2012年河南省疟疾流行三类县专业人员疟疾知识和检验技能评估分析

发布时间：2018-04-17 13:53

  本文选题：疟疾 + 专业技术人员　； 参考：《中国寄生虫学与寄生虫病杂志》2014年01期

【摘要】：目的对2012年河南省疟疾流行三类县(以下简称疟疾三类县)专业技术人员的疟疾检测能力进行考核评估,了解其当前的疟原虫检测能力。方法 2012年9~12月,对河南省疟疾三类县(市、区)疾控中心和辖区内医疗机构中相应的专业技术人员进行能力考核评估,考核内容包括疟疾相关基础理论知识(疟疾病原学、临床表现、诊断与治疗和流行病学等基础知识;计满分100分,60分为及格)、血片制作(每位技术人员在1 h内制作4张血片,并吉氏染色;计满分40分,24分为及格)和镜检读片(每位技术人员镜检6张标准血片,每张血片计时8 min,进行定性和虫种鉴别;计满分60分,36分为及格),用SSPS17.0软件分别从技术人员的性别、年龄、职称、单位级别和单位类型等方面对其成绩进行统计学分析。结果共有891名专业技术人员参加考核,成绩合计平均分为162.1分,最高者200分(满分),最低者96分,及格(平均120分以上)人数为871人,占97.8%。不同性别、年龄、职称、单位级别和单位类型人员之间的血片制作成绩差异均无统计学意义(P0.05)。男性与女性技术人员间的理论成绩和镜检成绩的差异均无统计学意义(P0.05),女性技术人员的合计成绩(162.97±17.64)高于男性(159.01±20.33)(P0.05)。50岁技术人员的理论成绩(84.38±9.41)低于≤30岁(89.91±7.81)和31~40岁(89.96±7.74)(P0.05);50岁技术人员的镜检读片成绩(34.62±14.82)和合计成绩(144.62±20.33)均显著低于其他3个年龄组(≤30岁:45.75±13.58和162.50±18.90;31~40岁:46.53±12.72和163.51±17.77;41~50岁:46.22±13.38和159.80±17.32)(P0.05)。初级、中级和高级职称技术人员的理论成绩(88.33±8.23,90.00±7.76和92.37±7.29)、镜检成绩(44.88±13.62,46.59±12.88和49.57±11.98)和合计成绩(159.61±18.37,163.81±18.03和169.15±16.38)均依次递增,且各组间差异有统计学意义(P0.05)。乡级、县级和省市级技术人员的理论成绩(88.28±8.30,90.84±7.32,93.54±6.10)、镜检成绩(44.54±13.14,47.69±13.40,52.62±11.04)和合计成绩(159.48±18.33,165.92±17.31,171.97±15.53)均依次递增,且各组间差异有统计学意义(P0.05)。疾控中心和医疗机构技术人员的各项成绩差异均较小,无统计学意义(P0.05)。结论河南省疟疾三类县专业技术人员对疟疾诊治的总体水平均衡,需加强对初、中级职称和基层医疗单位技术人员的技能培训。
[Abstract]:Objective to evaluate the malaria detection ability of professional technicians in three endemic counties (hereinafter referred to as malaria three counties) in Henan Province in 2012, and to understand the current malaria parasite detection ability.Methods from September to December, 2012, we evaluated the ability of the corresponding professional and technical personnel in the three counties (cities, districts) of Henan Province, including the basic theory knowledge of malaria (malaria etiology), and the corresponding professional and technical personnel in the medical institutions in Henan province.Clinical manifestations, diagnosis and treatment, epidemiology and other basic knowledge, the full score of 100 points of 60 divided into a pass, blood film production (each technician within 1 hour to make 4 blood slices, and Giesley staining;The full score of 40 points was 40% and 24 minutes were passed) and the reading films were examined by microscope (6 standard blood films were examined by each technician, each blood piece was timed for 8 mins for qualitative and insect identification, and a full score of 60 minutes or 36 minutes was divided into passing marks, respectively, according to the gender of the technician by using SSPS17.0 software.Age, title, unit level and unit type were statistically analyzed.Results A total of 891 professional and technical personnel participated in the examination, the total score was 162.1 points, the highest score was 200 points, the lowest score was 96 points, and the number of pass (average 120 points or more) was 871, accounting for 97.88aspects.There was no significant difference in blood film production between gender, age, professional title, unit grade and unit type personnel (P 0.05).There was no significant difference in theoretical scores and microscopic examination results between male and female technicians. The total score of female technicians was 162.97 卤17.64), which was significantly higher than that of male technicians aged 159.01 卤20.33)(P0.05).50 years (84.38 卤9.41) and 3140 years of age (89.96 卤7.74).The results of microscopical examination (34.62 卤14.82) and total score (144.62 卤20.33) were significantly lower than those of the other three age groups (鈮，

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