四川省医疗机构临床输血服务能力调查分析  

Investigation on hospital blood transfusion services in Sichuan,China

作　　者：张容 吴钊[2] 刘凤娟 王宗奎 叶生亮 李长清 卢丽 杨春晖 饶绍琴[2] ZHANG Rong;WU Zhao;LIU Fengjuan;WANG Zongkui;YE Shengliang;LI Changqing;LI Lu;YANG Chunhui;RAO Shaoqin(Institute of Blood Transfusion,Chinese Academy of Medical Sciences and Peking Union Medical College,Chengda,China;Department of Blood Transfusion,Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital)

机构地区：[1]中国医学科学院北京协和医科大学输血研究所,四川成都610052 [2]四川省医学科学院四川省人民医院

出　　处：《中国输血杂志》2018年第11期1270-1277,共8页Chinese Journal of Blood Transfusion

摘　　要：目的准确掌握四川省级医院临床输血服务能力,为提高临床用血水平提供依据。方法 2016年6月25日—7月31日,四川省临床输血质控中心(简称省输血质控中心)以电子邮件的形式向四川省医管局在册的650家医院发放并回收了电子版调查问卷,对各医院2015年1月1日—2015年12月31日医院基本情况(医院级别及性质、门诊人数、住院人数及手术台次),临床输血的基本条件[独立输血科(血库)设置、输血科人员数量及教育背景、实验室仪器设备、输血前必须检测项目的开展],临床输血实践情况(不同类型血液成分的使用、自体输血)和临床输血管理(医院临床输血管理委员会的设置及工作情况)进行了调查。回收问卷由经省输血质控中心培训合格的2名研究人员做完整性和有效性判定,并用统计软件SPSS Statistics 17. 0的Kolmogorov-Smirnow检验通过对数据的正态分布分析、Student's t检验和KW秩检验分析不同类型医院变量。结果在有效调查期内问卷回收率为92. 8%(603/650),其中三级医院为88. 7%(133/150),二级医院为95. 3%(286/300),二级以下医院为92. 0%(184/200),此次调查的问卷完整有效率为76. 2%(495/650)。65. 69%三级医院(35/102)、28. 96%(75/259)二级医院及25. 37%(34/134)二级以下医院设置了独立输血科(血库),甘孜地区该设置率仅8. 33%(1/12);三级医院输血科(血库)本科及以上员工数占比明显高于二级及二级以下医院[60. 76%vs 42. 39%vs 25. 71%(P<0. 01)];血小板恒温震荡箱配置率二级以下医院仅14. 93%(20/134),阿坝地区医院配置率为0;二级以下医院抗体筛查试验开展率为41. 79%(56/134),阿坝地区开展率为30. 76%(4/13),甘孜地区开展率为25. 00%(3/12);三级医院、二级及二级以下医院自体输血开展率分别为37. 25%(38/102),3. 47%(9/259)和1. 49%(2/134)(P<0. 001),甘孜、阿坝、巴中、达州、眉山、雅安和南充均未开展自体输血业务。结论四川省Objectives: To comprehensively evaluate the clinical blood transfusion service capability of hospitals in Sichuan province,providingreference data to improve clinical blood transfusion.Methods During Jun.25 to Jul. 31,2016,electronic edition questionnairesweresentand retrievedby Sichuan Clinical Blood Transfusion Quality Control Center to gather the data of practices on blood transfusion during Jan. 1,2015 to Dec.31,2015.A total of 650 hospitals registered in Sichuan Provincial Hospital Authoritywere enrolled in this research.The questionnairesincluded details regardinghospital status(Hospital ranking,outpatient numbers,hospitalizations and operations),clinical blood transfusion status(Independent blood transfusion department(blood bank) presence,the staffnumber and education background,laboratory equipment,required test items before transfusion),clinical blood transfusion practice(The utilization of blood products andthe application of autologous blood transfusion(ABT)),and clinical blood transfusion management(The configuration and effectiveness of the hospital clinical blood transfusion management committee). The retrieved questionnaires were evaluated firstly for completeness and validity. The Kolmogorov-Smirnov test was applied for the normal distribution of all data,Student’s t test was used for normal distribution data analysis and KWtest was used for abnormal distribution data analysis.Results The questionnaire retrieval rate was 92. 8%(603/650) during the effective investigation period. The rate ofRank 3hospitals was 88. 7%(133/150). Rank2 hospitals was 95. 3%(286/300) and hospitals below rank 2 was 92. 0%(184/200). 76. 15% of the hospitals(495/650) answered the questions completely. Approximately 65. 69%(35/102) rank3 hospitals,28. 96%(75/259) rank2 hospitalsand 25. 37%(34/134) hospitals below rank2 possessed independent transfusion departments(blood banks). The hospitals in Ganzi,however,ranked only 8. 33%(1/12). The rate of staff with bachelor degrees and above in rank 3 hospitals were significantly

关 键 词：临床输血 输血服务能力 医疗机构 等级医院 问卷调查 四川省 

分 类 号：R457.1[医药卫生—治疗学]