2001-2018年宁波地区自体输血分析与思考

Analysis and consideration on autologous transfusion in Ningbo area from 2001 to 2018

目的回顾性调查2001-2018年宁波市医疗机构自体输血情况。方法自体输血数据来源于宁波市用血管理系统自体输血统计模块,临床用血数据来源于浙江血液管理信息系统宁波血液出入库统计模块。结果宁波市39家医疗机构累计开展自体输血90 701例,回输血量207 505.0 U,自体输血率高达17.3%;不同类型开展例数及回输血量分别为回收式41 259例(103 763.0 U)、稀释式47 023例(100 058.0 U)、贮存式2 419例(3 684.0U);三级、二级、其它医疗机构开展例数及回输血量分别为75 884例(168 541.5 U)、13957例(38 281.0 U)、860例(682.5 U),不同等级医疗机构自体输血率比较有差异(P<0.01);综合性、专科性医疗机构开展例数及回输血量分别为76 806例(180 274.5 U)、13 895例(27 230.5 U),综合性与专科性医疗机构自体输血率比较差异有统计学意义(P<0.01);不同等级医疗机构外科、妇产科疾病开展例数及回输血量分别为82 051例(185 493.0 U)、8 650例(22 012.0U),不同等级医疗机构与不同疾病自体输血率比较有差异(P<0.01);不同性质医疗机构外科、妇产科疾病开展例数及回输血量分别为71 050例(164 608.0 U)、19 651例(42 897.0 U),不同性质医疗机构与不同疾病自体输血率比较有差异(P<0.01);不同自体输血类型外科、妇产科疾病开展例数及回输血量分别为82 800例(193 005.0 U)、7 901例(14 500.0U),不同自体输血类型与不同疾病自体输血率比较有统计学意义(P<0.01)。结论宁波市医疗机构自体输血普遍开展,节约了宝贵血液资源,降低了患者临床输血风险。

Objective To investigate the autologous blood transfusion in Ningbo from 2001 to 2018 retrospectively.Methods The data of autologous blood transfusion was from the statistical software of autologous blood transfusion management system of Ningbo,and the clinical data of blood usage was from the statistical software of blood stock-out sheet of Ningbo in intelligent blood management system of Zhejiang.Results A total of 90 701 cases of autologous blood transfusion were carried out in 39 hospitals in Ningbo,with the amount of blood transfusion of 505.0 U and the rate of autologous blood transfusion of 17.3%.The number of different types of autologous blood transfusions and the amount of blood transfusion were as follows 41 259 cases(103 763.0 U)in intraoperative autotransfusion,47 023 cases(100 058.0 U)in dilute autotransfusion and 2 419 cases(3 684.0 U)in storage autotransfusion,respectively.The number of cases and the amount of blood transfusion in grade 3,grade 2 and other hospitals were 75 884(168 541.5 U),13957(38 281.0 U)and 860(682.5 U),respectively.There was significant difference in the rate of autologous blood transfusion among different grades of hospitals(P<0.01).The number of cases and the amount of blood transfusion in comprehensive and specialized hospitals were 76 806 cases(180 274.5 U)and 13 895 cases(27 230.5 U),respectively.there was significant difference in the rate of autologous blood transfusion between comprehensive and specialized hospitals(P<0.01).The number of surgical,gynecological and obstetrical diseases and the amount of blood transfusion in different grades of hospitals were 82 051 cases(185 493.0 U)and 8650 cases(22012.0 U),respectively.There was significant difference in the rate of autologous blood transfusion between different grades of hospitals and different diseases(P<493.0).The number of cases carried in surgical,gynecological and obstetrical department and the volume of blood transfusion in public or private hospitals were 71 050(164 608.0 U)and 19 651(42 897.0 U),respectively.There was significant difference in the rate of autologous blood transfusion between public and private hospitals and different diseases(P<0.01).The number of three kinds of autologous blood transfusion carried in surgical,gynecological and obstetrical department and the amount of blood transfusion were 82 800(193 005.0 U)and 7 901(14 50 0.0 U),respectively.There was significant difference in the rate of autologous blood transfusion between different types of autologous blood transfusion and diseases(P<0.01).Conclusion The autologous transfusion is generally carry out in Ningbo,it will save valuable blood resources,and decrease the risk of clinical transfusion.