摘要
目的分析医院2021—2023年洗涤红细胞的临床输注情况,为科学、合理、有效地使用洗涤红细胞提供临床证据。方法回顾性分析2021—2023年医院洗涤红细胞的临床输注情况,按输注量、科室、病种及合理性进行归类汇总分析。结果与2021年相比,2022年和2023年医院的红细胞类制品(包括全血、悬浮红细胞、洗涤红细胞)输注量分别增长4.08%和20.36%,但洗涤红细胞的输注量分别降低36.24%和20.03%,占比分别降至0.95%和1.03%。血液科洗涤红细胞的输注量最大,其次是儿科和肾内科。2021—2023年输注洗涤红细胞的患者共136例,病种集中于阵发性睡眠性血红蛋白尿症、白血病、地中海贫血、肾病。洗涤红细胞临床输注的合理率逐年提高,2021、2022、2023年分别为76.31%、81.42%、88.89%。结论医院对洗涤红细胞的临床适应证把握总体较好,但仍需进一步加强对临床用血的规范化管理,对临床医师加强洗涤红细胞相关知识的培训。同时,输血科技术人员应加强专业知识的学习,提高输血相容性项目的检测水平,为临床安全、合理地选择血液成分提供准确指导。
Objective To analyze the clinical transfusion situation of washed red blood cells in the hospital from 2021 to 2023 and provide clinical evidence for the scientific,reasonable and effective use of washed red blood cells.Methods With the retrospective analysis of the clinical transfusion of washed red blood cells in the hospital from 2021 to 2023,the classification,summary and analysis were carried out,according to the transfusion volume,department,disease type and rationality.Results Compared with 2021,the transfusion volume of red blood cell products(including whole blood,suspended red blood cells and washed red blood cells)in the hospital in 2022 and 2023 increased by 4.08%and 20.36%,respectively,but the transfusion volume of washed red blood cells decreased by 36.24%and 20.03%,respectively,and the proportion decreased to 0.95%and 1.03%,respectively.The transfusion volume of washed red blood cells in hematology department was the largest,followed by pediatrics and nephrology department.From 2021 to 2023,136 patients were transfused with washed red blood cells,and the diseases were mainly paroxysmal nocturnal hemoglobinuria,leukemia,thalassemia,and kidney disease.The rational transfusion rate of washed red blood cells in clinical practice increased year by year.In 2021,2022 and 2023,the rates were 76.31%,81.42%and 88.89%respectively.Conclusion With the overall good grasp of the clinical indications of washed red blood cells in the hospital,the standardized management of clinical blood use still needs to be further strengthened,and the training of clinicians in the knowledge of washed red blood cells also needs to be enhanced.Meanwhile,technicians in the blood transfusion department should enhance their learning of professional knowledge and improve the detection level of blood transfusion compatibility items,providing accurate guidance for the safe and reasonable selection of blood components in clinical practice.
作者
庄燕玲
郭孟玲
王明泉
Zhuang Yanling;Guo Mengling;Wang Mingquan(The First Hospital of Quanzhou,Quanzhou Fujan 362000,China)
出处
《医疗装备》
2025年第7期27-31,共5页
Medical Equipment
关键词
洗涤红细胞
临床输注
血液资源
合理性
Washed red blood cells
Clinical transfusion
Blood resources
Rationality
