临床输血红细胞O∶T比值分析  

Study on the ratio of O ∶ T in clinical blood transfusion

作　　者：魏少平[1] 樊凤艳[1] 李翠莹[1] 

机构地区：[1]空军总医院输血科,北京100142

出　　处：《中国输血杂志》2017年第4期384-387,共4页Chinese Journal of Blood Transfusion

摘　　要：目的统计分析本院血液申请/实际输血(O∶T)比值,提高临床科学合理用血。方法通过血液管理系统按照时间顺序统计本院所有临床科室的血液申请和实际输血的量(悬浮红细胞以单位血U表示),时间自2010年1月-2015年12月共6年期间全院临床科室血液申请和实际输血量,按照科室进行列表,全部科室分为手术科室和非手术科室2部分,计算全院、手术科室、非手术科室以及每个科室6年O∶T均值;同时计算血液申请和实际输血之间的差(O-T,单位U),根据实际合血的成本计算O-T部分产生的成本费用。结果全院6年期间的O∶T为2.043±0.189,每年期间无明显规律;手术科室O∶T比值(3.061±0.362)显著高于全部科室(2.043±0.189)(P<0.01)和非手术科室(1.534±0.160)(P<0.01)。手术科室中O∶T比值最高的科室为胸外科,其次为神经外科、妇产科和眼科,均显著高于手术科室均值(P<0.01),O∶T比值最低的科室为烧伤整形科,显著低于手术科室均值(P<0.01)。非手术科室O∶T比值最高的为消化内科,显著高于非手术科室的均值(P<0.01)。全院6年期间每年平均O-T差值近9千U,每年其直接耗费的检测费用在40万左右。结论全院O∶T比值接近AABB高限,非手术科室O∶T比值相对合理,手术科室O∶T比值显著升高,手术科室合理用血还需输血科和手术科室之间加强合作进一步提高临床科学合理用血。Objective To analyze the blood ordering to transfusion practice ratio （ O ：T） in Air Force General Hospital, and to provide the evidence in optimizing clinical blood utilization. Methods Data on blood ordering and transfusion practice in each department was retrospectively collected by using the blood management system from January 2001 to December 2005. During the study period, the O ：T ratio was calculated in the general hospital, surgical department, non-surgical department and each department respectively. In addition, the difference of blood ordering to transfusion practice （O-T） was analyzed and the expense of the excessive ordering was assessed according to the actual preparation of blood products. Results The overall O ：T ratio was 2. 043±0. 189, with no significant trend observed during 2001 to 2005. The O ：T ratio was significantly higher in the surgical department compared to all departments （3.061±0. 362 vs. 2. 043±0. 189, P〈0. 01 ） and non-surgical department （3. 061±0. 362 vs. 1. 534±0. 160, P〈0. 01 ）. The department of thoracic surgery had the highest O ：T ratio, followed by neurology, obstetrics and gynecology and ophthalmology. The aforementioned departments had significantly higher O/T ratio versus the average value （P〈0. 01 ）. The lowest O ：T ratio was seen in the department of burns, with significantly lower ratio versus the average value in surgical departments （ P〈0. 01 ）. For non-surgical group, the department of gastroenterology has the lowest O ：T ratio, which was significantly lower than the average value （P〈0. 01 ）. There was no blood ordering in the department of pain for several years, and the corrected O ：T ratio was the lowest in the general hospital. The difference for O-T was approximately 9 000 units each year, and the cost for the blood test and examination was as high as 400 000 RMB. Conclusion The O ：T ratio in our hospital was close to the maximum of limits of AABB. The O ：T ratio in non-surgical department was re

关 键 词：红细胞输注 血液申请 实际输血 回顾性分析 手术科室 非手术科室 

分 类 号：R457.1[医药卫生—治疗学]