CAJ | 학술논문

目的了解<临床输血技术规范>自2000年颁布至今我国临床用血合理性现状及相关研究情况.方法检索2000年至2010年中文核心期刊发表的有关临床用血合理性评价的文章,对10年来我国用血合理性进行概括分析.结果入选的35篇文献中,合理性评价主要从用血量、输血例次和病历数3个方面进行.总体来看,血小板合理用血率最高,血浆合理用血率最低;非手术科室合理用血率高于手术科室;三级医院合理用血率高于二级及以下医院.用血不合理的主要原因是无指征输血.结论当前我国合理用血率较低,相关部门应加强对血液使用的管理与审批,在全民中进行合理用血的宣教,共同推动输血事业的健康发展.
목적 료해<림상수혈기술규범>자2000년반포지금아국림상용혈합이성현상급상관연구정황.방법 검색2000년지2010년중문핵심기간발표적유관림상용혈합이성평개적문장,대10년래아국용혈합이성진행개괄분석.결과 입선적35편문헌중,합이성평개주요종용혈량、수혈례차화병력수3개방면진행.총체래간,혈소판합리용혈솔최고,혈장합리용혈솔최저;비수술과실합리용혈솔고우수술과실;삼급의원합리용혈솔고우이급급이하의원.용혈불합리적주요원인시무지정수혈.결론 당전아국합리용혈솔교저,상관부문응가강대혈액사용적관리여심비,재전민중진행합리용혈적선교,공동추동수혈사업적건강발전.
Objective To explore the rationality of clinical blood transfusion since the Ministry of Health enacted the The Technical Criterion of Clinic Blood Transfusion' in 2000. Methods Retrieved the literatures on the appraisal of rationality of clinic blood transfusion published in core journal between 2000 and 2010, and analyzed the rationality of clinical blood transfusion in recent 10 years. Results In 35 literatures entered, the proportion of appropriate blood transfusion of platelet was the highest compaved with the lowest proportion of plasma. the proportion of appropriate blood transfusion in operational department is higher than that in non-operational department. The primary reason of inappropriate blood transfusion is transfusion without indications. Conclusion The proportion of appropriate blood transfusion in china is low. The government should enhance the regulation of blood usage,and the public should he educated to realize the importarce of appropriote blood transfusion in order to promote it to develop healthily.