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首页> 外文期刊>Nature clinical practice:Urology >Point of care testing: a welcome advance?
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Point of care testing: a welcome advance?

机译：护理点测试：可喜的进步？

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Point of care (POC) testing refers to a laboratory assay that can be performed outside of a centralized facility, with results available to the physician and patient within minutes. One of the most common POC tests in medicine is the office urinalysis, performed by urologists for decades. The popularity of the home pregnancy test attests to the public's appetite for home testing. Now technology is available that will allow many clinical laboratory tests to be performed quickly, accurately and inexpensively by office staff or patients. Should urologists embrace POC testing for the office? If so, what problems might arise if patients can, for example, test their own prostate-specific antigen (PSA) levels at home, on demand? The benefits of POC tests for some medical conditions have been well documented. Glycemic control in diabetic patients is better when blood glucose levels are measured regularly at the bedside or at home (Diabetes Control and Complications Trial Research Group [1993] N Engl J Med 329:977-986). Control of anticoagulation is better when home testing of prothrombin time is used by the patient to adjust the dose of warfarin (Sawicki PT [1999] JAMA 281:145-150). In each case, the benefits of POC testing arise from the availability of critical laboratory results in time for optimal medical decision making.
机译：护理点（POC）测试是指可以在集中式设施之外执行的实验室测定，其结果可在数分钟内提供给医生和患者。医学上最常见的POC测试之一是由泌尿科医生进行的数十年来的办公室尿液分析。家庭妊娠测试的普及证明了公众对家庭测试的胃口。现在，已有技术可以使办公室工作人员或患者快速，准确且廉价地执行许多临床实验室测试。泌尿科医生是否应该接受办公室的POC测试？如果是这样，例如，如果患者可以按需在家中测试自己的前列腺特异性抗原（PSA）水平，那么可能会出现什么问题？ POC测试在某些医疗条件下的好处已得到充分证明。当在床边或在家定期测量血糖水平时，糖尿病患者的血糖控制更好（Diabetes Control and Complications Trial Research Group [1993] N Engl J Med 329：977-986）。当患者使用凝血酶原时间的家庭测试来调整华法林的剂量时，抗凝的控制会更好（Sawicki PT [1999] JAMA 281：145-150）。在每种情况下，POC测试的好处都来自及时提供关键的实验室结果以进行最佳医疗决策。

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