临床用血评价系统的建立与应用  

Establishment and application of clinical blood transfusion evaluation system

作　　者：何桂鲜 黄杰[1] 夏芹芹 

机构地区：[1]成都市第二人民医院输血科,四川成都610021

出　　处：《中国输血杂志》2017年第8期959-962,共4页Chinese Journal of Blood Transfusion

摘　　要：目的通过对本院临床用血评价系统建立后相关数据的分析,探讨更加有效、合理的评价方法与考核指标,推进临床科学合理用血,节约血液资源。方法制定临床合理用血评估及公示制度,建立本院输血适应证,严格分级分层管理,严格执行临床用血申请分级审批、计划符合性评价、输血前适应证和输血后效果评价及输血病历抽查考核,总结分析2012-2014年之间用血趋势及合理用血评价相关指标数据。结果经过实践临床用血评价系统后,用血趋势上:2013年和2014年相比2012年,手术台次和出院人次及用血量均有所增加,但2013年单位手术台次红悬用量由2012年的0.4 U降至0.28 U、血浆用量由2012年的0.47 U降至0.14 U;单位出院人次红悬用量由2012年的0.14 U降至0.11 U、血浆用量由2012年的0.16 U降至0.06 U,2014年相比2013年单位手术和单位出院人次红悬的用量持续下降,血浆用量基本持平。合理用血上:2013年比2012年红悬合格率,输血申请单合格率,计划符合性合格率,及自体输血率均有所提高,2014年较2013年血浆的合理用血也有所提高。结论通过制定和完善临床用血评价制度,建立临床合理用血评价体系,加强临床用血管理,能有效促进我院临床合理用血并节约血液资源。Objective To analyze our hospital＇s clinical blood transfusion data which was collected after the new establishment of clinical blood transfusion evaluation system into practice, and to discuss more effective and reasonable evaluation methods and evaluation indexes, so as to improve the scientific and rational use of blood and to preserve clinical blood re- sources. Methods Assessment and promotion on rational clinical use of blood was established. Clinical indications for trans- fusion were created in our hospital and strict hierarchical management policy. The grading transfusion approval and compli- ance evaluation plan were implemented strictly. The pre-transfusion indication and post-transfusion effect was evaluated, in addition to an assessment of blood transfusion records. Furthermore, blood use tendency and rational blood use evaluation da- ta between 2012 and 2014 were analyzed. Results After the practice of clinical blood transfusion evaluation system, in ac- cordance with the trend of blood use, compared to 2012, all operations, discharges and blood usage increased in 2013 and 2014, but the suspended red blood cell dosage per operation in 2012 were O. 4 U, which declined to 0. 28 U in 2013 and the amount of plasma per operation declined from 0. 47 U to 0.14 U. The unit discharges of suspended red blood cell dosage declined from 0. 14 U in 2012 to 0. 11 U in 2013 and the amount of plasma declined from 0. 16 U to 0.06 U. Compared to 2013, the suspended red blood cell usage per operation and per discharges continued to decline in 2014 and correspondingly, same amount of plasma also declined. On the rational use of blood, an improvement was seen in the reasonable utilization rate of suspended red blood cell and blood plasma, the eligibility rate of blood transfusion application and the compliance rate of blood use plan and the rate of autologous blood transfusion in 2013 than 2012, and in 2014 compared with the year of 2013. Conclusion Through the development and improvement of clinical blood use evaluati

关 键 词：临床用血评价 合理用血 用血趋势 

分 类 号：R457.12[医药卫生—治疗学]