西藏自治区人民医院2014~2018年临床用血情况分析  

Clinical blood use in Tibet Autonomous Region People′s Hospital: A respective study of 2014~2018

作　　者：王爱萍[1] 拉巴卓嘎[1] 赵春梅 米玛卓嘎 刘治娟[1] 张学俊[2] WANG Aiping;Laba Zhuoga;ZHAO Chunmei;Mima Zhuoga;LIU Zhijuan;ZHANG Xuejun(Tibet Autonomous Region People's Hospital,Lhasa 850000,China;Institute of Blood Transfusion,Chinese Academy of Medical Sciences,Peking Union Medical College)

机构地区：[1]西藏自治区人民医院输血科,西藏拉萨 [2]中国医学科学院北京协和医学院输血研究所

出　　处：《中国输血杂志》2021年第1期48-52,共5页Chinese Journal of Blood Transfusion

基　　金：西藏自治区科学技术厅项目(XZ201703-GB-02);中国输血协会威高基金(CSBT-WG-2018-07)。

摘　　要：目的了解西藏自治区人民医院(简称自治区医院)临床用血情况,为进一步提高科学合理用血水平提供依据。方法使用成电医星HIS系统收集自治区医院各科室2014~2018年临床用血数据,包括全血及成分血用量、成分血及用血总量;临床用血ABO血型分布;出院人数、手术台次、手术用血;内科与外科临床用血量情况;临床用血的民族分布情况;临床不同种类疾病用量等,做回顾性调查分析。结果 2014~2018自治区医院临床用血总量21 654.5 U,由3 930.5 U上升至4 949 U,年均增长率5.93%;成分血输注率从47.18%提升至99.02%;临床用血总量的血型分布占比依次B型36.4%、O型36.2%、A型20.4%和AB型7.0%;人均用血量年均增长率1.6%,手术台次平均用血量年均增长率-1.9%;内科与外科临床用血科室的历年用血总量比例66.2%,33.8%,重症监护疾病类、血液病类、妇科产科病占本院临床用血总量前3位,占52.4%;藏族、汉族和其他临床用血总量比例分别为:97.52%,2.59%,0.35%。结论自治区医院用血总量逐年上升,开展成分输血比例逐年上升,但临床科学、合理用血仍有待加强。Objective To retrospectively investigate the clinical transfusion status in Tibet Autonomous Region People′s Hospital, in order to provide data basis for further improvement of the rational and scientific blood use in our hospital. Methods Medical records of transfusion recipients in our hospital from 2014 to 2018 were investigated via HIS system, and such indicators as total clinical blood use, usage of whole blood and blood components, blood transfusion per capita, usage of blood components with different types. and the usage of red blood cells and plasma in each clinical department were retrospectively analyzed. Results The total clinical blood usage of our hospital increased from 3 930.5 U in 2014 to 4 949 U in 2018, with an annual growth rate of 5.93%. The average blood use per capita in 2014 and 2018 was 0.205 U vs 0.218 U, and incidence of blood component transfusion was 47.18% vs 99.02% The proportion of blood component(red blood cell and plasma) usage was 36.0%, 35.9%, 20.7% and 7.4% for blood type O, A, B and AB, respectively. The usage of total blood, red blood cell and plasma in internal and surgical departments were 13 883.8 U vs 7 080.8 U, 4 963.3 U vs 3 647.3 U and 6 055 U vs 1 170 U, respectively. Conclusion The total clinical blood usage and the proportion of blood component transfusion in our hospital is increasing year by year. Therefore, rational and scientific blood use should be further improved.

关 键 词：临床输血 医院用血总量 成分输血 合理用血 西藏 高原输血 

分 类 号：R457.1[医药卫生—治疗学]