教育培训提高临床合理用浆效果的研究  

The effect of professional education training on clinical rational use of plasma

作　　者：练正秋[1] 张容 张玉琼[1] 郭慧敏[1] 邬文婧[1] 

机构地区：[1]成都市第三人民医院,四川成都610031 [2]中国医学科学院输血研究所,四川成都610052

出　　处：《实用医院临床杂志》2013年第5期149-151,共3页Practical Journal of Clinical Medicine

摘　　要：目的评价医护人员开展临床合理输血相关规范培训效果。方法对某医院2012年4月和8月两次临床输血集中系列教育培训后血浆[包括新鲜冰冻血浆(FFP)和普通冰冻血浆(FP)]的使用情况进行调查分析。结果医院有不合理使用血浆现象,主要原因为输血指征把握不严及用于补充蛋白;用血浆量最高的科室为重症监护室(ICU病区),占总用量的73.7%;用血浆不合理也主要在ICU病区,不合理例次占总用血浆不合理例次的75.7%。培训后全院血浆总用量呈明显下降趋势,ICU人均输血浆例次和人均用血浆量较培训前均有下降,差异有统计学意义(F=8.58,F=10.97,均P<0.05)。结论有针对性的加强医护人员合理用血培训,能有效降低临床不合理血浆输注率,降低临床用血风险,避免血液资源浪费。Objective To assess the efficiency of clinical blood transfusion guiding training for medical care personnel. Meth- ods The usages of plasma transfusion（ including fresh frozen plasma and frozen plasma） in a hospital during the periods from January to April in 2012 and from May to August in 2012 were investigated after clinical blood transfusion guiding training. All data was statisti- cally analyzed with SPSS 13.0 software. Results Before training, ICU department was of the most clinical use of plasma, accounting for 73.7% ,and the department was also of most unreasonable use of plasma, accounting for 75.7%. After 2 times trainings, average per person plasma use times and average per person plasma use amount were decreased（ F= 8. 58 and 10. 97, respectively, all P 〈 0. 05 ）. Conclusions The clinical blood transfusion guiding training can reduce clinical unreasonable plasma infusion rate, and avoid the waste of blood resources.

关 键 词：临床血浆输注 合理用血 培训 

分 类 号：R457.1[医药卫生—治疗学] R193[医药卫生—临床医学]