![临床检验质量控制技术(第3版)](https://wfqqreader-1252317822.image.myqcloud.com/cover/995/36534995/b_36534995.jpg)
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第一节 常用控制规则
常用控制规则的符号和定义如下:
1 2s 1个控制测定值超过
±2s控制限。传统上,这是在Shewhart控制图上的“警告”限,用在临床检验也常作为Levey-Jennings控制图上的警告界限。见图15-1。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1185.png?sign=1738942127-0nUvAOBENzhpkfjLZfrpWFrO8weDG9jl-0-c1f2f5fb21e2c36f1e453e0cd20c2e90)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img058.jpg?sign=1738942127-8rsAOI72jzTBKEZLzRZupq2G29otzqcG-0-c6ab861cfd1655bb7f1deb93c3f00c5c)
图15-1 1 2s控制图
1 3s 1个控制测定值超过
±3s控制限。此规则对随机误差敏感。见图15-2。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1186.png?sign=1738942127-WLvyvXVKPU9tE3PjnPkduJq9RJSvvZYd-0-d667a5f2f4e0ed8ff2688945b73bef14)
2 2s 2个连续的控制测定值同时超过
+ 2s或
-2s控制限。此规则主要对系统误差敏感。见图15-3。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1187.png?sign=1738942127-LkGR7n0tGpAA7RrZ9wYstXpeXWjJvnBw-0-7f7a60b73e70519eb19af0efb1469f87)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1184.png?sign=1738942127-VBnUBvBhSC94gwNiqafXUn6IpfLoukyr-0-328b1165bb5eb1b377d65f1dcbbe30d5)
R 4s在同一批内最高控制测定值与最低控制测定值之间的差值超过4s。此规则主要对随机误差敏感。见图15-4。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img059.jpg?sign=1738942127-j8jUAZabIA6TbnBVjqIcaWBtq2DGwP1v-0-892fae8ef5a493ef2b89e06330cbc0d6)
图15-2 1 3s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img060.jpg?sign=1738942127-4bC2DdtxILmmx306DaOXmSGsWpHodzEI-0-7b74e3f9dff9401cb9d023871206042e)
图15-3 2 2s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img061.jpg?sign=1738942127-TEisfSQYLhOgsBiz7joPO9ETpco4oAhY-0-f55006440e6189f6364b474b34130c9a)
图15-4 R 4s控制图
3 1s 3个连续的控制测定值同时超过
+ 1s或
-1s。此规则主要对系统误差敏感。见图15-5。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1193.png?sign=1738942127-6BsTqC6WaPzl6WGKQsf18pmVZcGEbwiK-0-21adf60d2df92c9e35dff87b19588ebd)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1190.png?sign=1738942127-a09Az4k8pHDboIYUmVUc1VUCrLa6SnFn-0-24728cd43f9dd52ca4be4644c004254a)
4 1s 4个连续的控制测定值同时超过
+ 1s或
-1s。此规则主要对系统误差敏感。见图15-6。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1192.png?sign=1738942127-J86jyeSdxBrOzPUzEOTIj8TrOMhg9muf-0-55db0233fc2916da1d707b3fb1596924)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1189.png?sign=1738942127-KqybRpGUUVli11Y0iz33PX4qeIRhdKgV-0-c5261291e5adf1242443b1e7e5983464)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1191.png?sign=1738942127-hEPh65dmCdX6kuo5Ssr2rioTHjBxi6f7-0-05ddfd2f66228374a509545f7dd21e70)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1188.png?sign=1738942127-URzIDNj0QCMf6gfvJOrourAgkBbNRtuC-0-887484923b98ef15292de5b019c79a42)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img062.jpg?sign=1738942127-6caa03W8MSDQSPhR1xEJLeQnJUcy8V9t-0-780297c2732696f1713f541d05426767)
图15-5 3 1s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img063.jpg?sign=1738942127-h7hzHAGkmlINpjK1AhURdZkIo3NTr8v6-0-ace5e7eec498f0b1896ee6b07084dfb4)
图15-6 4 1s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img064.jpg?sign=1738942127-C2aqNNwa4XevKsdevot16zzOfrXkotWc-0-d03eda13227207a7e32f7f567272f91d)
图15-7
