2011-2014年临床输血质量管理回顾性分析

Retrospective analysis on blood transfusion management in 2011 to 2014

目的:探讨输血质量管理对提高临床合理输血水平的作用。方法:对2011-2014年3909例临床输血病例进行回顾性调查,比较自2012年加强输血质量管理前后的合理输血率和成分血的临床用血量。结果:2012年与2011年比较,手术输血、非手术输血的合理输血率增加(P<0.05);其中手术用血量,以红细胞、血浆减少为主(P<0.05);非手术用血量以血浆减少为主(P<0.05)。2013年与2012年比较,手术输血的合理率增加、手术用血量减少(均P>0.05),非手术输血的合理输血率增加,红细胞、血浆的输注量减少(均P<0.05)。2014年与2013年比较,手术、非手术输血的合理输血率及手术用各血液成分输注量均无明显改变(均P>0.05),非手术用红细胞、血浆、血小板用量增加,冷沉淀用量减少(均P<0.05)。结论:通过加强输血质量管理,合理输血率显著提高,使临床输血量明显减少,从而促进临床安全合理输血。

Objective：To explore the role of the blood transfusion quality management on improving the blood transfusion.Method：Investigate the reasonable situation of 3 909 cases in our hospital in 2011 to 2014,Result：In 2012 than 2011,in surgery and in non-Surgery,reasonable rate of clinical blood transfusion increases（P〈0.05）,The transfusion volume of red blood cell,plasma in surgery（P〈0.05）.The transfusion volume of plasma decreases in non-surgery（P〈0.05）.In 2013 than 2012,the increase of reasonable rate and the decrease of blood transfusion volume in surgery shows no significant differences.In non-surgery,the reasonable rate increases and the transfusion volume of red blood cell,plasma decreases（P〈0.05）.In 2014 than 2013,in surgery,the increase of reasonable rate and change of blood transfusion volume shows no significant differences.In non-surgery,the increase of reasonable rate shows no significant differences and the increase of red blood cell,plasma,platelet,the decrease of cryoprecipitate shows significant differences.Conclusion：To strengthen blood transfusion management can make clinical blood transfusion more appropriate and safe.