电子交叉配血在东莞市三级医院的临床应用调查分析

发布时间：2019-01-29 21:26

【摘要】：目的了解电子交叉配血在东莞市医院的临床应用情况。方法课题研究组制定《电子交叉配血试运行调查表》(简称《调查表》)对东莞市试运行电子交叉配血的6家三级医院应用情况和效果做调查分析,被调查医院输血科填写对2015年7月1日-2016年4月30日期间使用电子交叉配血的模式、受血者及献血者ABO/Rh D血型鉴定、电子发血量、溶血性输血不良反应、开展电子交叉配血前后多因素的影响情况,要求《调查表》填写不缺项不漏项;对收回的《调查表》汇总分析。结果发放的6份《调查表》均有效收回,6家试运行电子交叉配血的医院中,有4家采取同步模式(血型血清学交叉配血+电子交叉配血),2家采取单作模式(只作电子交叉配血);6家医院在9个月内共完成31 941(人)次电子交叉配血,其中同步模式占94.06%(30 045/31 941),其2种交叉配血结果一致,单作模式占5.94%(1 896/31 941);2种模式的电子交叉配血完成后,红细胞(成分)制品被直接发放到临床输注,未收到临床用血科室发生溶血性输血不良反应的报告。输血前医院对献血者ABO/Rh D血型复核结果与血袋标签血型一致率为100%(36 952/36 952)。6家医院开展电子交叉配血后,输血科发血时间、工作强度、工作人员紧张情绪等均有明显改善。结论电子交叉配血确保了安全有效输血,具有缩短输血科发血时间、减轻输血科工作人员的劳动强度等明显优势,值得在临床推广。
[Abstract]:Objective to investigate the clinical application of electronic cross-matching in Dongguan hospital. Methods the subject study group worked out the "Electronic Cross Blood matching Test Operation questionnaire" (abbreviated as "questionnaire") to investigate and analyze the application and effect of six tertiary hospitals in Dongguan City. The blood transfusion department of the investigated hospital filled out the model of using electronic cross matching between July 1, 2015 and April 30, 2016, the identification of ABO/Rh D blood group, the amount of electronic blood, the adverse reaction of hemolytic blood transfusion, and so on. The influence of many factors before and after the electronic cross blood matching was carried out and the questionnaire was required to fill out the items without missing items. Summarize and analyze the collected questionnaire. Results all of the 6 questionnaires were recovered effectively. Of the 6 hospitals that were running electronic cross blood matching, 4 of them adopted the synchronous mode (blood group serological cross matching electron cross matching). 2 were monoculture (only for electronic cross matching); In 6 hospitals, 31 941 times of electron cross matching were completed in 9 months, of which the synchronous mode accounted for 94.06% (30 045 / 31 941), the results of two cross matching were the same, and the monoculture pattern was 5.94% (1 896 / 31 941). After the two models of electronic cross matching were completed, the red blood cell (component) products were directly distributed to the clinical transfusion, and no adverse reaction of hemolytic transfusion was reported in the clinical blood department. The coincidence rate between ABO/Rh D blood group and blood bag label blood group was 100% (36 952 / 36 952). Staff tension and so on have obvious improvement. Conclusion Electron cross matching can ensure safe and effective blood transfusion, which has the advantages of shortening the blood transfusion time and reducing the labor intensity of blood transfusion staff. It is worth popularizing in clinic.
【作者单位】：东莞市中心血站;东莞市人民医院;东莞市第三人民医院;东莞市第五人民医院;东莞市中医院;东莞市厚街医院;东莞东华医院;
【分类号】：R457.1

【相似文献】