脊柱外科围手术期成分输血的护理分析
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摘要
目的对脊柱外科手术围术期中成分输血护理的要素分析。方法采用回顾性分析法,整理2017年1～12月间1 757例脊柱外科手术输血患者的临床资料。结果在1 757例脊柱外科输血患者中,有1 525例患者输注悬浮红细胞,有1 401例患者输注了冰冻血浆,有37例患者输注了低温沉淀物,有19例患者输注了单采血小板;在1757例患者中最大悬浮红细胞输血量为6 000 mL,最小输血量为200 mL,平均输血量达到2 100 mL;在临床输血治疗中有11例患者发生输血反应,占总数的0.71%。结论为了保证脊柱外科手术患者尽早康复,对其进行手术输血非常必要。因此,对于输注不同成分血的患者,临床护理人员应根据成分血的性质给予恰当的护理措施,以避免患者在输血治疗中发生不良反应,保证临床输血的安全有效。
Objective To analyze the impact factors of perioperative nursing care in patients who underwent spinal surgeries. MethodsRetrospective analysis was used to analyze the clinical data in 1 757 patients with transfusion on spinal surgery in 2017. Results A total of 1 525 cases in 1757 transfusions on spinal surgery received suspended red blood cells, 1 401 cases were transfused with frozen plasma, 37 cases with cryoprecipitate, and 19 cases with apheresis platelets. The maximum volume was up to 6 000 ml and the minimum was 200 ml, with the average of 2 100 ml. Among them, eleven patients(0.71%) had adverse transfusion reactions. Conclusion Blood transfusion helps the patients for early recovery after spinal surgery. Appropriate nursing may contribute to reduction of adverse reactions following transfusion therapy.
Objective To analyze the impact factors of perioperative nursing care in patients who underwent spinal surgeries. MethodsRetrospective analysis was used to analyze the clinical data in 1 757 patients with transfusion on spinal surgery in 2017. Results A total of 1 525 cases in 1757 transfusions on spinal surgery received suspended red blood cells, 1 401 cases were transfused with frozen plasma, 37 cases with cryoprecipitate, and 19 cases with apheresis platelets. The maximum volume was up to 6 000 ml and the minimum was 200 ml, with the average of 2 100 ml. Among them, eleven patients(0.71%) had adverse transfusion reactions. Conclusion Blood transfusion helps the patients for early recovery after spinal surgery. Appropriate nursing may contribute to reduction of adverse reactions following transfusion therapy.
引文
1陈佳,余泽波.临床输血策略进展[J].临床输血与检验,2018,20(1):100-104.
2 Kessler C.Priming blood transfusion tubing:A critical review of the blood transfusion process[J].Critical Care Nurse,2013,33(3):80-84.
3陈颖,李蕾,乔艳玲.安全输血护理管理评价指标体系的构建研究[J].护理研究,2017,31(11):3936-3940.
4荆晶,尤海菲,王文婷,等.某三甲医院2011-2014年临床输血情况调查分析[J].临床输血与检验,2016,18(5):441-443
5王维娜.浅谈输注成分血患者在护理干预下的临床表现[J].中国实用医药,2015,11(32):238-239.
6张丽荣,孙艳春,刘昕,等.2004年-2006年围手术期患者输血情况分析[J].吉林医学,2007,28(15):1699-1700.
7张莉,邱艳.大数据时代的输血质量管理[J].临床输血与检验,2016,18(6):513-516,
8王燕.浅谈医院合理性用血评价[J].临床输血与检验,2017,19(4):355-357.
9刘素芳,王雅丽.外科手术中大量快速输血并发症原因分析及护理现状[J].齐鲁护理杂志,2013,19(2):52-54.
10胡飘萍,刘威,曹磊,等.临床输血评估评价全程闭环智能路径构建及其应用[J].中国输血杂志,2017,30(1):5-8.
11肖昆,曹磊,李建林,等.临床输血全程闭环智能路径质量和安全实时控制[J].中国输血杂志,2017,30(2):109-112.
12邓娟.针对性护理对外科临床输血护理效果、输血风险及输血误差的影响[J].实用临床医药杂志,2016,20(6):164-165.
13 Kranenburg F J,Arbous M S,Cessie S L,et al.The“grey area”of the transfusion practice in the intensive care unit[J].Intensive Care Med,2015,3(1):1-2.
14肖素娟,曾钰莲,黄艳,等.临床输血护理规范化管理调查分析[J].内科,2014,9(2):233-234.
15李淑,宫济武.患者输血前评估与输血后评价的个体化管[J].临床输血与检验,2017,19(3):209-216.
2 Kessler C.Priming blood transfusion tubing:A critical review of the blood transfusion process[J].Critical Care Nurse,2013,33(3):80-84.
3陈颖,李蕾,乔艳玲.安全输血护理管理评价指标体系的构建研究[J].护理研究,2017,31(11):3936-3940.
4荆晶,尤海菲,王文婷,等.某三甲医院2011-2014年临床输血情况调查分析[J].临床输血与检验,2016,18(5):441-443
5王维娜.浅谈输注成分血患者在护理干预下的临床表现[J].中国实用医药,2015,11(32):238-239.
6张丽荣,孙艳春,刘昕,等.2004年-2006年围手术期患者输血情况分析[J].吉林医学,2007,28(15):1699-1700.
7张莉,邱艳.大数据时代的输血质量管理[J].临床输血与检验,2016,18(6):513-516,
8王燕.浅谈医院合理性用血评价[J].临床输血与检验,2017,19(4):355-357.
9刘素芳,王雅丽.外科手术中大量快速输血并发症原因分析及护理现状[J].齐鲁护理杂志,2013,19(2):52-54.
10胡飘萍,刘威,曹磊,等.临床输血评估评价全程闭环智能路径构建及其应用[J].中国输血杂志,2017,30(1):5-8.
11肖昆,曹磊,李建林,等.临床输血全程闭环智能路径质量和安全实时控制[J].中国输血杂志,2017,30(2):109-112.
12邓娟.针对性护理对外科临床输血护理效果、输血风险及输血误差的影响[J].实用临床医药杂志,2016,20(6):164-165.
13 Kranenburg F J,Arbous M S,Cessie S L,et al.The“grey area”of the transfusion practice in the intensive care unit[J].Intensive Care Med,2015,3(1):1-2.
14肖素娟,曾钰莲,黄艳,等.临床输血护理规范化管理调查分析[J].内科,2014,9(2):233-234.
15李淑,宫济武.患者输血前评估与输血后评价的个体化管[J].临床输血与检验,2017,19(3):209-216.