上海市浦东新区围术期临床用血情况调查  

Investigation of Blood Transfusion during Perioperation in Pudong New Area of Shanghai

作　　者：刘小倩 周循 朱娜娜 周伟标 夏荣 郭建荣[2] LIU Xiao-qian;ZHOU Xun;ZHU Na-na(Wannan Medical Col leage,Wuhu 241000)

机构地区：[1]皖南医学院,芜湖241000 [2]第二军医大学附属公利医院麻醉科 [3]上海市浦东新区血站 [4]复旦大学附属华山医院输血科

出　　处：《临床输血与检验》2018年第5期449-452,共4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.15GWZK0501);上海市卫生和计划生育委员会科研项目(No.201440456);上海市浦东新区卫生系统重点学科群建设项目(No.PWZxq2017-10);上海市浦东新区医学领先人才项目(No.PWR12013-03)资助

摘　　要：目的了解围术期临床用血情况,为制定临床合理用血相关策略提供参考依据。方法调查浦东新区卫计委所属10家医疗机构2016年间的手术输血病例,分析其血液成分输血的合理性及有效性,同时调查围术期自体输血开展情况。结果浦东新区成分血合理输注率:红细胞为63.83%、血浆为55.79%、冷沉淀为79.87%;输血治疗后,34.25%进行了有效性评价;全区围术期自体输血率平均为15.19%。结论临床用血的规范性使用仍存在不足,对于输血后的效果评价执行不够,应进一步加强培训,规范临床输血,保证输血安全、有效。Objective To investigate the perioperative blood transfusion in Pudong and to provide reference to appropriate use of blood. Methods The perioperative blood uses in 2016 were retrospectively investigated in 10 hospitals. The data of blood composition infusion and transfusion indications were collected and analyzed. Statistical analysis was made on the curative effect in 34.25 percent of cases after blood transfusion. The status of perioperative autotransfusion was analyzed. Results The blood components of rational transfusions included red cells（63.83%）,plasma（55.79%） and cold precipitates（79.87%）.The ratio of autologous blood transfusion accounted for 15.19%. Conclusion The clinical normative use and effective evaluation of blood transfusion remains insufficient. Strengthened training and transfusion standardization are needed for the safe and effective blood transfusion.

关 键 词：输血 围术期 红细胞 自体输血 

分 类 号：R457.1[医药卫生—治疗学] R614[医药卫生—临床医学]