新冠疫情期间血液库存变化趋势及采供血形势分析  

Blood inventory changes and blood supply situation during COVID-19

作　　者：常缨[1] 赵凤绵[1] 戚海[1] 高阳 CHANG Ying;ZHAO Fengmian;QI Hai;GAO Yang(Hebei Blood Center,Shijiazhuang 050071,China)

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》2021年第7期747-750,共4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：目的评估新冠肺炎疫情防控期间对采供血工作的影响,为今后应对类似突发公共事件积累经验。方法统计2017~2020年各年度春节放假前的库存量、各年度春节期间(除夕至正月初六)红细胞和单采血小板的供应量以及各年度春节过后3个月(正月初七至农历四月初八)的采、供血量,通过数据分析说明疫情对采血、供血、库存管理的影响。结果 2020年带量(14 594 U)和占比(23.89%)下降并与2018(16 095 U、26.34%)和2019年度(16 301、26.68%)有显著性差异;疫情(2019和2020年春节后3个月)使市区采血量(分别为28 613 U和19 901 U)和团体采血量(分别为17 443 U和5 332 U)大幅度减少,但乡镇采血量大幅增加(分别为43 184 U和50 963 U);疫情使临床用血量(U)减少(2017~2020年分别80 339、79 359、87 581、74 986)(P<0.05),并产生少量红细胞(229 U)过期报废,但疫情对单采血小板的采集和供应未造成影响。结论本次疫情对采血、供血以及库存管理均产生了直接和间接的影响,但对血小板的采供存产生的影响较小。提示在今后应对类似突发事件时,可以借鉴本次疫情防控措施的特点,采取精准布点、精准招募的血源组织策略;进一步密切与临床输血科联系,既保证患者尤其是急症患者及时用血,又要尽力做到防止血液过期报废。Objective To evaluate the impact of COVID-19 epidemic prevention and control on blood collection and supply,so as to accumulate experience for future similar public events.Methods The annual inventory before Spring Festival holiday,the supply of red blood cells and apheresis platelets during Spring Festival(from New year′s Eve to lunar January 6 th)and the collection and supply units 3 months after the Spring Festival(the lunar January 7 th to April 8 th)during 2017 to 2020 were analyzed to evaluate the impact of the epidemic on blood collection,supply and inventory management.Results The inventory and its proportion in 2020 decreased to 14594 U and 23.89%,compared with those in 2018(16095 U,26.34%)and 2019(16301 U,26.68%),with significant differences(P<0.05).The COVID-19 epidemic(3-month-post Spring Festival in 2019 and 2020)reduced the blood collection in urban areas(28613 U and 19901 U)and group donation(17443 U and 5332 U),but rasied blood collection in towns(43184 U and 50963 U).The clinical blood consumption in year 2017,2018,2019 and 2020 was 80339 U,79359 U,87581 U and 74986 U,respectively,decreasing due to the epidemic(P<0.05),with a small amount(229 U)of red blood cell discarding owing to expiration.The collection and supply of apheresis platelets were minimally affected by the epidemic.Conclusion The epidemic had a direct/indirect impact on blood collection,blood supply and inventory management,except for apheresis platelets collection and supply.It suggests that the characteristics of COVID-19 prevention and control measures can be used as references for future precise organization and targeted recruitment of blood resources in case of the similar emergencies.Close communication with clinical departments contributes to the safeguard of emergency transfusion and the prevention of blood expiration.

关 键 词：新冠肺炎 疫情防控 团体献血 采供血 库存管理 血液报废 

分 类 号：R457.1[医药卫生—治疗学] R511[医药卫生—临床医学]