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目的了解武威地区临床红细胞输注的疗效情况,为临床合理有效输血提供科学依据。方法对武威地区5所不同级别医院在2009年7月～2010年7月的1 206(人)份红细胞输注病历做回顾性调查,输注>24 h复查Hb,与输血前比较,若Hb未达到预期值,视为红细胞无效输注,并对调查结果及呈相关性的因素进行统计学分析。结果武威地区5所医院红细胞无效输注率为14.17%(649/4 579);无效输注与临床科室、年龄段(<1岁)、输血史(输血次数≥3)及原发病症(恶性肿瘤疾病)呈相关性(P<0.05),而与性别无相关性(P>0.05)。结论武威地区临床红细胞无效输注确实存在,输血史、原发病症、年龄段及科室可能是影响红细胞无效输注的因素。
Objective To understand the efficacy of clinical erythrocyte infusion in Wuwei area and provide a scientific basis for clinical rational and effective blood transfusion. Methods Retrospective investigation was conducted on the records of 1 206 (human) red blood cells transfusions in 5 hospitals of different grades in Wuwei from July 2009 to July 2010, and Hb was re-infused for> 24 h. Compared with those before transfusion, if Hb Did not meet the expected value, regarded as ineffective infusion of red blood cells, and the results of the survey and the factors were statistically analyzed. Results The invalid infusion rate of red blood cell in 5 hospitals in Wuwei was 14.17% (649/4 579). The ineffective infusion was related to clinical departments, age (<1 year), transfusion history (blood transfusion ≥ 3) and primary disease Tumor disease) (P <0.05), but not with gender (P> 0.05). Conclusions The clinical invalid RBC infusion in Wuwei area does exist. The history of blood transfusion, primary disease, age and department may be the factors affecting the ineffective infusion of erythrocytes.