某三甲医院红细胞输注疗效的回顾性分析

Retrospective analysis of erythrocyte transfusion treatment in a third-grade class-A hospital

目的回顾性分析红细胞输注的疗效,以提高红细胞临床应用的有效性。方法收集某三甲医院2013年红细胞输注患者185例的病案,记录输血前后血色素,红细胞输注量,计算血色素(Hb)改变值。结果输注前Hb检测率为93.5%,输注后Hb检测率为81.1%。输血前后Hb外科患者较高,内科较低。内科患者红细胞输注量略有增加。内科输血Hb改变值优于外科输血(P<0.05)。结论应加强对患者输血前后Hb的检测,客观分析红细胞输注适应证,评价输注后疗效。

Objective To retrospectively analyze the curative effect of erythrocyte transfusion, in order to improve effectiveness of erythrocyte clinical treatment. Methods Medical records of 185 patients with erythrocyte transfusion during 2013 in a third-grade class-A hospital were collected. Their changes of hemoglobin and erythrocyte transfusion volume before and after treatment were recorded for calculation of changed hemoglobin （Hb） value. Results The Hb detection rate before transfusion was 93.5%, and 81.1% after transfusion. Before and after transfusion, Hb was high in patients of surgical department, and that was lower in patients of internal medicine department. Erythrocyte transfusion volume was increased in patients in internal medicine department. The change of Hb in internal medicine transfusion was better than surgical transfusion （P〈0.05）. Conclusion Detection of Hb ought to be enhanced before and after transfusion. Indications of erythroeyte transfusion should be objectively analyzed for effect evaluation after transfusion.