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目的了解四川省综合医院的临床用血情况,对医院临床用血评估模式进行初步探讨。方法 1)设计《临床用血淍查表》,对四川省40家综合医院展开临床用血专项调研,统计40家医院临床成分血(红细胞、血浆、血小板和冷沉淀)用量在主要用血科室之间的分布情况;2)将成分血用量与医院年门诊人次、床位数、年住院人次和年手术台次做相关性分析;3)以单位年门诊人次用量、单位年住院人次用量、单位床位数用量、单位年手术台次用量为指标,分析红细胞用量,探索临床用血的评估机制。结果 1)红细胞和血小板用量最多的科室为内科,三级医院分别占总用量的40.60%和71.15%,二级医院分别占36.62%和51.04%;血浆主要用于内科和外科,三级医院分别占37.11%和34.90%,二级医院分别占27.76%和31.00%;2)三级医院的红细胞用量与年门诊人次、年住院人次、年手术台次及床位数的相关系数(r)分别为0.792、0.818、0.838和0.728,二级医院分别为0.242、0.780、0.793和0.693;3)三级医院以单位年手术台次红细胞用量为评估指标时,有1家医院偏离>x珋+2s;二级医院以单位年门诊人次、单位年住院人次、单位年手术台次和单位床位数红细胞用量为评估指标时,各有1家医院偏离>x珋+2s。结论三级医院成分血应用较二级医院规范,红细胞是应用管理最好的血液成分。临床用血评估在了解医院用血情况的基础上,对同级医院进行用血量的对比分析,不仅可以在宏观上控制临床用血,也可为临床用血考评机制的建立提供有效的借鉴。
Objective To understand the clinical use of blood in the general hospital of Sichuan Province and to discuss the clinical evaluation model of blood in hospital. Methods 1) Designing “clinical blood test table”, 40 special hospitals in Sichuan Province to carry out clinical research with blood, statistics 40 hospitals clinical components of blood (red blood cells, plasma, platelets and cryoprecipitate) the amount of the main use of blood department The distribution of the situation; 2) the amount of blood and hospital outpatient visits, the number of beds, annual hospitalization times and annual operating table times do correlation analysis; 3) unit patient outpatient usage, unit annual inpatient dosage, unit The amount of beds, units per unit amount of surgery as an indicator of the amount of red blood cells to explore the clinical evaluation of blood use mechanisms. Results 1) The departments with the most dosage of red blood cells and platelets were internal medicine and tertiary hospitals accounting for 40.60% and 71.15% of the total, and secondary hospitals accounting for 36.62% and 51.04% respectively. Plasma was mainly used in internal medicine and surgery, and tertiary hospitals Accounting for 37.11% and 34.90%, respectively, and secondary hospitals accounted for 27.76% and 31.00% respectively. 2) The correlation coefficient (r) of erythrocyte usage in tertiary hospitals and year outpatient visits, annual hospital visits, annual operation tables and beds was 0.792, 0.818, 0.838 and 0.728, respectively, and level 2 hospitals were 0.242, 0.780, 0.793 and 0.693, respectively. 3) In the tertiary hospitals, the number of operating units per unit time of erythrocytes was the evaluation index, The second-level hospital in units of annual clinics, the unit in-patient number of units per unit table and the number of units of red blood cells for the assessment of the amount of indicators, each with a hospital deviations> x 珋 +2 s. Conclusion The application of blood components in tertiary hospitals is more standardized than secondary hospitals, and erythrocytes are the best blood components in application management. Evaluation of clinical blood Use of blood in the hospital based on the understanding of the same level of hospital blood use of comparative analysis can not only macroscopically control the clinical use of blood, but also for clinical use of blood test evaluation mechanism to provide an effective reference .