平凉市采供血状况回顾性分析及开源节流保障临床用血对策研究

Retrospective analysis of blood collection and supply situation and cut expenditure and protection of blood for clinical use countermeasures in Pingliang City

目的:通过总结、分析平凉市采供血现状及存在的问题,及时找出低危献血者人群,预测平凉市采供血的总体发展趋势,为制定招募安全血源的策略提供依据,进一步推动本市无偿献血事业的发展。方法:通过中心血站信息资料科对我市自2002年至2011年的采供血数据、全市各个医疗机构的临床用血数据、成分血使用比例等进行统计、整理,进行回顾性分析。结果:2002年-2011年十年内,我市无偿献血采集量年平均增长率为16.08%;红细胞分离率增幅为57.82%;特别是机采血小板由2002年的4u增加到2011年的99u,增长了24.75倍。临床成分输血率逐年增长,由34.2%增加到99.5%,增幅为65.3%,全血使用率逐年下降,全市各县区医院,临床成分用血情况比例接近,变化不大,成分血使用率都在95%以上。结论:随着经济的发展和医疗技术的提高,我市临床血液使用率在逐年上升,血站采集工作将面临更大的挑战,因此继续做好无偿献血工作,加强临床采供血监管机制,保障采供血体系建设,为确保血液安全有效供应,实行"开源节流"义不容辞,将是血站同仁的一项长期而艰巨的任务。

Objective： Through the summary and analysis CaiGongXie pinghang present situation and the existing problems, timely find out low-risk blood donor population,prediction of pingliang CaiGongXie overall development trend, to make the recruiting safe blood source strategy to provide basis for further promoting the development of the city free blood donation. Methods： through the center blood stations information section to the our city from 2002 to 2011 CaiGongXie data, the various medical institutions of clinical blood use data, component blood use ratio of statistics,sorting,were retrospectively analyzed. Results：2002-2011,ten years the amount of free blood donation collection average annual growth rate of 16.08%; Red blood cell separation rate 57.82%; EspeeiaUy the machine adopt platelet from 2002 in 4 u increased to 2011 u,inereased 24.75 times. Clinical component blood transfusion rate increased year by year, increased from 34.2% to 99.5%, an increase of 65.3%, whole blood utilization rate decreases year by year, the whole city counties and hospital, clinical blood composition proportion, close to the situation changed, component blood utilization rate in more than 95%. Conclusion： with the development of economy and the improvement of medical technology, the clinical blood utilization rate is rising year by year, in blood stations acquisition work will face greater challenges, so we will continue to do a blood donation work, strengthens the clinical CaiGongXie supervision mechanism, ensure the CaiGongXie system co nstruction,in order to ensure the safe and effective blood supply,the implementation of ＂open source throttling＂ obligatory, will be blood stations colleagues a long-term and arduous task.