摘要
目的通过开展输血病历考核评价工作,提高科学合理用血水平。方法荆门市用血量最大的9家医疗机构2013年住院输血病历,按30%比例随机抽取1 511份,通过其输血适应证、输血剂量、输血时间、疗效评价等内容,判断是否科学合理用血。结果各种血液成分的合理性输注比例分别是:红细胞为78.3%,血浆为53.0%,冷沉淀为91.7%,血小板为94.9%。不同血液成分不合理输注原因主要是适应证和疗效评价,其次是输血时间,输血剂量不合理主要是冷沉淀。结论通过输血病历的考核评价,发现不合理输血存在的症结所在,加强临床用血的日常监管、加大医务人员的培训力度,能有效提高临床科学合理用血水平。
Objective Through the development of evaluation on blood transfusion records,to improve the research-based knowledge and rationale in the use of blood.Methods 1 511 clinical blood transfusion records,which amounted to 30%,were randomly selected in nine medical institutions which reported the greatest use of blood from January to December 2013 in Jingmen city.The rationale behind and the analytic use of blood were determined from the transfusion indications,dosage,duration of time,and evaluation on the efficacy of transfusion,etc.Results Rational transfusion of various blood components transfusion included red cells at 78.3%,plasma at 53%,cold precipitates at 91.7% and platelet at 94.9%.Unreasonable blood transfusion of different components of blood transfusion primarily derived from unreasonable indications and the evaluation on efficacy.Secondary reason attributed to the transfusion time and transfusion dosage,contributing predominantly to the unreasonable use of cold precipitates.Conclusion By evaluating blood transfusion records,identifying the root cause for the unreasonable transfusion of blood for clinical use,strengthening daily supervision and enhancing staff training can effectively improve the reasonable use of blood in a clinical setting.
出处
《中国输血杂志》
CAS
北大核心
2015年第2期156-158,共3页
Chinese Journal of Blood Transfusion
关键词
临床输血病历
考核评价
荆门市
clinical blood transfusion records
assessment and evaluation
Jingmen
