• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2020, Vol. 22 ›› Issue (2): 195-199.DOI: 10.3969/j.issn.1671-2587.2020.02.020

• 临床检验 • 上一篇    下一篇

西格玛性能验证图在不同生化分析仪性能评价中的应用

苏维, 魏晓珠, 刘爱玲, 陈望   

  1. 518109 广东省深圳市龙华区人民医院检验科
  • 收稿日期:2018-08-29 出版日期:2020-04-20 发布日期:2020-04-16
  • 作者简介:苏维(1988-),女,湖北当阳人,主管技师,学士,主要从事生物化学及分子生物学检验工作,(Tel)13692270135(E-mail)suwei1988_1@163.com。

Sigma Performance Verification Diagram for Evaluation of Biochemical Analyzers

SU Wei, WEI Xiao-zhu, LIU Ai-ling.et al   

  1. Department of Laboratory Diagnostics, Longhua District Hospital, Shenzhen, Guangdong 518109
  • Received:2018-08-29 Online:2020-04-20 Published:2020-04-16

摘要: 目的 探讨西格玛性能验证图在Roche与Beckman全自动生化分析仪性能评价中的应用价值。方法 收集2017年临床实验室AFP、总PSA、游离PSA、CEA、CA199、CA125、CA153、铁蛋白、总β-HCG、游离雌三醇10项检测项目的室内质控及室间质量评价数据(3月和10月),以实验室IQC长期累积在控变异系数平均值为CV的估计值,用卫生部临床检验中心提供的实验室EQA中的百分差值作为实验室的偏倚估计,采用卫生行业标准的允许总误差(TEa)作为质量规范,绘制Roche和Beckman检测相应项目的西格玛性能验证图。结果 2017年3月改善前Roche生化分析仪参与的4个室间质评项目中结果欠佳的2个(50%),临界1个(25%),优秀1个(25%),改善后10月的4个项目中结果良好的2个(50%),优秀1个(25%),世界一流1个(25%); 2017年3月改善前Beckman生化分析仪参与的8个室间质评检测项目中检测结果基本处于临界附近,有3个质量水平处于不可接受范围,改善后10月的8个质量水平均有所上升,但仍处于临界及欠佳范围。结论 Roche e602全自动分析仪的检测性能明显优于BeckmanDXI 800,西格玛验证图可以直观展示仪器及相应检测项目的优越性。

关键词: 西格玛性能验证图, 全自动化电化学发光分析仪, 全自动化酶免疫发光分析仪, 性能评价

Abstract: Objective To explore the application of sigma performance verification diagram (SPVD) to evaluation of Roche and Beckman automatic biochemical analyzers. Methods The data of indoor and external quality control of ten items were collected, including AFP, tPSA and fPSA, CEA, CA199, CA125, CA153, iron, protein, total beta HCG, and free estriol. The SPVD of the above markers was prepared based on the detections of Roche and Beckman analyzers, using the CV estimated in the laboratory, percentage difference as bias estimates, and TEa provided by NCCL and the Health Industry Standards. Results Two of the 4 external quality evaluation items provided by Roche analyzer detections were found to have poor results and one was qualified before improvement. After improvement, however, all of the 4 items showed excellent results. For Beckman biochemical analyzer, eight items of external quality assessment were close to the critical value and the quality of 3 items was not acceptable before improvement. The quality of eight items was still in the vicinity of critical point although it seemed to be improved after improvement. Conclusion The detection performance of Roche e602 analyzer appears to be superior to that of Beckman DXI 800, and sigma performance verification diagram may distinctively demonstrate the quality of detections.

Key words: Sigma performance verification diagram, Automatic electrochemical luminescence analyzer, Automated enzyme immunoluminescence analyzer, Performance evaluation

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