我国生殖检验现状的初步调查
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湖南省妇幼保健院锐新项目(2021RX30);郴州市第一人民医院院内项目(N2020-87)。


Preliminary investigation and analysis for current status of reproductive testing in China
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    摘要:

    目的?初步调查并分析我国生殖检验行业现状,为给临床医疗工作提供优质服务以及为推动生殖检验行业的规范化和标准化提供基础。方法?自行设计“2020年全国生殖检验现状调查问卷”,对中国性学会生殖检验分会委员单位的生殖检验现状进行调查。结果?在收集的75份问卷中,有独立生殖检验实验室的比例为81.33%(61/75)。生殖检验实验室规模普遍偏小:规模1~2人者占29.33%(22/75),3~4人者占25.33%(19/75),5~6人者占24%(18/75)。按《人类精液检查与处理实验室手册》(第5版)操作规范进行精液常规和精子形态学分析的实验室比例为96%(72/75)。对精液常规和精子形态学进行室内质控的实验室比例为72%(54/75);参加室间质评的实验室比例为38.67%(29/75)。精液特殊检查及其他检查项目开展情况各异,对实验室的管理培训与科研尚有欠缺。结论?为使不同的生殖检验实验室结果具备可比性或能互认,生殖检验实验室在规范管理、操作培训、质量控制、标准化等方面尚有较大的提升空间。

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    Objective?In order to promote the normalization and standardization of reproductive testing and provide high-quality and efficient services for clinicians and patients,we perform preliminary investigation and analysis on the current status of reproductive testing in China.Methods?We designed a questionnaire for the Status Quo of Reproductive Testing in China(2020),and conducted a survey on the committee members participating in the Reproductive Testing Branch of Chinese Sexology Association.Results?A total of 75 questionnaires were collected.The proportion of independent laboratories for reproductive testing was 81.33%(61/75).The laboratories were generally relatively small scale.The laboratories with 1 to 2 technicians accounted for 29.33%(22/75),with 3 to 4 technicians accounted for 25.33%(19/75)and with 5 to 6 technicians accounted for 24%(18/75).Among the laboratories 96%(72/75)performed semen analysis and sperm morphological analysis according to the criteria of the WHOLaboratory Manual for the Examination and Processing of Human Semen(5th?ed.),and 72%(54/75)of laboratories conducted internal quality control on routine semen analysis and sperm morphology.However,only 38.67%(29/75)of the laboratories participated in the external quality control.The situations of special semen detection and the other testing items varied with different laboratories.The management training and scientific research in the laboratories were still deficient.Conclusion?In order to get comparable and mutually recognized results of different reproductive testing items,it is essential to improve the management,operational training,quality control and standardization of the reproductive testing laboratories.

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伍细言,黄玲,彭新华,陆金春.我国生殖检验现状的初步调查[J].临床检验杂志,2021,(4):247-251

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  • 收稿日期:2021-01-15
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  • 在线发布日期: 2021-06-17
  • 出版日期: 2021-04-28
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