• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (1): 44-47.DOI: 10.3969/j.issn.1671-2587.2019.01.015

• 临床输血 • 上一篇    下一篇

新鲜冰冻血浆使用合理性及有效性回顾性分析

裴德翠, 郑金秀   

  1. 510800 广东省广州市花都区人民医院输血科
  • 收稿日期:2018-09-11 出版日期:2019-02-20 发布日期:2019-01-28
  • 作者简介:裴德翠(1970-),女,湖北荆州人,副主任技师,博士,主要从事临床输血工作,(Tel)13501529568。

Retrospective Analysis of Appropriateness and Effectiveness of Fresh Frozen Plasmaused

PEI De-cui, ZHENG Jin-xiu   

  1. Department of Blood Transfusion,Huadu People's Hospital,Guangzhou 510800
  • Received:2018-09-11 Online:2019-02-20 Published:2019-01-28

摘要: 目的 通过对本院2016年4月~2017年3月新鲜冰冻血浆使用情况进行回顾性分析,了解血浆使用合理性及有效性,指导临床合理用血。方法 通过医院信息系统收集2016年4月~2017年3月新鲜冰冻血浆使用情况及相关信息,根据评价标准判断血浆使用的合理性及有效性,并对全院新鲜冰冻血浆使用情况进行调查分析。结果 新鲜冰冻血浆输注合理率49.2%,输注有效率33.9%。手术科室与非手术科室输注合理率和有效率的差异无统计学意义,合理与不合理输注有效率的差异有统计学意义。新鲜冰冻血浆不合理使用主要是搭配输血、INR<正常1.5倍患者出血以及无出血患者的预防性输注。结论 新鲜冰冻血浆不合理输注现象较严重,不合理输注有效率低,医院输血管理委员会应发挥作用,加强全院用血情况的监测与分析,对临床用血进行培训与督导,提高血浆输注的合理性及有效性。

关键词: 新鲜冰冻血浆, 合理性, 有效性

Abstract: Objective To analyze the usage of fresh frozen plasma(FFP)in our hospital from April 2016 to March 2017,and to realize the appropriateness and effectiveness of FFP transfusion. Method Data werecollected through the hospital information system.The appropriateness and effectiveness of FFP transfusion was analyzed according to the evaluation criteria. Result Audit of FFP used shows appropriate utilization rate of 49.2% and effective rate of 33.9% in our hospital,No significant difference is found between surgical departments and non-surgical departments.There existed significant difference between the effectiveness rate of appropriate transfusion and inappropriate transfusion.The three largest reasons for inappropriate use were collocation of blood transfusion,active bleeding with INR<1.5 normal and the transfusion of FFP in the absence of bleeding. Conclusion Inappropriate usage of FFP is more and the effective rate of inappropriate transfusion is low.The hospital blood transfusion committees should be play an important role in monitoring the use of blood,training and supervising the medical staff,that helpfulimprove the appropriateness and effectiveness of FFP transfusion.

Key words: Fresh Frozen Plasma(FFP), Appropriateness, Effectiveness

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