宜昌市临床用血现状调查分析

发布时间：2018-06-23 22:19

本文选题：合理输血 + 输血指征　；参考：《中国输血杂志》2016年07期

【摘要】：目的了解宜昌地区医疗机构临床用血现状,为促进科学、合理用血提供依据。方法对宜昌市14家二级以上用血量较大的医院,每家医院抽查输血申请单100份,每家医院随机抽取20-25份有输血治疗的病历共305份,依据《临床输血技术规范》和《医疗机构临床用血管理办法》中的相关要求对输血病历进行输血合理性评价分析。结果 1 400份输血申请单中20%申请目的不正确,更有少部分血液成分名称不规范。305份病历中,51.8%的病历中医师作出了规范的临床输血适应性评价,37.70%病历中医师实施了临床输血有效性评价,15.73%为少量输血,红细胞输注不合理为25.1%,血浆不合理率为58.6%,血小板不合理率为10.8%。结论部分医师对血液成分的名称及其适应症未能正确掌握,用血前评估及输血后疗效评价未能引起医师足够重视;不合理输血现象在本地区部分医院普遍存在,且以手术科室明显,红细胞不合理输注主要表现为少量输血和输注指征偏宽,血浆主要表现为补充白蛋白及搭配输血。
[Abstract]:Objective to understand the current situation of clinical blood use in medical institutions in Yichang, and to provide basis for promoting science and rational use of blood. Methods a total of 14 hospitals with more than two levels of blood were used in hospitals in Yichang and 100 blood transfusion applications were selected in each hospital. A total of 305 medical records with 20-25 blood transfusion were randomly selected from each hospital. According to the clinical transfusion technical specification > and < < Analysis of the rationality of blood transfusion in the clinical blood management of medical institutions. Results 20% application purposes were not correct in the 1400 application forms of blood transfusion, and less part of the blood component name was not standardized in.305 medical records. 51.8% of the medical records of the medical records made the standard clinical transfusion adaptability evaluation, 37.70% disease. The physician in the Chinese calendar carried out the evaluation of the effectiveness of clinical transfusion, 15.73% was a small amount of blood transfusion, red blood cell infusion was not reasonable in 25.1%, the unreasonable rate of plasma was 58.6%, the irrational rate of platelets was 10.8%. conclusion, the name and indications of blood components were not properly mastered by some doctors, and the doctor's foot was not caused by pre blood assessment and post transfusion evaluation. The irrational transfusion phenomenon is common in some hospitals in the local area, and the unrational infusion of red blood cells is mainly manifested in a small amount of blood transfusion and infusion indication, and the main manifestations of plasma are supplemental albumin and collocation of blood transfusion.
【作者单位】：宜昌市红十字中心血站;广州军区武汉总医院;
【基金】：湖北省卫生和计划生育委员会科研项目(WJ2015CB008) 宜昌市科技局科研项目(A1530142)
【分类号】：R457.1;R197.32

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