储存式自体输血的创新模式与临床应用分析

Analysis of the innovative model and clinical application of preoperative autologous blood donation and transfusion

目的探讨创新型储存式自体输血(PABD)模式在临床中的应用情况。方法对2020年1-6月入院需行PABD的患者实施传统PABD模式,2020年7-12月入院需行PABD的患者实施创新型PABD模式。传统PABD模式由临床科室医师对拟用血患者进行评估、开具用血申请,输血科执行采血、发血工作;创新型PABD模式由临床科室医师对拟用血患者进行评估、开具用血申请,由输血科参与审核、评估、采集和监控,实现全程参与和输血过程管理,将被动型的工作模式转变为主动型。比较两种模式的临床应用情况。结果2020年1-6月,该院手术患者2302例,备血患者583例,成功实施传统PABD模式的患者16例;2020年7-12月,该院手术患者6032例,备血患者1446例,成功实施创新型PABD模式的患者113例。手术患者传统PABD模式的实施率(0.70%)低于创新型PABD模式的实施率(1.87%),差异有统计学意义(χ^(2)=15.18,P<0.05)。结论采用创新型PABD模式能发挥输血科医师的专业能力,促进PABD在临床的有效实施,保障用血安全。

Objective To explore the clinical application of innovative preoperative autologous blood donation and transfusion(PABD)model.Methods The traditional PABD model was implemented for patients admitted to the hospital from January to June 2020 who need PABD,and the innovative PABD model was implemented for patients admitted to hospital from July to December 2020 who need PABD.In the traditional PABD model,doctors in clinical departments evaluated the patients who intend to use blood and issued blood use applications,and the department of blood transfusion performed blood collection and blood distribution.In the innovative PABD model,the doctors of clinical departments evaluated the patients who intend to use blood and issued blood use applications.The department of blood transfusion participated in the review,evaluation,collection and monitoring,so as to realized the whole process participation and blood transfusion process management,and changed the passive working model into active model.The clinical application of the two models was compared.Results From January to June 2020,the hospital had 2302 surgical patients,583 blood preparation patients,and 16 patients who successfully implemented the traditional PABD model.From July to December 2020,the hospital had 6032 surgical patients,1446 blood preparation patients,and 113 patients successfully implemented the innovative PABD model.The implementation rate of the traditional PABD model(0.70%)of surgical patients was lower than the implementation rate of the innovative PABD model(1.87%),and the difference was statistically significant(χ^(2)=15.18,P<0.05).Conclusion The adoption of innovative PABD model could give full play to the professional ability of doctors of the department of blood transfusion,promote the effective implementation of PABD in clinic and ensure the safety of blood use.