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目的:探讨持续改进中的临床用血在输血管理中的应用价值。方法:回顾性分析永康市第一人民医院2013年4月~2014年6月4000份输血资料,根据《中华人民共和国献血法》和《医疗机构临床用血管理办法》制定的输血管理制度,以及根据相关法规特殊制定的输血管理制度,分别设为对照组和观察组进行调查研究,比较两组间人均用血量,手术人均用血量、各成分血用量及输血文书质量的差异。结果经过调查研究,观察组的人均用血量,手术人均用血量、各成分血用量明显要低于对照组(P<0.05),输血文书的正规性在两组之间有统计学意义(P<0.05),观察组的输血病历规范性要高于对照组。结论:结果证明,永康市第一人民医院根据相关法规结合本院特点制定的输血管理制度更有成效,但是在细微处尚未有改进,应进一步加强。
Objective: To explore the clinical value of continuous improvement in blood transfusion management. Methods: A retrospective analysis of 4,000 blood transfusion data from April 2013 to June 2014 in First People’s Hospital of Yongkang City, based on the blood transfusion management system set forth in “Blood Donation Law of the People’s Republic of China” and “Clinical Blood Management Measures in Medical Institutions”, and Blood transfusion management system specially formulated according to relevant laws and regulations were set up as the control group and the observation group to conduct the investigation and study. The per capita blood consumption, per capita blood consumption, blood composition and blood transfusion documents quality were compared between the two groups. Results After investigation, the per capita blood consumption and per capita blood consumption in the observation group were significantly lower than those in the control group (P <0.05). The regularity of blood transfusion instruments was statistically significant between the two groups (P < P <0.05), the observation group transfusion history normative than the control group. Conclusion: The results show that the first People’s Hospital of Yongkang based on the relevant laws and regulations combined with the characteristics of the hospital transfusion management system more effective, but no improvement in the nuances, should be further strengthened.