2011～2014年长沙市某三甲医院临床用血调查分析

发布时间：2019-08-06 07:41

【摘要】：目的了解湖南省第二人民医院和长沙市中心医院临床用血现状,并分析住院患者临床合理用血质量管理取得的成效。方法对2011~2014年于湖南省第二人民医院和长沙市中心医院住院患者临床用血数据进行回顾性分析,统计异体输血总量、自体输血总量、住院患者人均异体血用量、成分输血率、手术台次、台均异体用血量及大量输血患者人均用血量等指标的变化。结果 2011~2014年在住院人次逐年增加的基础上,异体输血总量也有所增加,但临床用血量的增长率远低于住院人次的增长率,住院患者人均异体血用量呈逐年下降的趋势,而自体血用量呈增长趋势。大量输血例数逐年减少,大量输血各成分血液制品用量、大量输血平均红细胞和血浆用量均呈负增长趋势。同期手术台次虽然增长了28.77%,但是手术患者台均异体红细胞和血浆用量均呈递减趋势。结论通过持续改进,医院输血工作取得了一定成效,大大提升了临床科学、合理及安全用血水平,有效节约了血液资源。
[Abstract]:Objective to investigate the current situation of clinical blood use in the second people's Hospital of Hunan Province and Changsha Central Hospital, and to analyze the results of clinical rational blood quality management of inpatients. Methods the clinical blood data of inpatients in the second people's Hospital of Hunan Province and Changsha City Central Hospital from 2011 to 2014 were analyzed retrospectively. the changes of the total amount of allogenic blood transfusion, the total amount of autologous blood transfusion, the per capita allogenic blood consumption of inpatients, the component transfusion rate, the operation table, the average allogenic blood consumption of Taiwan and the per capita blood consumption of patients with massive blood transfusion were statistically analyzed. Results from 2011 to 2014, the total amount of allogenic blood transfusion also increased on the basis of the increase of hospitalization number year by year, but the growth rate of clinical blood consumption was much lower than that of hospitalization. The per capita allogenic blood consumption of inpatients showed a decreasing trend year by year, while the amount of autologous blood consumption showed an increasing trend. The number of cases of massive blood transfusion decreased year by year, the dosage of blood products of various components of massive blood transfusion, the average amount of red blood cells and plasma of a large number of blood transfusions showed a negative increasing trend. Although the number of operation stations increased by 28.77%, the dosage of allogenic red blood cells and plasma showed a decreasing trend. Conclusion through continuous improvement, hospital blood transfusion has achieved some results, which has greatly improved the level of clinical science, reasonable and safe blood use, and effectively saved blood resources.
【作者单位】：湖南省第二人民医院输血科;湖南省长沙市中心医院输血科;
【基金】：湖南省卫生计生委科研计划项目(No:C2014-29)
【分类号】：R457.1

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