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1194.png?sign=1738942127-6oYIEOSXhXQI5MuTVWlDzsjR5vdreE6h-0-59524611445e2e75235c705f9c90c802)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1195.png?sign=1738942127-J3vufGUbdL7zUwlHlxNL7U2pFK87acVb-0-b62d27ccd5ceff90cf1b7df89eb26941)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1196.png?sign=1738942127-x3SOgi0MWzEqlvaYy3foD0VXdfQFtDcu-0-bcad5bead42fee5c21e25e71dcf21642)
7 T 7个连续的控制测定值呈现出向上或向下的趋势。见图15-8。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img065.jpg?sign=1738942127-Arpw5kMXREI56klqlFaE9VMk2a6TjrgH-0-06e5acd8ee9122f9bdb136471467c831)
图15-8 7 T控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1203.png?sign=1738942127-DjvXUrHhK0vyqmLxwSDRDtTSCL33P9OJ-0-1508dfde602d0a6c27877d942c877ef8)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img066.jpg?sign=1738942127-oPBYcoDqbXc2ExjlKybtCmlZMn4hVzXN-0-423070a82d9da981e8173336cc593ce5)
图15-9
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1204.png?sign=1738942127-BxMed9fEem1zeBi4nttYGsTKJGOYKCm2-0-5176b225498e3539c5e2e39097247abc)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1201.png?sign=1738942127-JCaAy8y7nK9Rc1yFQE3Gu2DbxnlsSLPZ-0-6f7c8ba8852b32201b0e249254e85d93)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1199.png?sign=1738942127-kJaY2xFNUDhtvByvkeEEsn7CVgIJ7yu7-0-6d1e950d7d174cd29534ed957784f3b5)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img053.jpg?sign=1738942127-kjxovLnxWl0DJxsw8NTLhC7uHjC2Ar19-0-35dda09f3d7af88a7234b2effc42d3f2)
图15-10
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1198.png?sign=1738942127-WMkc8SoK1LbqYFa7eUhzD3Jq1AjoP1io-0-fd27329f461b0b6d7eb746a3708eb80e)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1202.png?sign=1738942127-kOgpa0rSSLJvcFiUaIAffwL2O1npSYKQ-0-b30e9cefcbcdbf7e4d5a325c90b62be2)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1200.png?sign=1738942127-VUFl76jiclKQub78fk1iz1sCjB14TyMO-0-9aa71237084be168159ba5551aba278c)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img054.jpg?sign=1738942127-FK7cLzpMTx5PYJ1ylhFYchRMU8HsQzil-0-0f5a537190d6d9d8622bb054a7968a3f)
图15-11
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1197.png?sign=1738942127-wUeUsWOVD9wsB8xOGiSjlDz53iECeQ7K-0-a6b87ffaf3de61ebb91054643d926b7d)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1208.png?sign=1738942127-GB8z88yyGc2lmmxrOqvnvSva5ZByCUWN-0-cb4af0811fe8724369310a3bd55a1892)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1205.png?sign=1738942127-UDyycT5oT5F4aGo1i9qxqpeobarsE3Vg-0-79da8cedef1db1b373f9212264a9968b)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img055.jpg?sign=1738942127-WdD5uMJi14sR1qfcQMXFrBpjNm8Lt68y-0-a25d4071c70560c9c5d3218a24927701)
图15-12
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1211.png?sign=1738942127-JzmyZaUyohd1TnFXdhjXmdVuTr1vrgpc-0-4ac4a933940ae9695499c44cc398ba15)
比例控制规则(m of n) L:如(2of3) 2S规则,即是连续的三个控制测定值中有两个控制测定值超过
+ 2s或
-2s控制限。见图15-13。此外还有(3of6) 2S规则。
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1209.png?sign=1738942127-w26UWpQkib9SmiEZzIMYWMCNXBN0oXAB-0-12a47ee0944181fc31fb7bda9d4eca8b)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1210.png?sign=1738942127-uZGDoRAYQ3qvAHsKJrIMkX480X2kPqPt-0-d9abac36c6e35bee925e024d34b9b967)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img056.jpg?sign=1738942127-8h9UwKK3Ty1Wjnhxh30Bq4CciMAkZSth-0-b350fc6c825dc8227de1d5302596bda3)
图15-13 (2of3)2S控制图