临床用血电子评估监控系统对临床用血的影响  

Effects of electronic assessment monitoring system on blood transfusion

作　　者：蒋璐茜[1] 张伟慧[1] 谢一唯[1] 梅梦寒[1] 陈秉宇[1] JIANG Luxi ZHANG Weihui XIE Yimei MEI Menghan CHEN Bingyu.(Department of Blood Transfusion, Zhejiang Provincial People＇s Hospital, Hangzhou 310014, China)

机构地区：[1]杭州医学院附属人民医院浙江省人民医院输血科,浙江杭州310014

出　　处：《中国输血杂志》2017年第1期43-45,共3页Chinese Journal of Blood Transfusion

基　　金：浙江省医药卫生科技计划项目资助(2016KYB012)

摘　　要：目的评估临床用血电子评估监控系统对规范临床合理用血的成效。方法本院自2013年1月推行用血前后电子评估监控系统,2015年1月推行输血过程监控系统。统计分析2012-2015年手术量,围手术期用血情况,2013-2015年输血不良反应发生情况。结果 2012-2015年手术量持续增长,但围手术期平均用血量却呈下降趋势,2013-2015年血液出库至输血开始间隔平均时间分别为34.38±11.15,35.35±10.56和28.21±5.262 min;2015年间隔时间较前2年显著缩短,P<0.05;2013-2015年2 h内输血反馈率分别为41.2%,43.5%和72.3%,2015年较前2年反馈及时率明显升高,P<0.05;2013-2015年不良反应发生率分别为1.48%,1.21%及0.81%,2015年输血不良反应发生率显著下降,P<0.05。结论建立信息化输血管理系统,促进临床合理用血,提高用血安全。Objective To evaluate the efficiency of electronic assessment monitoring system on standardizing the reasonable use of transfusion. Methods Before-and-after electronic evaluation monitoring system was introduced in January2013 while the process monitoring system of blood transfusion was introduced in January 2015. Data on peri-operative blood transfusion during 2012 to 2015 and the cases of adverse transfusion reactions during 2013-2015 were collected and analyzed. Result During 2012-2015,the operative quantity continued to grow,but the average amount of blood transfusion in the peri-operative has declined. The starting interval time of transfusion from 2013 to 2015 was 34. 38 ± 11. 15,35. 35 ±10. 56 and 28. 21 ± 5. 262 min,respectively. The time of starting interval was significantly reduced（ P〈0. 05）. Within 2hours,the reported rates during 2013-2015 were 41. 2%,43. 5% and 72. 3% respectively. The rates of 2015 was significantly higher than those of the last two years（ P〈0. 05）. The incidence of adverse reactions was 1. 48%,1. 21% and0. 81% during 2013-2015. The incidence of 2015 was also significantly reduced（ P〈0. 05）. Conclusion The electronic assessment monitoring system was highly efficacious in promoting the rational use of blood and improving blood safety.

关 键 词：信息化系统 监控 评估 用血安全 

分 类 号：R457.1[医药卫生—治疗学] R857.3[医药卫生—临床医学]