2011~2014 年长沙市某三甲医院临床用血调查分析

Retrospective analysis of clinical blood transfusion in two firstclass hospitals at grade three between 2011 and 2014

摘要:

目的 了解湖南省第二人民医院和长沙市中心医院临床用血现状，并分析住院患者临床合理用血质量管理取得的成效。方法 对2011 ～ 2014 年于湖南省第二人民医院和长沙市中心医院住院患者临床用血数据进行回顾性分析，统计异体输血总量、自体输血总量、住院患者人均异体血用量、成分输血率、手术台次、台均异体用血量及大量输血患者人均用血量等指标的变化。结果 2011 ～ 2014 年在住院人次逐年增加的基础上，异体输血总量也有所增加，但临床用血量的增长率远低于住院人次的增长率，住院患者人均异体血用量呈逐年下降的趋势，而自体血用量呈增长趋势。大量输血例数逐年减少，大量输血各成分血液制品用量、大量输血平均红细胞和血浆用量均呈负增长趋势。同期手术台次虽然增长了28.77%，但是手术患者台均异体红细胞和血浆用量均呈递减趋势。结论 通过持续改进，医院输血工作取得了一定成效，大大提升了临床科学、合理及安全用血水平，有效节约了血液资源。

Abstract:

Objective To analyze the effectiveness of quality management on rational use of blood for inpatients from the Second People’s Hospital of Hunan Province and Changsha Central Hospital. Methods The data of clinical blood transfusion among the inpatients in the Second People’s Hospital of Hunan Province and Changsha Central Hospital from 2011 to 2014 were retrospectively analyzed. The statistically-analyzed indicators included volume of allogeneic blood transfusion, total amount of autologous transfusion, per capita amount of allogeneic transfusion of the hospitalized patients, rate of blood component transfusion, number of operations,average amount of intra-operative allogeneic transfusion, and per capita volume of blood transfusion in massive transfused patients. Results From 2011 to 2014, the number of inpatients in both hospitals increased year by year,and the total volume of allogeneic blood transfusion was also raised, but the growth rate of clinical transfusion was lower than the growth rate of inpatients. The per capita amount of blood transfusion in the inpatients showed a decreasing tendency, while the total amount of autologous transfusion was elevated. The cases of massive transfusion patients, the total consumption of blood products, and the average volume of red blood cell and plasma per massive transfused patient showed negative growth trends. At the same time, the number of operations increased by 28.77%, while the average amounts of intra-operative allogeneic red blood cells and plasma transfusion had decreasing trends. Conclusions Quality management has made certain achievement in the clinical blood transfusion by continuous improvement, and could greatly enhance the scientific, efficient and safe use of blood and effectively save blood resources.