河北省血液中心库存去白悬浮红细胞储存期现状分析  

Analysis on the current situation of the storage period of leukocyte reduced red blood cells in additive solution in Hebei Province Blood Center

作　　者：赵凤绵[1] 刘晓彦[1] 孟趁乔[1] 王丽莎[1] 崔玉兰[1] 张燕[1] 刘敬闪[1] 李文策[1] 

机构地区：[1]河北省血液中心,河北石家庄050071

出　　处：《中国输血杂志》2017年第2期161-163,共3页Chinese Journal of Blood Transfusion

基　　金：河北省2015年度医学科学研究重点课题(20150620)

摘　　要：目的对河北省血液中心2012-2015年发放的1 033 802 U去白悬浮红细胞的储存天数进行统计分析,评估库存去白悬浮红细胞库存周转量的合理性,为规范红细胞库存管理提供参考依据。方法分别计算平均每单位去白悬浮红细胞储存天数、各型去白悬浮红细胞所占血型比例,统计发放去白悬浮红细胞的单位数占全年总发血量比例,并进行统计学分析,P<0.05为差异有统计学意义。结果 2012-2015年各年度观察的A、B、O、AB血型去白悬浮红细胞所占血型比例约为24.9%、34.8%、30.3%、10.0%;各年度统计发放去白悬浮红细胞的单位数占全年发放总量的90%以上;2013年仅A型去白悬浮红细胞与4年总体A血型去白悬浮红细胞比较差异有统计学意义(P<0.05),2014年A、B、O、AB 4个血型以及2015年A型和B型去白悬浮红细胞与4年总体平均相应血型去白悬浮红细胞储存天数差异有统计学意义(P<0.05)。结论血站,特别是采血形势好的血站,应将红细胞库存量调控到一个适宜的水平,使库存红细胞的血型比例符合日常发放比例,以满足临床用血需求、同时保持血液成分新鲜度,进而提高临床输血效果。Objective To conduct a statistical analysis on the issue of 1 033 802 units of leukocyte reduced red blood cells in additive solution from Hebei Blood center during January 2012 and December 2015 and to assess the rationality behind red blood cells inventory turnover,in order to regulate the inventory management of red blood cell and to provide reference for future inventory management. Methods A statistical analysis was conducted on the average storage days per unit of red blood cell,the proportion of leukoreduced RBCs in different types of blood groups,and the ratio of issuing RBC units over total volume. Results During 2012-2015,the proportions of A,B,O and AB blood types accounted for about 24. 9%,34. 8%,30. 3% and 10. 0%. Each year,the observed data showed that the annual issuance of RBC accounted for 90% of the total amount of issuance. The leukoreduced RBCs in blood group A in 2013 and the proportion of leukoreduced RBCs in A groups showed significant difference（ P〈0. 05）. The proportions of leukoreduced RBCs in A,B,O and AB blood group in2014,the proportions of RBCs in A and B blood group in 2015,and the average number of storage days for red blood cells in four years showed significant difference（ P〈0. 05）. Conclusion The situation on blood collection is good in blood banks.Blood banks should regulate red blood cell inventory to a suitable level,and make sure that the inventory is in line with the daily issuance ratio,in order to meet the clinical needs,while maintaining the degree of freshness in blood,so as to guarantee the effect of clinical blood transfusion.

关 键 词：去白悬浮红细胞 库存周转量 储存天数 血型比例 

分 类 号：R457.1[医药卫生—治疗学] R331.141[医药卫生—临床医学]