标题：临床输血智能管理与评估系统在红细胞输注合理性评估及疗效评价中的应用

      作者：于帅 1，黄用文 1，林梦霞 1，郭强 2，吕俊文 3，孙桂香 1，5，
    冯倩 1，5，陈麟凤 5，赵京利 6，吴月清 1，闻巍 4，于洋 1，5
(1.中国人民解放军总医院海南分院输血科，海南 三亚 572013；
2.中国人民解放军总医院海南分院医疗科，海南 三亚 572013；
3.中国人民解放军总医院海南分院信息科，海南 三亚 572013；
4.中国人民解放军总医院海南分院普外科，海南 三亚 572013；
5.中国人民解放军总医院输血科，北京 100853；
6.中国人民解放军总医院信息科，北京 100853)

      卷次： 2016年27卷1期

      【摘要】 目的 利用临床输血智能管理与评估系统(TIME系统)进行输血合理性评估与疗效评价。方法 以医院
“军卫一号”信息管理系统中的医院信息子系统、检验信息子系统及输血管理分系统为主要数据源，通过建立评价标
准，完成2014年我院术中红细胞输注合理性评估与非术中红细胞输注疗效评价。结果 2014年进行术中红细胞输注
434人次，红细胞输注不合理比例62.90%，术后平均血红蛋白108.65 g/L，其中口腔科和泌尿外科不合理比例最高，分
别达100%和92.86%，术后平均Hb分别为115 g/L和141 g/L；946人次非术中用血患者，红细胞输注疗效有效比例为
35.20%，无效比例为 18.29%，无检测结果比例达 21.12%，其中外科组中泌尿外科红细胞输注无效比例最高，达
25.00%，内科组肿瘤科无效比例最高，达17.11%。结论 通过TIME系统进行输血评价，可以清晰地展现出术中用血
合理性情况和非手术用血的效果情况，并可为日后提高输血合理性和输注疗效提供客观、准确的数据。

      【关键词】 输血；管理；评估；合理性；疗效

      【中图分类号】 R457.1 【文献标识码】 A 【文章编号】 1003—6350（2016）01—0067—04


Application of clinical blood transfusion intelligent management and evaluation system in evaluating the
rationality and effectiveness of RBC transfusion.
YU Shuai 1, HUANG Yong-wen 1, LIN Meng-xia 1, GUO Qiang 2, LV
Jun-wen 3, SUN Gui-xiang 1,5, FENG Qian 1,5, CHEN Lin-feng 5, ZHAO Jing-li 6, WU Yue-qing 1, WEN Wei 4, YU Yang 1,5.
1. Department of Blood Transfusion, Hainan Branch of Chinese PLA General Hospital, Sanya 572013, Hainan, CHINA; 2.
Department of Medical Administration, Hainan Branch of Chinese PLA General Hospital, Sanya 572013, Hainan, CHINA; 3.
Department of Information, Hainan Branch of Chinese PLA General Hospital, Sanya 572013, Hainan, CHINA; 4.
Department of General Surgery, Hainan Branch of Chinese PLA General Hospital, Sanya 572013, Hainan, CHINA; 5.
Department of Blood Transfusion, Chinese PLA General Hospital, Beijing 100853, CHINA; 6. Department of Information
Technology, Chinese PLA General Hospital, Beijing 100853, CHINA

【Abstract】 Objective To evaluate the rationality and effectiveness of red blood cell (RBC) transfusion by us-
ing transfusion intelligent management and evaluation system (TIME system). Methods The rationality and effective-
ness of RBC transfusion in 2014 in Hainan Branch of Chinese PLA General Hospital was evaluated through the estab-
lishment of evaluation criteria based on the data from hospital information subsystem (HIS), laboratory information sub-
system (LIS) and blood transfusion management subsystem of“No.1 Military”information system. Results In 2014, a
total of 434 patients received intraoperative RBC transfusion. The inappropriate RBC transfusion rate was 62.90%, and
the mean postoperative hemoglobin was 108.65 g/L. The inappropriate rate was the highest in the Department of Stoma-
tology followed by the Department of Urology, which was 100% and 92.86%, respectively, and the mean postoperative Hb
was 115 g/L and 141 g/L, respectively. In 2014, a total of 946 individuals transfused RBCs non-intraoperatively, among
which 35.20% was effective and 18.29% was ineffective, with 21.12% of no detection results. In the surgical group, the in-
effective rate was the highest in the Department of Urology (25.00%), and in the internal medicine group, the ineffective
rate was the highest in the Department of Oncology (17.11%). Conclusion TIME system for evaluation of blood transfu-
sion, can present clearly the rationality and effectiveness of transfusion, which can also provide objective and accurate da-
ta for the continuous improvement of blood transfusion.

      【Key words】 Blood transfusion; Management; Evaluation; Rationality; Effectiveness
·论 著·
6350.2016.01.022