2020~2022年南宁市某三甲医院自体输血的调查研究  

Investigation of autologous blood transfusion in a tertiary hospital of Nanning City from 2020 to 2022

作　　者：黎海燕 李丽君 潘其潇 李保才 LI Haiyan;LI Lijun;PAN Qixiao;LI Baocai(Department of Blood Transfusion,Wuming Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530100,China)

机构地区：[1]广西医科大学附属武鸣医院输血科,广西南宁530100

出　　处：《蛇志》2023年第2期214-217,227,共5页Journal of Snake

摘　　要：目的 分析2020~2022年我院自体输血应用情况和存在问题,探索进一步促进自体输血发展的方法。方法 2020~2022年在我院行自体血输血患者1 734例,其中包括贮存式自体全血(PABD) 442例、急性等容性稀释性自体全血(ANH)1 118例、回收性自体全血(ICS)174例。统计分析3年的自体输血变化趋势,比较各类自体血平均输血量在各科室的差异,分析全院PABD的废弃率及肿瘤患者开展自体血回输种类、例数及平均输血量的差异。结果 在1 734例自体输血患者中,ANH占比最高为64.48%(1 118/1 734);2021年3种自体输血总量达到近年的高峰,在2022年稍有下降;在骨科行PABD的例数较多,其次为泌尿外科,妇科占第3位。与骨科相比,泌尿外科和妇科的平均自体输血量稍低,差异有统计学意义(均P<0.01)。ANH在骨科的例数占第1位,其次为肝胆外科,妇科占第3位。ICS在骨科的例数占第1位,其次为肝胆外科,神经外科占第3位。PABD废弃率在2022年达到最高,占总体例数的19.00%。肿瘤手术自体输血以ANH为主,ANH平均自体输血量高于PABD,差异有统计学意义(P<0.01);但目前肿瘤手术中尚未开展ICS。结论 自体输血患者中未发生输血反应,安全性高,对缓解血源紧张起到较好的作用;我院在自体输血方面取得一定成绩,但在ICS方面还有很大发展空间和潜力,有关部门应针对具体情况加大应用与管理力度,使自体输血更好地健康发展。Objective To investigate the application and problems of autologous blood transfusion in our hospital in the past three years,and explore ways to further promote the development of autologous blood transfusion.Methods From 2020 to 2022,1734 cases of autologous blood transfusion was carried out in our hospital,including 442 cases of preoperative autologous blood donation(PABD),1118 cases of acute normovolaemic haemodilution(ANH)and 174 cases of intraoperative cell salvage(ICS).The changing trend of autologous blood transfusion in the past three years was statistically analyzed.The differences of the average transfusion volume of various kinds of autoblood in different departments were compared.The abandonment rate of PABD in the whole hospital and the differences of the types,cases and average transfusion volume of autoblood in tumor patients were analyzed.Results Among the 1734 patients with autotransfusion,ANH accounted for 64.48%(1118/1734),the total amount of three kinds of autotransfusion reached the peak in 2021,and slightly decreased in 2022.PABD was carried out in orthopedics,followed by urology,and gynecology.Compared with orthopedics,the mean volume of autotransfusion in urology and gynecology was slightly lower(P<0.01).The number of cases of ANH orthopaedics was the first,followed by hepatobiliary surgery and gynecology.The number of ICS orthopedics cases was the first,followed by hepatobiliary surgery and neurosurgery.The abandonment rate of PABD reached the highest in 2022,accounting for 19.00%of the total number of PABD cases.The average amount of autotransfusion in ANH was higher than that in PABD(P<0.05).ICS was not performed in tumor surgery.Conclusion No transfusion reaction occurred in autotransfusion,which is safe and reliable,and plays a good role in relieving blood source tension.Our hospital has made certain achievements in autotransfusion,but there is still a great development space and potential in ICS.Relevant departments should strengthen the application and management of autologous tran

关 键 词：贮存式自体全血 急性等容性稀释性自体全血 回收性自体全血 自体输血 

分 类 号：R457.1[医药卫生—治疗学] R61[医药卫生—临床医学]