摘要
贫血是导致患者不良结局的独立风险因素之一,而缺铁性贫血(IDA)是贫血中最常见的类型。在IDA的治疗中,输血是重要手段之一,然而在血液制品供需矛盾日益突出的情况下,过度依赖输血将严重影响患者预后、增加医疗费用,因此对IDA患者进行患者血液管理(PBM)有助于改善患者临床转归,减轻医疗负担。该共识基于PBM的多重获益和我国相关政策背景,以促进医疗机构有效实施成人IDA的PBM为目的,在参考多篇国内外相关文献基础上,对多学科疾病合并IDA的单病种PBM提出了建议。
Anemia is one of the independent risk factors resulting in the poor outcomes of the patients,and iron deficiency anemia(IDA)is the most common type of anemia.In IDA treatment,blood transfusion is one of the important means,but in the case of the increasingly prominent contradiction between the supply and demand of blood products,excessive dependence on blood transfusion will seriously affect the prognosis of the patients and increase the medical expenses.Therefore,the blood management for patients(PBM)with IDA can help to improve the clinical outcome of the patients and reduce the medical burden.Based on the multiple benefits of PBM and the relevant policy background in China,this consensus aims to promote the effective implementation of PBM for adult IDA patients in medical institutions.On the basis of referring to many relevant literatures at home and abroad,the suggestions are put forward for single disease PBM with multidisciplinary diseases complicated with IDA.
作者
重庆市健康促进与健康教育学会血液病专业委员会
重庆市医师协会血液科医师分会
重庆市医学会血液学专业委员会贫血学组
李云龙
娄世峰
张曦
Hematology Committee of Chongqing Health Promotion and Health Education Association;Hematology Branch of Chongqing Medical Doctor Association;Anemia Group of Hematology Committee of Chongqing Medical Association;LI Yunlong;LOU Shifeng;ZHANG Xi(不详;Department of Hematology,Jiangsu Provincial People′s Hospital Chongqing Hospital/Chongqing Qijiang District People′s Hospital,Chongqing 401420,China;Department of Hematology,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Hematology Center,the Second Affiliated Hospital of Army Military Medical University,Chongqing 400037,China)
出处
《检验医学与临床》
CAS
2023年第18期2625-2632,2637,共9页
Laboratory Medicine and Clinic
基金
重庆市科学技术局资助项目(CSTB2022TFH-OIX0072)
重庆市綦江区科学技术局资助项目(2018029,2022035,2022066)。
关键词
成人
缺铁性贫血
患者血液管理
红细胞
adult
iron deficiency anemia
patient blood management
red blood cell
