摘要
目的探讨床旁快速检测(POCT)危急值在急诊科的应用价值。方法选取2013年1月-2013年12月在该院急诊科行POCT危急值检验的患者90例为研究组,2012年1月-2012年12月在该院实验室行POCT危急值检验的患者90例为对照组。比较两组危急值检验周转期(TAT)、复检准确率、报告临床处置时间及抢救成功率。结果 1研究组TAT[(15.20±7.66)min]明显少于对照组[(59.71±49.96)min],差异有统计学意义(t=8.35,P<0.01);2研究组复检准确率为69.57%,对照组为73.68%,差异无统计学意义(P>0.05);3研究组危急值报告临床处置时间[(9.34±4.99)min]少于对照组[(11.58±6.59)min],差异有统计学意义(t=2.56,P<0.05);4研究组抢救成功率(93.33%)较对照组(83.33%)高,差异有统计学意义(χ2=4.37,P<0.05)。结论急诊科POCT危急值快捷可靠,在缩短危急值TAT和报告临床处置时间方面有较大优势,值得在急诊科推广。
[ Objective ] To evaluate the critical value of point of care testing （POCT） in the Emergency Department. [Methods] In this study 90 patients with POCT for critical values in the Emergency Departments of our hospital in 2013 were enrolled into research group, while 90 patients with critical values tested in the Clinical Laboratories in 2012 into control group. Testing turnaround time of critical values, diagnosis accuracy, reported clinical management time and success rate were observed and compared. [Results] （~）Critical value test turnover period was shortened in the research group [（15.20-＋ 7.66） min] compared to that in the control group [（59.71 ~ 49.96）rain], POCT critical value report time was obviously less than the time of laboratory de- tection with statistics differences （t = 8.35, P〈 0.01）; （~）The diagnosis accurate rates of the two groups had no statistic difference （P〉 0.05）. The diagnosis accurate rate in the research group was 69.57% and that in the control group was 73.68%. （~）The clinical management time of the research group [（9.34 ＋ 4.99）min] was less than that of the control group [（11.58 ~ 6.59）min] with a statistically significant difference （t= 2.56, P〈 0.05）. （~）The rescue success rate was 93.33% in the research group and 83.33% in the control group, there was a statistically significant difference between both groups （X2 = 4.37, P〈 0.05）. [Conclusions] POCT of Emergency Department is a fast and reliable testing. It has a great advantage in shortening the turnaround time of criti- cal values and clinical management time, and should be promoted in the emergency systems.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第14期97-99,共3页
China Journal of Modern Medicine
关键词
床旁快速检测
危急值
急诊科
point of care testing
critical value
Department of Emergency
