![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=1739324137-QBoZgWXZLmkiE0Er0xupWv63c35GmXrv-0-03b9138072b93ce506ef465ca3d8f885)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img058.jpg?sign=1739324137-Aqw3P4YxXM6LLrfEIpUT7gv0Ty2vjToi-0-9618eb9e08de8311fcf1560de8ffd2de)
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=1739324137-iFUq1yYZqRJ7KfcXIrUGmCLqLUqSaivv-0-4dc35dde2d8ccb8645792b58a1443d9d)
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=1739324137-3UsZa93Mm0ikn7nHD6AJ9afluXTNkt0U-0-8be2fb755265904c1ba0d51ab3dc6e3c)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1184.png?sign=1739324137-ztmiV8vb41NiELTvJMzGwdUk4X58rG9U-0-681ec4b70654c910bea89bf65fda1269)
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=1739324137-ovkut8mb0u9uCnUZgyt93MvDqSyGPuJw-0-f9443c5f3e292d0428286ea991301429)
图15-2 1 3s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img060.jpg?sign=1739324137-Z5AeEFPqsBkIoXDXFtAxUHBNBezYed1m-0-8656047b1af8ddb902936d3adffcddc5)
图15-3 2 2s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img061.jpg?sign=1739324137-QcvzC9ajfTgu5QupMmzHhQ4DNZi3wuUs-0-bb505aa7df1f4143d5fe55bc29d332bd)
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=1739324137-RiavzJvhTiyvD4xtonhTA1dbqRrQMVPR-0-aa718e45c2a5b64555720ea12ed3a590)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1190.png?sign=1739324137-sXhfxBoQEgZ4i7tCf0T9gpeLP94ARoXz-0-e9ef35f5a34fa6b93e894e3fa52660a2)
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=1739324137-bVZxRLJ6dKuQtiWIf11GCUzpbkmqcCLJ-0-72e5c51b9edc5ffdaf6edcd9ccac9204)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1189.png?sign=1739324137-f9s9uAIWpSRyHrwZtEeuUTiakekSZGwu-0-2f7fe08295c44a1b3c6cdbd5a228c899)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1191.png?sign=1739324137-rgvQCrUl6qGA1etyvrmmBjCNMTkrnPtq-0-9ea38ede0f286f336740da431e1046f8)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1188.png?sign=1739324137-hpyKbrQQJmZryX1YNMf1EKU4GfrWIpg2-0-a554e4aa26810dfb0020ae69a5efa933)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img062.jpg?sign=1739324137-YdnPPM1H3DG0fsTxC45lta7PF6aOouxC-0-cd1b6379eadcafcba8c46cc998fbfbd7)
图15-5 3 1s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img063.jpg?sign=1739324137-MjoathBAzX1lbnpESPEjz7JiJmOdZSWG-0-7556dde18c2f07a8caf443a153630d46)
图15-6 4 1s控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img064.jpg?sign=1739324137-COJ94rdCnzTn2EeEK2RKZyYAT8Rl5n3u-0-474a96487de6235810f2e0ece549958a)
图15-7
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1194.png?sign=1739324137-ExevosU7dRkWVhqFidVFquI6FUIDfnWJ-0-7608b86da49ada454e441cb5e726c28a)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1195.png?sign=1739324137-90U8FUY5oO4mev3honY2Gj1WCDvyyDH0-0-de560129d90b0c6cf950f627f159f634)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1196.png?sign=1739324137-IrgVMbvfV9vC371Kkg93AgwOJ82o8n07-0-d1eb9ee2bb855288ae89b8d06cf4549d)
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=1739324137-nmkZWOXdgkxuP49yMQ2A4pSUNxfuD24W-0-45e8e0e19ea6f951486b6aa6a21b4b2d)
图15-8 7 T控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1203.png?sign=1739324137-s1Hu82hODtwaO15KkTnpnLLPBwyw22SX-0-2c2194c37e60b1d919a8fe11d4e7b6e5)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img066.jpg?sign=1739324137-77P7JVzbgKUH28TkQ0QjPrmqnAdO1Hzt-0-b75c7e2310dd7973d00b88f0a5dcfc47)
图15-9
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1204.png?sign=1739324137-O42ItZcIwqVBP1GGpbIf4caSYq9ucHjj-0-a35431070281d75705506fdbe4437c75)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1201.png?sign=1739324137-WvP6J1qDNx3ama76RbhrYHkv8fG2eNiO-0-8892494ae7772579d9f46e85d0912611)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1199.png?sign=1739324137-JDhzeDrhrUDQ4Ah0FRmhIKVPi9fWOxTY-0-022f6c3302d79e690e64b1747e6f6dff)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img053.jpg?sign=1739324137-vrVzs7Fmi2itoKQf6oR10pSr4obd3uYg-0-93f2bc80eab09e8afe62749085576b13)
图15-10
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1198.png?sign=1739324137-jyrN53OmiGbTjlOcb9xQpwYMMWckT3Gt-0-e4b6481f65523449c7e6cf24a2da96e8)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1202.png?sign=1739324137-2gagbKSJ0M8BuGG74IGU6uLz6WH7SEoF-0-c4be5a537d4aba22234de530b9157099)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1200.png?sign=1739324137-wFn4dcJpoklWLu6p4YKDKaU5INp5IgEK-0-bb2c78c5738c96a3568af3eed19db544)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img054.jpg?sign=1739324137-J3N1jSLhHrk991XdqlfO6KX1ankmBP3O-0-5a01af34a58b680d90c26ffd9dfca58e)
图15-11
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1197.png?sign=1739324137-ZBxiGmGb7SUAs8lOenhpgQpBEOHZ769k-0-8ae5f8f7d3d783fe2350dece6c4e410d)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1208.png?sign=1739324137-gCJriVkYdn1icGfZdKNTB7sgYxNfmN0w-0-f5ca62d178b8acd4d53a91ee5d4b9b03)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1205.png?sign=1739324137-m21OKllALcoYbbcsKknSOeDejMsm354Y-0-d3387a982c2e9e2a7c215881561ce9f5)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img055.jpg?sign=1739324137-mGmobJS9je0YO6BIRQjb0LwmUFSeKz04-0-b8e095a549be9f1fe6d29d036e8496b4)
图15-12
控制图
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1211.png?sign=1739324137-3C0ul3WOXlLGWt6esHFO9AGTvD5lBYVU-0-93b447feb0ae37a746a7cd99c190aac5)
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=1739324137-vN9KDv5C5SqwWBFMXyrmIILYvU4mNytb-0-7a455a74e5270a17629f3f0f889cf43f)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img1210.png?sign=1739324137-5OVD3FPLvGmmuL1QKztykBRzWnJ4NnWK-0-b8e71b7a82a3d0dfa89d7abec91b33df)
![](https://epubservercos.yuewen.com/97188D/19400084108706006/epubprivate/OEBPS/Images/img056.jpg?sign=1739324137-bUrvywPkXsgVqPCAQ5deTgjS9XvgqiGf-0-1c6fc839c304514929546e2c815230ef)
图15-13 (2of3)2S控制图