输血医师参与临床会诊的5224例输血病例回顾性分析

Retrospective analysis on clinical consultations participated by clinical blood transfusion physicians in 5 224 cases of blood transfusion

目的探讨输血医师参与临床会诊的效果,为输血医师参与临床实践提供参考依据。方法收集输血医师参与临床会诊前(2010年1月至2012年12月)、后(2013年1月至2015年12月)入院并接受输血治疗的患者5 224例,对所有患者的临床资料进行回顾性分析。结果输血医师参与临床会诊前、后输血不良反应发生率分别为2.39%和1.48%(χ~2=5.674,P=0.021),住院患者输血率分别为4.85%和3.55%(χ~2=135.5,P<0.01),平均异体输血量分别为0.563U和0.420U(t=3.986,P=0.016),轻、中和重度贫血患者输血的构成比分别为5.40%和0.23%,29.60%和17.90%及65.00%和81.80%(χ~2=237.6,P<0.01)。结论输血医师参与临床会诊后,有助于临床救治。

Objective To investigate the effect of blood transfusion physicians for participating in clinical consultation to pro-vide a reference for blood transfusion physicians participating in clinical practice. Methods The clinical data in 5 224 inpatients receiving blood transfusion before the blood transfusion physicians participating in clinical consultation （from January 2010 to December 2015） and after participating in clinical consultation （from January 2013 to December 2015） were retrospectively analyzed. Results The occurrence rates of blood transfusion adverse reactions before and after the blood transfusion physicians participating in clinical consultation were 2.39 % and 1.48 % respectively（x^2 = 5. 674, P = 0. 021）, the blood transfusion ratios of inpatients were 4.85 % and 3.55 % respectively （Z2 = 135.5, P〈0.01）, the average allogeneie blood transfusion volumes were 0. 563 U and 0. 420 U （t=3. 986,P=0. 016） ,and the constituent ratios of mild,moderate and severe anemia were 5.40% and 0. 23% .29.60% and 17.90% ,and 65.00% and 81.80% respectively （x^2 = 237.6, P=0.01）. Conclusion Participating in clinical consultation by the blood transfusion physicians is conducive to clinical treatment.