红细胞输注无效的影响因素及对策  

Factors affecting invalid red blood cell transfusion and countermeasures

作　　者：刘默[1] 杜瑜[1] 周宏伟[1] 刘芳[1] 彭朝津[1] 

机构地区：[1]解放军总医院第一附属医院干三科,北京100048

出　　处：《医药论坛杂志》2012年第3期1-2,共2页Journal of Medical Forum

摘　　要：目的探讨影响临床红细胞输注无效的因素,并就红细胞输注无效影响因素提出相应的临床对策。方法采用回顾性分析的方法对2009年9月至2011年9月在解放军总医院第一附属医院血液科926份红细胞输注病例的临床资料进行整理和分析,分析临床红细胞输注无效的影响因素。结果 926份红细胞输注病例共输注红细胞1289次,194次为无效输注,无效输注率达到15.05%;而二分类Logistic回归分析发现:多次输血、多次妊娠、患有2种以上自身免疫系统疾病及红细胞制品的贮存时间长是影响红细胞输注效果的因素。结论红细胞输注无效率较高,在临床工作中,严格掌握红细胞输注适应症,并采取针对性预防措施,可有效避免红细胞输注无效的发生。Objective To investigate the clinical factors affecting RBC transfusion,and invalid red blood cell transfusion corresponding clinical counter measures. Methods A retrospective analysis of September 2009 - September 2011 De- partment of Hematology in our hospital 926 cases of red blood cell transfusion clinical data collation, analysis of clinical factors affecting red blood cell transfusion. Results A total of 926 patients were given red blood cell transfusion 1289 times, 194 times invalid infusion, invalid infusion rate 15.05% ;And two Logistic Regression analysis：multiple transfu- sions, multiple pregnancies, with 2 or more autoimmune diseases and red blood cell products storation time are factors af- fecting red blood cell transfusion. Conclusions Invalid red blood cell transfusion rate is high, in clinical work, strict control of red blood cell transfusion indications and take appropriate preventive measures can effectively prevent the oc- currence of red blood cell transfusion.

关 键 词：红细胞输注 影响因素 临床对策 

分 类 号：R457[医药卫生—治疗学]