【摘要】：目的統(tǒng)計(jì)分析本院血液申請(qǐng)/實(shí)際輸血(O∶T)比值,提高臨床科學(xué)合理用血。方法通過(guò)血液管理系統(tǒng)按照時(shí)間順序統(tǒng)計(jì)本院所有臨床科室的血液申請(qǐng)和實(shí)際輸血的量(懸浮紅細(xì)胞以單位血U表示),時(shí)間自2010年1月-2015年12月共6年期間全院臨床科室血液申請(qǐng)和實(shí)際輸血量,按照科室進(jìn)行列表,全部科室分為手術(shù)科室和非手術(shù)科室2部分,計(jì)算全院、手術(shù)科室、非手術(shù)科室以及每個(gè)科室6年O∶T均值;同時(shí)計(jì)算血液申請(qǐng)和實(shí)際輸血之間的差(O-T,單位U),根據(jù)實(shí)際合血的成本計(jì)算O-T部分產(chǎn)生的成本費(fèi)用。結(jié)果全院6年期間的O∶T為2.043±0.189,每年期間無(wú)明顯規(guī)律;手術(shù)科室O∶T比值(3.061±0.362)顯著高于全部科室(2.043±0.189)(P0.01)和非手術(shù)科室(1.534±0.160)(P0.01)。手術(shù)科室中O∶T比值最高的科室為胸外科,其次為神經(jīng)外科、婦產(chǎn)科和眼科,均顯著高于手術(shù)科室均值(P0.01),O∶T比值最低的科室為燒傷整形科,顯著低于手術(shù)科室均值(P0.01)。非手術(shù)科室O∶T比值最高的為消化內(nèi)科,顯著高于非手術(shù)科室的均值(P0.01)。全院6年期間每年平均O-T差值近9千U,每年其直接耗費(fèi)的檢測(cè)費(fèi)用在40萬(wàn)左右。結(jié)論全院O∶T比值接近AABB高限,非手術(shù)科室O∶T比值相對(duì)合理,手術(shù)科室O∶T比值顯著升高,手術(shù)科室合理用血還需輸血科和手術(shù)科室之間加強(qiáng)合作進(jìn)一步提高臨床科學(xué)合理用血。
[Abstract]:Objective to analyze the ratio of blood application to actual blood transfusion (O: t) in order to improve the rational use of blood in clinical science. Methods according to the time order of blood management system, the blood application and actual blood transfusion volume (expressed as unit blood U) of all clinical departments of our hospital were counted. The time from January 2010 to December 2015 was 6 years. Blood applications and actual blood transfusions in clinical departments, According to the list of departments, all the departments were divided into two parts: the surgical department and the non-operative department. The mean value of O _ (1) T was calculated for 6 years in the whole hospital, the surgical department, the non-operative department and each department. At the same time, the difference between blood application and actual blood transfusion (O-T, unit U),) is calculated according to the actual cost of blood combination. Results the O _ (1) T of the whole hospital was 2.043 鹵0.189, and the ratio of O _ (1) to T in surgical department (3.061 鹵0.362) was significantly higher than that in all departments (2.043 鹵0.189) and non-operative department (1.534 鹵0.160) (P0.01). The department with the highest O: t ratio was thoracic surgery, followed by neurosurgery, obstetrics and gynaecology and ophthalmology, which was significantly higher than that in surgery department (P0.01) and the lowest of O: t ratio was in burn department (P0.01), which was significantly lower than that in surgical department (P0.01). The highest of O: t ratio in non-surgical department was in digestive department, which was significantly higher than that in non-operative department (P0.01). The average value of O-T in the whole hospital is about 9,000 UU per year, and the direct cost of detection is about 400000 per year. Conclusion the O: t ratio of the whole hospital is close to the high limit of AABB, the ratio of O: t is relatively reasonable in the non-operative department, and the ratio of O: t in the department of surgery is significantly higher than that in the department of surgery. It is necessary to strengthen the cooperation between the blood transfusion department and the operation department to further improve the rational use of blood in clinical science.
【作者單位】： 空軍總醫(yī)院輸血科;
【分類(lèi)號(hào)】：R457.1

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