differed from mean by > 1 mmol/l. The coefficients of variation were 18% and 20% respectively. The use of desk-top cholesterol analysers is increasing in general practice, but improvements in training and quality control are necessary to ensure precise and accurate results with near-patient testing.

摘要

在西约克郡柯克利斯的10家医疗机构中对台式胆固醇分析仪的使用情况进行了调查。该调查包括对台式胆固醇分析仪主要使用者的问卷调查以及对两个实验室质量控制样本的分析。大多数医疗机构使用的是勃林格Lipotrend,使用频率从每周少于5次检测到最多每周20次不等。有4家医疗机构没有接受制造商的培训。7家医疗机构的分析仪维护不足,5家医疗机构的质量控制也存在问题。对实验室质量控制样本的分析表明,约50%的结果在均值的0.5毫摩尔/升范围内,但20.6%的结果与均值相差超过1毫摩尔/升。变异系数分别为18%和20%。在全科医疗中,台式胆固醇分析仪的使用正在增加,但为确保近患者检测结果的精确性和准确性,有必要改进培训和质量控制。

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