患者血液管理在临床输血实践中的应用  

Investigation of the Application of Patient Blood Management in Clinical Transfusion

作　　者：孙洁[1] 陆韬宏[1] 王春燕[2] 刘渊[3] 周蓉[4] 孟妍[1] SUN Jie;LU Tao-hong;WANG Chun-yan(Shanghai BloodCenter,Shanghai200051)

机构地区：[1]上海市血液中心,200051 [2]同济大学附属东方医院 [3]复旦大学附属华东医院 [4]复旦大学附属中山医院

出　　处：《临床输血与检验》2018年第4期337-339,共3页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：上海市公共卫生重点学科建设项目(No.02X162-03)资助

摘　　要：目的探讨患者血液管理这一输血新模式在临床输血实践中的应用。方法调查2016年1月～2017年1月上海市三家综合性医院232例输血患者的性别、年龄、入院科室、住院天数、出院诊断、输血前后血常规、手术前后是否使用干预措施。结果 11个手术科室中10个科室(90.91%)采取1种以上干预措施,干预组较对照组患者的住院天数相对较短,血红蛋白上升幅度较对照组大。结论目前患者血液管理在医院临床输血实践中的应用有限,但可以减少输血,改善患者预后,值得推广。Objective To explore the application of new transfusion paradigm, patient blood management, in transfusion practice. Methods To investigate 232 blood transfusion patients＇age, gender, admission departments, hospitalization days, discharge diagnosis, blood routine before and after blood transfusion, intervention measures before and after operation froln January 2016 to January 2017. Results 10 of 11 operation departments （90.91%） take more than one kind of intervention measures. Intervention group has shorter hospitalization days and higher hemoglobin change after operation than the control group. Conclusion Nowadays the application of PBM in clinic transfusion practice is limited. It is worth extending as well because it can reduce blood transfusion and improve patients＇prognosis .

关 键 词：患者血液管理 临床输血实践 干预措施 

分 类 号：R457.1[医药卫生—治疗学]