摘要
目的了解安徽省三级综合性医院外科临床红细胞和血浆产品合理输注情况。方法依据《临床输血技术规范》对29家三级综合性医疗机构2011年1月1日～6月1日外科红细胞和血浆产品的合理使用情况进行回顾性调查,分析合理用血情况。结果 385份三级综合性医院外科输血病历中,红细胞和血浆产品的合理输注率分别为58.54%、22.76%,红细胞合理输注率在不同科室、不同时间段的差异均有统计学意义(均有P<0.05)。妇产科、骨科的血浆不合理使用主要是搭配红细胞,普外科、胸外科分别是补蛋白和支持营养。结论提高外科系统临床用血合理水平,应针对不同特征的临床用血采取相应的管理和技术措施,同时发展行业内临床用血指导性意见,加强技能培训。
Objective To evaluate the appropriateness of surgical red blood cell and plasma products transfusion in Medical Case of Class 3 Hospital. Methods Retrospective investigation of transfusion medical record were carried out to analyze the appropriateness of red blood cell and plasma use in surgical system. Samples were collected from transfusion medical records in 29 medical case of class 3 hospitals in Anhui province, January 1 to June 1,2011. Results 58.54% of the red blood cell transfusion, and 22.76% of the plasma transfusion was appropriateness. The ratio of red blood cell transfusion appropriateness between surgical departments, and various transfusion times had significant statistical differences （ all P 〈 0. 05 ）. The main inappropriate use of plasma was different in different surgery department. Conclusions To im-prove the level of appropriate blood transfusion in surgical system, we need to research the corresponding technology and management measures, and development the specific guidance of clinical use in different surgical department.
出处
《中华疾病控制杂志》
CAS
北大核心
2013年第5期417-420,共4页
Chinese Journal of Disease Control & Prevention
关键词
输血
红细胞
血浆
横断面研究
Blood transfusion
Erythrocytes
Plasma
Cross-sectional studies
