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目的对院内快速血糖检测仪进行统一管理,每三个月与检验科全自动生化分析仪进行1次比对试验,合乎判断标准以后才能在临床各科室用于监测患者血糖浓度。方法分别选取4.00、6.00、10.00、12.00 mmol/L附近4个浓度值样本,雅培仪器、罗氏仪器、稳豪型血糖仪采用指尖血样本,每份样本测定2次,计算均值与全自动生化分析仪均值进行比较,<4.00 mmol/L的样本标准差绝对值小于或等于0.70mmol/L为合格,其余浓度偏倚小于或等于±20%为合格。结果快速血糖仪与生化仪测定结果比对,32台偏倚在-16%~18%范围;雅培10台仪器在-16%~16%范围,全部合格;稳豪10台仪器在-14%~16%范围,全部合格;罗氏11台仪器在-10%~18%范围,全部合格;三诺安稳血糖仪1台6%~27%,不合格。结论此次比对结果虽然大部分合格,但1台仪器偏倚较大,今后应进一步加强管理,建议院内使用同一个品牌仪器和相应配套合格试剂。
Objective To carry out unified management of rapid blood sugar detector in hospital and conduct a comparison test every three months with the automatic biochemical analyzer in the laboratory for the purpose of monitoring the blood glucose level in clinical departments after judging the criteria. Methods Four samples of concentrations of 4.00, 6.00, 10.00, and 12.00 mmol / L were respectively selected. Abbott instruments, Roche instruments and steady-state blood glucose meters were used for finger blood samples. Each sample was measured twice and the mean and total biochemical The average value of the analyzer was compared. The standard deviation of samples with <4.00 mmol / L was less than or equal to 0.70 mmol / L and the other concentrations were less than or equal to ± 20%. Results Compared with the results of rapid blood glucose meter and biochemical analyzer, 32 biases were in the range of -16% ~ 18%; 10 Abbott instruments were in the range of -16% ~ 16%, all were qualified; 16% of the range, all qualified; Roche 11 sets of instruments in the range of -10% ~ 18%, all qualified; three promise An Blood Glucose Meter 1 set of 6% to 27%, unqualified. Conclusion Although most of the results of the comparison were satisfactory, one instrument was more biased and should be further strengthened in the future. It is recommended that the same brand of instruments and appropriate supporting reagents should be used in the hospital.