澳大利亚室间质量评价限在我国常规化学室间质量评价中的应用

摘要

目的 探讨澳大利亚质量评价限在我国常规化学室间质量评价中的应用.方法通过组织全国常规化学室间质评,对所检测的项目包括钾、钠、氯、钙、磷、葡萄糖、尿素、尿酸、肌酐、清蛋白、总胆固醇、三酰甘油、丙氨酸氨基转移酶、天门冬氨酸氨基转移酶、总胆红素、碱性磷酸酶、淀粉酶、肌酸激酶、乳酸脱氢酶、铁、镁、酸性磷酸酶和γ-谷氨酰基转移酶进行评价,并对结果进行分析.结果 以澳大利亚质量评价限作为室间质量评价限.评价项目除了碱性磷酸酶、钙、铁和酸性磷酸酶以外,钾、钠、氯、磷、葡萄糖、尿素、尿酸、肌酐、清蛋白、总胆固醇、三酰甘油、丙氨酸氨基转移酶、天门冬氨酸氨基转移酶、总胆红素、淀粉酶、肌酸激酶、乳酸脱氢酶、镁和γ-谷氨酰基转移酶评价项目有80％以上实验室能通过评价限.结论 常规化学室间质量评价计划的结果表明大部分的评价项目有80％的实验室都能够达到澳大利亚室间质量的评价限,所以澳大利亚评价限适用于我国常规化学的室间质评.%Objective To discuss the application of Australia allowable limits of performance in routine chemistry external quality assessment schemes. Methods Data of test items including K,Na,Cl,Ca,P,Glu,TC,TG,Urea,UA,Cre,TP, Alb, Tbil,ALT,AST,ALP, AMY,CK,LDH,Fe,Mg, ACP and GGT were collected and evaluated by a nationwide external quality assessment (EQA). Then the results were analysed. Results The evaluation items use Australia allowable limits of performance as acceptable limits. As for items of K,Na,Cl.P,Glu,TC,TG,Urea,UA,Cre,TP,Alb,Tbil,ALT.AST,AMY, CK,LDH,Mg and GGT,about 80% of participant laboratories could achieve Australia allowable limits of performance except for the items of ALP,Ca,Fe and ACP. Conclusion The situation that about 80% of participant laboratories can achieve the Australia allowable limits of performance in the mostly items of the external quality assessment programs indicates the Australia allowable limits of performance apply to routine chemistry external quality assessment programs in china.