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目的:了解合肥市新生儿疾病筛查不合格血片原因及分布。方法:对合肥市各区县医疗机构递送的不合格血片按地区和医院类别进行分类整理、统计。结果:2008~2009年新筛血片总体不合格率为1.02%,其中2008年血片不合格率为0.64%,2009年为1.36%。2008年血片不合格首要原因为血片未透,2009年则为血片无法洗脱。从医院类别来看,2008年、2009年血片不合格率最高均为乡镇卫生院;从地区分布来看,2008年和2009年血片不合格率最低均为市区,血片不合格率最高的地区分别为肥东县(1.93%)和肥西县(2.85%)。结论:合肥市新生儿疾病筛查血片不合格原因主要有血片未透、血片无法洗脱、血片污染和血片面积过小。不合格血片分布存在地区差异和医院类别差异。
Objective: To understand the causes and distribution of unqualified blood films in neonatal screening in Hefei. Methods: Hefei city district medical institutions delivery of unqualified blood films by region and hospital classification classification, statistics. Results: The overall unqualified rate of the new piece of screening blood was 1.02% from 2008 to 2009, with the unqualified rate of 0.64% in 2008 and 1.36% in 2009. The first reason for the failure of blood film in 2008 was that the blood film did not penetrate. In 2009, the blood film could not be eluted. Judging from the type of hospital, in 2008 and 2009, the highest failure rates of blood films were township hospitals. From the perspective of regional distribution, the lowest rates of non-compliance of blood films in 2008 and 2009 were urban areas and the failure rate of blood films The highest areas were Feidong (1.93%) and Feixi (2.85%) respectively. Conclusion: Hefei neonatal screening of blood film failed mainly due to blood film is not transparent, blood film can not be eluded, blood film contamination and bloodletting area is too small. Unqualified blood film distribution of regional differences and hospital type differences.