浅析手术患者合理用血质量管理成效  

Analysis of the effectiveness of quality management on rational blood transfusion for surgical patients

作　　者：欧阳旋[1] 刘庆[1] 许靖[2] 黎一华[1] 

机构地区：[1]湖南省脑科医院输血科 [2]湖南省长沙市中心医院,湖南长沙410007

出　　处：《转化医学电子杂志》2015年第6期160-162,共3页E-Journal of Translational Medicine

摘　　要：目的:浅析手术患者合理用血质量管理取得的成效,进一步减少不合理输注的发生.方法:回顾湖南省脑科医院和长沙市中心医院2011/2014手术患者临床用血情况,利用信息系统统计外科患者的手术台次、输血手术台次、术中异体输血量、自体输血量、大量输血例数及用血量等指标,使用SPSS17.0统计软件对相关数据进行分析.结果:近四年间两家医院手术台次逐年递增,2014年较2011年增长了28.77%,而异体输血手术台次却下降了9.8%;同期血液制品总输注率、异体输血手术台次及其所占比率、异体红细胞、血浆用血量,手术台均异体红细胞、血浆用量及血浆与红细胞用量比均呈负增长趋势;术中自体输血率呈明显增长趋势;同期大量用血例数呈明显下降趋势.2014年较2011年下降了73.9%.红细胞输注率、血浆输注率、大量用血例均红细胞用量、例均血浆用量等均呈明显下降趋势.结论:规范化管理标准的制定-学习、沟通-督查和反馈的循环过程是输血科变被动为主动的过程,是一个为临床医生所认可的过程,特别是输血科参与特殊输血病例的会诊,为每一个危急重病人量身定做输血方案,同时加强对临床医护人员科学、合理用血及输血相关法律法规的培训,使得医院临床用血质量管理体系和术中用血质量管理可持续改进运行,成效显著,有效地减少了不合理输注现象的发生.AIM： To analyze the effectiveness of quality man- agement on rational blood transfusion for surgical patients and to further reduce unreasonable infusion. METHODS： The clinical data of blood transfusion of surgical patients in the Second People＇s Hospital of Hunan province and Changsha Central Hospital from 2011 to 2014 were retrospectively analysed, then by using statistics information system, indicators of surgical patients such as numbers of operation, numbers of transfusion, the total amount of intra-operative allogeneic transfusion and autologous transfusion, the number of cases and total amount of massive transfusion were collected and analyzed by SPSS17. 0 statistical software. RESULTS： In the past nearly four years, the numbers of surgery in both hospitals have increased year by year. In 2014, the numbers of operations increased by 28.77% over 2011, but the num- bers of operation with allogeneic blood transfusion declined by 9.8%. Over the same period, the total rate of blood products transfusion, the ratio of the numbers of allogeneic blood transfu- sion, the total usage of erythrocyte and plasma, the average a- mount of allogeneic red blood cells and plasma and the total usage of plasma and erythrocyte during the operations showed a negative trend. The rate of autologous transfusion during surgery was on the rise. The number of massive blood transfusion cases decreased significantly over the same period. More specifically, it was de- creased by 73.9% in 2014 compared to 2011. The transfusion rate of red blood cell and, plasma infusion rate, the average a- mount of the most red blood cells and plasma significantly de- creased. CONCLUSION： The cyclic processes which involve the establishment of standardized management standard that build normative management standard-learn and communication-inspection and feedback, transform passive management into initiative one for Blood Transfusion Department and were recognized by clinicians. Especially, the participation in the consultation about special ca

关 键 词：手术患者 科学合理用血 质量管理 成效 

分 类 号：R457.1[医药卫生—治疗学]