中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
34期
89-90,91
,共3页
许祖林%易彩响%鲁海平%陈桃丽%程海婷
許祖林%易綵響%魯海平%陳桃麗%程海婷
허조림%역채향%로해평%진도려%정해정
临床科室%合理用血%输血指征%病历调查
臨床科室%閤理用血%輸血指徵%病歷調查
림상과실%합리용혈%수혈지정%병력조사
Clinical Departments%Rational use of blood%Indications of blood transfusion%Survey of medical records
目的：通过查阅医院输血病历，了解医院临床科室用血现状，发现存在的问题并加以改进，从而提高临床科室合理用血水平。方法：依据卫生部《临床输血技术规范》，回顾性调查本院2011年1月-2012年12月输血病历428份，分析各科室用血合理性及特点。结果：医院总体用血合理性为64.72%，其中手术科室用血合理性为58.3%，内科输血合理性为98.5%，两者比较差异有统计学意义（字2=1043.91，P<0.05）；手术科室中普外科、泌尿外科、脑外科、骨伤科、手足外科、妇产科用血合理性分别为31.1%、50.0%、74.1%、78.8%、90.9%、90.9%；医院不合理用血中，少量输血、搭配输血与其他不合理输血总体比例分别为3.50%、7.01%、24.77%。结论：医院临床科室用血适应证的掌握，内科好于手术科室，在手术科室中，妇科、手足外科较好，普外科、泌尿外科欠佳，说明其合理用血观念不强。
目的：通過查閱醫院輸血病歷，瞭解醫院臨床科室用血現狀，髮現存在的問題併加以改進，從而提高臨床科室閤理用血水平。方法：依據衛生部《臨床輸血技術規範》，迴顧性調查本院2011年1月-2012年12月輸血病歷428份，分析各科室用血閤理性及特點。結果：醫院總體用血閤理性為64.72%，其中手術科室用血閤理性為58.3%，內科輸血閤理性為98.5%，兩者比較差異有統計學意義（字2=1043.91，P<0.05）；手術科室中普外科、泌尿外科、腦外科、骨傷科、手足外科、婦產科用血閤理性分彆為31.1%、50.0%、74.1%、78.8%、90.9%、90.9%；醫院不閤理用血中，少量輸血、搭配輸血與其他不閤理輸血總體比例分彆為3.50%、7.01%、24.77%。結論：醫院臨床科室用血適應證的掌握，內科好于手術科室，在手術科室中，婦科、手足外科較好，普外科、泌尿外科欠佳，說明其閤理用血觀唸不彊。
목적：통과사열의원수혈병력，료해의원림상과실용혈현상，발현존재적문제병가이개진，종이제고림상과실합리용혈수평。방법：의거위생부《림상수혈기술규범》，회고성조사본원2011년1월-2012년12월수혈병력428빈，분석각과실용혈합이성급특점。결과：의원총체용혈합이성위64.72%，기중수술과실용혈합이성위58.3%，내과수혈합이성위98.5%，량자비교차이유통계학의의（자2=1043.91，P<0.05）；수술과실중보외과、비뇨외과、뇌외과、골상과、수족외과、부산과용혈합이성분별위31.1%、50.0%、74.1%、78.8%、90.9%、90.9%；의원불합리용혈중，소량수혈、탑배수혈여기타불합리수혈총체비례분별위3.50%、7.01%、24.77%。결론：의원림상과실용혈괄응증적장악，내과호우수술과실，재수술과실중，부과、수족외과교호，보외과、비뇨외과흠가，설명기합리용혈관념불강。
Objective:To know the current situation of use of blood at clinical departments,by consulting the Blood transfusion medical records in hospital,find and improve the problem,thereby to improve the standards of the rational use of blood at clinical department.Method:According to the technical specifications of clinical blood transfusion by Ministry of health,retrospectively researched our hospital’s blood transfusion records,which were 428 from Jan 2011to Dec 2012. Result:The hospital’s overall rationality of blood transfusion was 64.72%,in which it was 58.3%for the Surgical Intervention Dept,98.5%for the Internal Medicine Dept,the difference was statistically significant(χ2=1043.91,P<1043.91). And in the Surgical Intervention Dept, for the General Surgery Dept,the Urology Surgery Departments,the Thoracic Surgery Dept ,the Bone Traumatology Dept,the Hand and Foot Surgery Dept and the Obstetrics and Gynecology Dept ,blood rationality were respectively 31.1%,50%,74.1%,78.8%,90.9%,90.9%.In hospital’s unreasonable use of blood,a small amount of blood transfusion,with blood transfusion and other unreasonable blood transfusion were respectively 3.50%,7.01%,24.77%. Conclusion:Regarding to mastering of indication for use of blood in Clinical Departments in Hospital,the Internal Medicine Dept is better than the Surgical Intervention Dept;and among the Surgical Intervention Dept,the Obstetrics and Gynecology Dept,the Hand and Foot Surgery Dept,the General Surgery Dept and the Urology Surgery Departments are not good enough. It shows that their sense of rational use of blood is not strong.
