2012-2014年我院临床用血分析

发布时间：2018-11-27 20:22

【摘要】：目的分析2012-2014年我院临床用血情况,探讨临床科室用血规律、特点及存在的问题,使医院更好地对血液资源进行有效管理与调配,保障科学、安全、合理用血,提高输血治疗技术,节约血液资源。方法采用回顾性调查方式,收集2012-2014年我院20008例住院患者异体用血资料,使用SPSS19.00软件进行统计学分析。结果①3年来用血总量随住院人数的增多逐年温和上升,成分血以红细胞比例最大(44.10%),其余依次为血浆(34.99%)、冷沉淀(14.88%)、血小板(6.03%)。②3年来女性用血总量、用血人数及输血患者人均用血量均小于男性,性别差异有统计学意义。③输血病例数随年龄增加而逐渐增大,60岁及以上的用血人数比例最大(42.23%-45.18%),年龄差异有统计学意义。④内科用血总量、输血患者百分率、输血患者人均用血量及住院患者人均用血量均高于外科。血液科、感染科、重症医学科/急诊科、胸心外科、消化内科为我院用血总量最大的几个科室,用血总量达全院的51.29%-57.40%。全院用血量最大的是血液科,3年来分别占全院用血总量的14.37%、16.45%、17.05%,其中红细胞、血小板的用血量均居全院第一。各临床科室主要应用的成分血不同：血液科、消化内科以红细胞为主,分别占各科室用血总量的50.06%-58.90%以及51.36%-55.11%；重症医学科/急诊科、感染科、胸心外科以血浆为主,分别占各科室用血总量的50.29%-55.48%、63.26%-82.03%、53.86%-57.39%。⑤从用血总量上看,用血人数以3-9个单位组所占比例最大,其中,1u组、3-9u组所占比例逐年下降,2u组及9u组所占比例逐年升高。结论 ①我院3年来用血总量呈温和上升趋势,每年以4.04%-5.72%的速度递增,总体朝着科学、合理的方向发展。医院及输血科应根据既往用血情况制定用血计划,满足临床用血治疗需求。②医院及输血科应根据临床用血规律及特点,对不同科室实行合理、安全用血的重点培训及监管,制定进一步可行的临床用血管理方案。
[Abstract]:Objective to analyze the clinical use of blood in our hospital from 2012 to 2014, to discuss the rules, characteristics and existing problems of blood use in clinical departments, so as to ensure the effective management and allocation of blood resources in hospitals so as to ensure the scientific, safe and reasonable use of blood. Improve blood transfusion therapy technology and save blood resources. Methods the data of 20008 inpatients with allogeneic blood from 2012 to 2014 were collected and analyzed by SPSS19.00 software. Results the total amount of blood used in the past 13 years increased mildly with the increase of the number of inpatients. The proportion of red blood cells was the largest (44.10%), the rest was plasma (34.99%), cold precipitation (14.88%). Platelet (6.03%). In the last 23 years, the total amount of blood used in women, the number of blood users and the amount of blood used in patients with blood transfusion were lower than those in men, and the gender difference was statistically significant. 3 the number of cases of blood transfusion gradually increased with the increase of age. The proportion of patients aged 60 and above was the largest (42.23-45.18%), and the age difference was statistically significant. 4 the total amount of blood used in internal medicine, the percentage of patients with blood transfusion, The per capita blood consumption of blood transfusion patients and inpatients were higher than that of surgery. Hematology department, infection department, intensive medicine department / emergency department, thoracic and cardiac surgery, and digestive department were the departments with the largest amount of blood in our hospital, and the total amount of blood used was 51.29- 57.40% of the total amount of blood used in the whole hospital. The blood volume of the whole hospital was the largest, which accounted for 14.37% of the total blood volume of the whole hospital in the past 3 years, and 16.45% 17.05% of the total blood volume, among which the red blood cell and platelet volume were the first in the whole hospital. The main components of blood used in clinical departments were different: in hematology department, erythrocyte was the main component in digestive department, which accounted for 50.06- 58.90% and 51.36-55.11% of the total blood used in each department respectively; The departments of intensive medicine / emergency, infection, chest and heart surgery were dominated by plasma, accounting for 50.29-55.48% of the total amount of blood used in each department, respectively, and 63.26-82.03and 53.86-57.39.5% of the total amount of blood used. The proportion of blood in 3-9 units group was the largest, among which, the proportion of 1u group, 3-9u group decreased year by year, the proportion of 2u group and 9u group increased year by year. Conclusion (1) the total amount of blood used in our hospital has a mild upward trend in the past three years, increasing at the rate of 4.04-5.72% per year, and developing towards the direction of science and rationality. Hospitals and blood transfusion departments should draw up blood use plans according to past blood use conditions to meet the needs of clinical blood therapy. 2 hospitals and blood transfusion departments should, according to the rules and characteristics of clinical blood use, carry out key training and supervision on reasonable and safe use of blood in different departments. To establish a further feasible clinical blood management program.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R457.1

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