学术论文

      我国部分地区用血合理性评价系统综述

      The systematic review on the appraisal research of the rationality of blood transfusion in some districts

      摘要:
      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.
      Abstract:
      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.
      作者: 张彪 [1] 姜晶梅 [2]
      Author: ZHANG Biao [1] JIANG Jing-mei [2]
      作者单位: 北京协和医学院公共卫生学院 北京协和医学院基础学院流行病学与卫生统计学系,北京协和医学院公共卫生学院,中国医学科学院基础医学研究所,100005
      刊 名: 中华医院管理杂志 ISTICPKU
      年,卷(期): 2011, 27(8)
      分类号: R457.1
      机标分类号: R4 G25
      在线出版日期: 2011年11月11日