影响红细胞输血无效的相关因素分析

Analysis on risk factors affecting ineffective red blood cells transfusion

目的:开展红细胞输血无效原因分析,制定预防输血无效现象发生的对策,科学有效输血。方法:通过调查洛阳地区3000份输血病例,总结输血无效现象在各科室分布情况,输血无效与性别、年龄、输血次数、妊娠次数的关系,输血不良反应与输血无效现象的关联性。结果:临床各科室都存在红细胞输血无效现象,其中血液科、普通外科占比例较高;红细胞输血无效现象与男女性别、输血次数、妊娠次数均差异有统计学意义;迟发型溶血反应导致输血无效率最高占输血不良反应的85.71%。结论:针对红细胞输血无效的原因找到经济实用的解决办法,提出红细胞输血无效的预防对策,使临床输血科学有效,既节约宝贵的血液资源,又保障受血者身心健康。

Objective： To explore the risk factors affecting ineffective red blood cells transfusion, and develop preventive countermeasures for ineffective transfusion to ensure the effect of blood transfusion. Method： The gender, age, number of transfusions and pregnancy of 3000 cases in Luoyang were collected, the distribution of ineffective transfusion in the various departments and were summarized. The correlation between adverse reactions and in- effective blood transfusion were analyzed. Result： The ineffective red blood cell transfusion existed in common in clinical departments,and the hematology, general surgery departmet accounted for a higher proportion. The gender, number of transfusions, number of pregnancy were significantly different for patients delayed--type hemolytic reaction was the main cause for ineffective blood transfusion,accounting for 85.71 %. Conclusion：It would be conducive to save blood and protect patient that seeking economical and practical solution for red blood cell transfu- sion,develooing oreventive countermeasures for ineffective transfusion,