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质控图在实时荧光定量PCR定性检测实验室质控中的应用

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目的 以循环数阈值(CT值)作为检测值绘制质控图,探讨质控图作为实时荧光定量聚合酶链式反应(PCR)定性检测室内质控措施的可行性.方法 收集本实验室2022年12月—2023年3月所有批次新型冠状病毒样本,对样本采用实时荧光定量PCR方法进行新型冠状病毒检测,对弱阳性质控品结果的两组靶基因CT值进行正态分布检验.统计前20次质控结果,分别计算开放读码框1ab(ORF1ab)基因和核壳蛋白(N)基因两组CT值的均值((x)±s)、标准差(s).以(x)±2s为警告线,(x)±3s为控制线,绘制质控图,并利用质控图进行回顾性分析.结果 弱阳性质控品ORF1ab基因和N基因的CT值均符合正态分布.质控图表明118批次质控结果中,ORF1ab基因出现8次13s失控;N基因出现6次13s失控、1次10(x)失控.结论 在实时荧光定量PCR定性检测过程中,应用质控图进行室内质控具有可行性,能够有效监控检测过程中的异常情况,有利于检测系统处于持续稳定状态.
Application of quality control chart to internal quality control of qualitative detection by real-time PCR
Objective To explore the feasibility of the quality control chart used as an internal quality control method of nucleic acid qualitative detection by real-time PCR and the control chart used cycle threshold(CT)as test values.Meth-ods All batches of SARS-CoV-2 samples from the laboratory between December 2022 and March 2023 were collected,and the samples were tested for SARS-CoV-2 using real-time fluorescent quantitative PCR.A normal distribution test was conducted on the CT values of the 2 target genes in the results of the weak positive quality control samples.According to the first 20 tests,the mean value((x)),standard deviation(s)and coefficient of variation(CV)of ORF1ab gene CT val-ues and N gene CT values were calculated respectively and the quality control charts were plotted.The control chart was drawn with"(x)±2 s"warning limit,"(x)±3 s"control limit and was used to analyze the positive quality control results retrospectively.Results The CT values of ORF1ab gene and N gene fitted a normal distribution.The quality control re-sults of 118 batch tests were plotted with"13,"out of control for 8 times in ORF1ab gene chart and with"13s"out of con-trol for 6 times,"10(x)"out of control for 1 time in N gene chart.Conclusion The application of the control chart to in-ternal quality control is feasible in the process of nucleic acid qualitative detection by real-time PCR and could effectively monitor the abnormal accidents in the tests and is helpful for the test system in a continuous stability.

Control chartInternal quality controlReal-time quantitative PCRLaboratory detection

曹颜霞、李艳红、郭丽群、马伟华、刘贤段、周晗、刘斐、张晴、任晓雨、张金男

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淄博市周村区疾病预防控制中心检验科,山东 255300

质控图 室内质控 实时荧光定量 实验室检测

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(10)