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为了探索血防现场查病质量管理的方法，本研究采用专家预测法和影响质量因素对比试验，初步认为，血清学ＥＩＡ法为试剂存放时间过长；病原学ＫａｔｏＫａｔｚ法为操作者判别虫卵技能和显微镜光源、分辨度差是主要影响因素。据此，在加强技术培训，改善必要的设备、条件和质量管理之后，试点县ＥＩＡ法和ＫａｔｏＫａｔｚ法阳性标本检出率分别提高了２４８０％和６１２４％。在１６个代表县的现场查病质量检验中经Ｋａｐｐａ值测定有１２个县检验结果与标准标本一致程度较好，现场查病质量较以前有明显提高。作者认为采用现场投放标准标本作为检验质量的方法是检验现场查病质量有效而适用的方法，同时也提高了血防管理和技术人员的质控意识
In order to explore the method of quality control of blood-screening site examination, this study used the expert prediction method and comparative test of quality factors, preliminarily believed that serological EIA method for the reagent storage time is too long; etiology Kato Katz method for the operator to determine the eggs Skills and microscope light source, poor resolution is the main factor. Accordingly, after strengthening technical training, improving the necessary equipment, conditions and quality management, the positive rates of positive EIA and Kato-Katz methods in experimental counties increased by 2480% and 6124% respectively. In the 16 representative counties on-site examination of disease quality inspection by Kappa value determination 12 county test results consistent with the standard specimen is better, the quality of on-site examination significantly improved than before. The author thinks that the method of using standard specimens on the spot as the test quality is an effective and applicable method to test the quality of on-site examination, and also improves the quality control awareness of blood-prevention management and technicians.