石家庄地区用血医院血液调剂现状  

Clinical blood dispatching between hospitals in Shijiazhuang

作　　者：解雯涛 马印图 陈莉[1] 刘佳 刘敬闪[1] 李莉华[1] XIE Wentao;MA Yintu;CHEN Li;LIU Jia;LIU Jingshan;LI Lihua(Hebei Province Blood Center,Shijiazhuang 050071,China;Department of Blood Transfusion,No.980 Hospital of PLA Joint Logistics Support Forces)

机构地区：[1]河北省血液中心,河北石家庄050071 [2]中国人民解放军联勤保障部队第九八○医院

出　　处：《中国输血杂志》2023年第11期1015-1018,共4页Chinese Journal of Blood Transfusion

基　　金：河北省2021年度医学科学研究重点课题(20210180)。

摘　　要：目的分析石家庄地区临床用血医院血液调剂情况,为医院血液调剂政策提供数据支持,保障临床血液供应。方法通过血液中心信息管理系统(SHINOW9.5)和TMIS系统,查询2018—2021年医院血液调剂数据,分析各级医院血液调剂量、频次、品种、血型分布等,采用SPSS统计软件进行统计学处理。结果2018—2021年医院血液调剂1196次,调剂血液产品4648.5 U,新型冠状病毒感染发生前后2年呈下降再回升的变化趋势;红细胞类血液调剂3988 U,占调剂量85.79%,为主要血液调剂产品,调剂率2.99‰;二级医院红细胞类血液调剂数量占总调剂量86.13%;二级、三级医院红细胞类血液调剂率分别为1.03%、0.06%,有统计学差异(P<0.05)。A型和AB型红细胞类血液调剂率分别为3.08‰、4.97‰,与B、O型红细胞调剂率有统计学差异(P<0.05)。结论血液调剂成为二、三级医院避免血液浪费、保障紧急用血的有效途径。在实际运行过程中,卫生行政部门应加强监管,用血医院应为理顺血液调剂流程提供便利,确保血液安全。Objective To analyze the blood dispatching of hospitals in Shijiazhuang area,in order to provide reference for blood dispatching policy of hospitals and ensure clinical blood supply.Methods The hospital blood dispatching data from 2018 to 2021 were queried through the blood center information management system(SHINOW9.5)and TMIS system,and the blood dispatching volume,frequency,variety and blood type distribution of hospitals at all levels were analyzed by SPSS statistical software.Results From 2018 to 2021,there were 1196 times of blood dispatching in hospitals with a total volume of 4648.5 U,showing a downward and then upward trend two years before and after the outbreak of COVID-19.As the main blood dispatching product,erythrocyte dispatching was 3988 U,accounting for 85.79% of the total dispatching volume,with a dispatching rate of 2.99‰.The dispatching volume of red blood cells in secondary hospitals accounted for 86.13%.The dispatching rate of erythrocyte in secondary and tertiary hospitals was 1.03% and 0.06%,respectively,with significant difference(P<0.05).The dispatching rates of type A and AB red blood cells were 3.08‰ and 4.97‰,which were significantly different from those of type B and O red blood cells.Conclusion Blood dispatching has become an effective way to avoid blood waste and ensure emergency blood use in secondary and tertiary hospitals.In the actual operation,health administration department should strengthen supervision and hospitals should improve the blood dispatching process to ensure blood safety.

关 键 词：血液调剂 用血医院 红细胞类 过期报废 

分 类 号：R331.141[医药卫生—人体生理学]