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目的:探讨输血质量管理对提高临床合理输血水平的作用。方法:对2011-2014年3909例临床输血病例进行回顾性调查,比较自2012年加强输血质量管理前后的合理输血率和成分血的临床用血量。结果:2012年与2011年比较,手术输血、非手术输血的合理输血率增加(P<0.05);其中手术用血量,以红细胞、血浆减少为主(P<0.05);非手术用血量以血浆减少为主(P<0.05)。2013年与2012年比较,手术输血的合理率增加、手术用血量减少(均P>0.05),非手术输血的合理输血率增加,红细胞、血浆的输注量减少(均P<0.05)。2014年与2013年比较,手术、非手术输血的合理输血率及手术用各血液成分输注量均无明显改变(均P>0.05),非手术用红细胞、血浆、血小板用量增加,冷沉淀用量减少(均P<0.05)。结论:通过加强输血质量管理,合理输血率显著提高,使临床输血量明显减少,从而促进临床安全合理输血。
Objective: To explore the effect of quality control of blood transfusion on improving the level of clinically reasonable blood transfusion. Methods: A retrospective survey of 3,909 clinical blood transfusion cases from 2011 to 2014 was conducted to compare the reasonable blood transfusion rates before and after transfusion quality management and the clinical blood volume of the constituent blood since 2012. Results: Compared with 2011, the reasonable blood transfusion rate of transfusions and non-transfusions was increased in 2012 (P <0.05). The amount of blood used for surgery was mainly decreased in erythrocytes and plasma (P <0.05) The main reduction of plasma (P <0.05). In 2013 and 2012, the reasonable rate of transfusions was increased and the amount of blood used for surgery was decreased (all P> 0.05). The reasonable blood transfusion rate of non-surgical transfusion increased, while the transfusion volume of erythrocyte and plasma decreased (both P <0.05). In 2014 and 2013, there was no significant change in the blood transfusion rate of surgical and non-surgical blood transfusion and the amount of blood transfusion in operation (all P> 0.05). The amount of non-surgical erythrocytes, plasma and platelets increased, Decrease (all P <0.05). Conclusion: By strengthening the quality control of blood transfusion, the reasonable blood transfusion rate is significantly increased, the clinical transfusion volume is significantly reduced, thus promoting the safe and rational clinical transfusion.