2011—2017年辽宁省辽阳市某二甲医院用血情况分析
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摘要
目的了解辽阳市某三甲医院临床用血情况,为制定血库用血计划及科学合理用血提供依据。方法回顾性分析辽阳市某三甲医院血库2011—2017年瑞美血库管理系统中临床用血患者信息及2015—2017年检验科瑞美检验网络系统中ABO血型患者信息。结果临床用血总量呈下降趋势,红细胞用量呈上升趋势,血浆用量呈下降趋势,其中,内科红细胞用量增加,外科红细胞用量减少,出院患者人均红细胞用量呈下降趋势,红细胞使用患者平均年龄>60.7岁,且患者年龄呈上升趋势。2015—2017年出库红细胞血型构成比为O>A>B>AB,检验科患者ABO血型构成比特征是B>O>A>AB。结论医院用血以红细胞和血浆制品为主,红细胞用量增加明显,外科用血量减少,内科用血量增加,老年人红细胞用量增加,根据医院用血特点,参照出库红细胞血型分布特点差异,制定临床用血计划和血库库存量,指导临床科学合理用血。
Objective To understand the situation of blood use in the hospital,and to provide the basis for the formulation of the blood bank,blood plan and scientific and rational use of blood. Methods Through utilizing a retrospective method,the clinical data of the blood usage was analyzed, which included the information of patients in the Ruimei Blood Bank Management System(2011—2017)and the data of the group with ABO blood types in the Blood Test System(2015—2017). Results Decreases could be seen in the total consumption of blood and plasma,while the consumption of erythrocyte experienced an overall growth. Specifically,the usage amount of erythrocyte in physician increased. On the contrary,there was a trend of decline in the surgeon,and the per capita erythro‐cyte consumption of discharged patients. The average age of erythrocyte users was higher than 60.7,and the age maintained an upward trend. The consumption ranking of different outbound erythrocyte-blood-types was O>A>B>AB from 2015 to 2017,meanwhile,the blood types structure among the patients in the clinical laboratory was B>O>A>AB. Conclusion The consumption of erythrocyte and plasma products dominates the blood usage in the hospital,the amount of erythrocyte use has a rapid increase. Notaly,the con‐sumption of blood in the surgeon declines,but,there is a growth in Surgery Department. The use of erythrocyte in the aged group is increasing. According to the characteristics of blood consumption and the constituent ratio difference in erythrocyte-blood-types in the hospital,planning on the blood for clinical use and stock management are formulated,which aims at creating a more adequate blood management system for clinical use.
Objective To understand the situation of blood use in the hospital,and to provide the basis for the formulation of the blood bank,blood plan and scientific and rational use of blood. Methods Through utilizing a retrospective method,the clinical data of the blood usage was analyzed, which included the information of patients in the Ruimei Blood Bank Management System(2011—2017)and the data of the group with ABO blood types in the Blood Test System(2015—2017). Results Decreases could be seen in the total consumption of blood and plasma,while the consumption of erythrocyte experienced an overall growth. Specifically,the usage amount of erythrocyte in physician increased. On the contrary,there was a trend of decline in the surgeon,and the per capita erythro‐cyte consumption of discharged patients. The average age of erythrocyte users was higher than 60.7,and the age maintained an upward trend. The consumption ranking of different outbound erythrocyte-blood-types was O>A>B>AB from 2015 to 2017,meanwhile,the blood types structure among the patients in the clinical laboratory was B>O>A>AB. Conclusion The consumption of erythrocyte and plasma products dominates the blood usage in the hospital,the amount of erythrocyte use has a rapid increase. Notaly,the con‐sumption of blood in the surgeon declines,but,there is a growth in Surgery Department. The use of erythrocyte in the aged group is increasing. According to the characteristics of blood consumption and the constituent ratio difference in erythrocyte-blood-types in the hospital,planning on the blood for clinical use and stock management are formulated,which aims at creating a more adequate blood management system for clinical use.
引文
[1]荆晶,尤海菲,王文婷,等.某三甲医院2011—2014年临床输血情况调查分析[J].临床输血与检验,2016,18(5):441-444.
[2]姚健,陈萍,刘红,等.某二甲医院2009—2012年临床用血情况分析[J].检验医学与临床,2014,3(6):786-788.
[3]黄美容,颜丽江,张绍基,等.某院2007—2014年临床用血情况分析[J].检验医学与临床,2015,12(21):3236-3238.
[4]李玉闽,邱月燕,邱小兰,等. 2004—2010年某院临床用血情况分析[J].国际检验医学杂志,2012,33(12):1456-1458.
[5]徐丹,张健华,胡锋兰,等.南山人民医院2007—2011年临床输血回顾分析[J].临床血液学杂志,2013,26(10):696-697.
[6]欧阳旭,周雪莹,郭颖.辽宁地区某医院住院患者血型分布研究[J].临床输血与检验,2016,18(6):519-521.
[7]张春燕,崔呥,刘杰,等.哈尔滨地区自愿无偿献血者ABO,RH血型分布特征的研究和应用[J].黑龙江医学,2007,31(2):153-154.
[8]吴晓燕,袁文声.血液偏型与大量用血病例血型构成比的相关性分析[J].现代医院,2008,8(4):30-31.
[9]龙仕兴,伍燕,陈晓丹. O型血与疾病发生分析的调查分析认识[J].海南医学,2004,15(4):122-123.
[10]贾荣华,李秀玲. ABO血型与肿瘤关系的探讨[J].检验医学与临床,2015,12(6):285-286.
[11]陈冠伊,吴靖辉,王丽华,等. 2011—2014年北京某三甲医院临床用血情况分析[J].感染、炎症、修复,2015,6(2):110-112.
[2]姚健,陈萍,刘红,等.某二甲医院2009—2012年临床用血情况分析[J].检验医学与临床,2014,3(6):786-788.
[3]黄美容,颜丽江,张绍基,等.某院2007—2014年临床用血情况分析[J].检验医学与临床,2015,12(21):3236-3238.
[4]李玉闽,邱月燕,邱小兰,等. 2004—2010年某院临床用血情况分析[J].国际检验医学杂志,2012,33(12):1456-1458.
[5]徐丹,张健华,胡锋兰,等.南山人民医院2007—2011年临床输血回顾分析[J].临床血液学杂志,2013,26(10):696-697.
[6]欧阳旭,周雪莹,郭颖.辽宁地区某医院住院患者血型分布研究[J].临床输血与检验,2016,18(6):519-521.
[7]张春燕,崔呥,刘杰,等.哈尔滨地区自愿无偿献血者ABO,RH血型分布特征的研究和应用[J].黑龙江医学,2007,31(2):153-154.
[8]吴晓燕,袁文声.血液偏型与大量用血病例血型构成比的相关性分析[J].现代医院,2008,8(4):30-31.
[9]龙仕兴,伍燕,陈晓丹. O型血与疾病发生分析的调查分析认识[J].海南医学,2004,15(4):122-123.
[10]贾荣华,李秀玲. ABO血型与肿瘤关系的探讨[J].检验医学与临床,2015,12(6):285-286.
[11]陈冠伊,吴靖辉,王丽华,等. 2011—2014年北京某三甲医院临床用血情况分析[J].感染、炎症、修复,2015,6(2):110-112.
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