2014年郴州市不明原因发热病人疟原虫血片制作质量分析

发布时间：2018-07-05 02:48

本文选题：疟原虫 + 镜检　；参考：《中国血吸虫病防治杂志》2015年05期

【摘要】：目的规范郴州市不明原因发热病人疟原虫血片制作质量,为消除疟疾提供技术保障。方法按《消除疟疾技术方案(2011年版)》要求,在2014年每月抽取郴州市各县(市、区)不明原因发热病人疟原虫镜检血片,其中阴性血片抽取不少于3%,阳性血片全部抽取,疟疾镜检专家对抽取血片的制作、染色、清洁度和血检结果进行复核,并采用描述性流行病学方法对血片复核数据进行统计分析。结果 2014年,全市共复核血片231张,复核率为6.91%,血片制作合格率为80.52%,血片染色合格率为84.42%,血片清洁度合格率为86.58%,未发现误检和漏检。血片制作合格率、染色合格率和清洁度合格率最高的是桂阳县和临武县(均为100.00%),血片制作合格率和清洁度合格率最低的是宜章县(分别为52.94%、70.59%),血片染色合格率最低是永兴县(63.64%);桂阳县与宜章县血片制作合格率和清洁度合格率差异有统计学意义(χ2制作=18.60,χ2清洁度=9.73,P均0.01),桂阳县与永兴县血片染色合格率差异有统计学意义(χ2=11.43,P0.01)。结论通过抽查复核血片质量,及时发现血片质量问题,可促进血片质量提升,有助于消除疟疾目标的实现。
[Abstract]:Objective to standardize the quality of Plasmodium falciparum blood tablets in patients with fever of unknown origin in Chenzhou, and to provide technical guarantee for eliminating malaria. Methods according to the requirements of the Technical Plan for Malaria Elimination (2011 Edition), the blood samples of patients with fever of unknown origin were collected monthly in 2014 from counties (cities, districts) of Chenzhou City, of which no less than 3 samples were taken from negative blood smears and all positive blood slices were taken. The experts of malaria microscopic examination reviewed the preparation, staining, cleanliness and blood test results of blood samples, and analyzed the data of blood smears by descriptive epidemiological method. Results in 2014, 231 blood slices were reviewed in the whole city, the rate of review was 6.91, the qualified rate of blood film making was 80.52, the qualified rate of blood smear staining was 84.42 and the qualified rate of blood film cleanliness was 86.58. The qualified rate of blood film making, The highest qualified rate of dyeing and cleanliness were in Guiyang County and Linwu County (both 100.00%), the lowest in Yizhang County (52.94Geng 70.59%), the lowest in Yongxing County (63.64%), and the lowest in Guiyang County. There was significant difference between the qualified rate of blood film making and cleanliness (蠂 ~ 2 making 18.60, 蠂 ~ 2 cleanliness 9.73 P 0.01), and the difference between Gui Yang County and Yongxing County was statistically significant (蠂 ~ 211.43 ~ (3) P _ (0.01). Conclusion by checking the quality of blood tablets and finding the quality problems in time, the quality of blood tablets can be promoted and the goal of malaria can be eliminated.
【作者单位】：湘南学院预防医学与医学检验系;湖南省郴州市疾病预防控制中心;
【基金】：湘南学院科研项目(2014XJ57) 湖南省“十二五”重点建设学科项目(湘教发⺌2011⺗76号) 湘南学院“十二五”重点建设学科项目(湘南学院院发⺌2012⺗26号)
【分类号】：R531.3

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