协和医学杂志

2015, (4)

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2010年与2013年北京协和医院住院患者红细胞输注情况
Red Blood Cell Transfusion Condition of In-patients of Peking Union Medical College Hospital in 2010 and 2013

孟婵;曾学军;甘佳;方卫纲;陈嘉林;白连军

摘要(Abstract):

目的 初步了解2010年和2013年北京协和医院住院患者红细胞输注的概况和变化。方法 随机抽取2010年和2013年在北京协和医院住院期间行红细胞输注的患者资料,比较其性别、年龄、输血时所在科室、第1次红细胞输注前的血红蛋白值等临床信息。结果 本研究纳入住院期间行红细胞输注的患者2010年为174例,2013年为500例。住院患者红细胞输注前平均血红蛋白2010年非手术科室为(67.71±11.31)g/L,手术科室为(78.68±15.64) g/L;2013年非手术科室为(63.75±12.41)g/L,手术科室为(81.53±17.09)g/L;2010年和2013年非手术科室患者红细胞输注前血红蛋白检测率均为100%;手术科室患者2013年红细胞输注前血红蛋白检测率为68.6%,较2010年的47.7%提高,差异具有统计学意义(P<0.001)。结论 北京协和医院非手术科室和手术科室启动红细胞输注的血红蛋白阈值均符合我国与国际输血指南所推荐的范围,体现本院对红细胞输注一贯严格把握输血指征,用血行为合理,并不断完善进步。
Objective To study the general condition and changes of red blood cell transfusion in Peking Union Medical College Hospital in the years of 2010 and 2013. Methods Random sampling was conducted among the in-patients who received red blood cell transfusion during hospitalization at Peking Union Medical College Hospital in 2010 and 2013. The clinical information including gender, age, wards where transfusion was performed, and the hemoglobin values before the first red blood cell transfusion were compared between the 2 years. Results Totally, 174 cases in 2010 and 500 cases in 2013 were enrolled. The mean hemoglobin value before red blood cell transfusion in non-surgical and surgical wards were (67.71±11.31)g/L and (78.68±15.64)g/L respectively in 2010, which were (63.75±12.41)g/L and (81.53±17.09)g/L respectively in 2013. Hemoglobin detection rates in in-patients before red blood cell transfusion in non-surgical wards in 2010 and 2013 were both 100%; in surgical wards, the hemoglobin detection rate was 68.6% in 2013, significantlyhigher than that in 2010 (47.7%, P<0.001). Conclusions In both non-surgical and surgical wards of Peking Union Medical College Hospital, the hemoglobin threshold for initiating red blood cell transfusion were in accordance with the recommendations of international and China guidelines, indicating that in our hospital, indication of red blood cell transfusion is strictly followed and transfusion administration is rational with continuous improvement.

关键词(KeyWords): |红细胞输注| 限制性输血策略| 合理用血|
|Red blood cell transfusion| restrict transfusion strategy| rational use of blood|

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作者(Author): 孟婵;曾学军;甘佳;方卫纲;陈嘉林;白连军

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