广州市自体输血开展情况调查与分析

Investigation and Analysis of Autotransfusion in Guangzhou

目的推动医院自体输血开展,探索建立有效的自体输血发展策略。方法按照《医疗机构临床用血管理办法》,依据广州市临床用血实际,选取90家医院进行问卷调查。结果广州市医院自体输血开展率为44.78%,三级医院与二级医院自体输血开展率对比有统计学差异(P<0.001)。未开展的主要原因为:医院输血患者较少,对自体输血技术未深入了解;人员紧张,技术力量薄弱等。2015年整体贮存式自体输血应用率为0.5%,稀释式自体输血应用率为2.7%,回收式自体输血应用率为15.4%。结论建议将自体输血开展工作纳入医院考核范围,设定为临床用血督导检查内容之一;推荐二级和一级医院开展贮存式自体输血技术;着重推动骨科、移植外科、颅脑外科、产科、妇科等学科领域自体输血的应用。

Objective To promote autologous transfusion in local hospitals, and to explore development of effective strategy for autologous transfusion. Methods According to the ＂ Management Regulations in Clinical Blood Use in Medical Institutions＂ and the local clinical blood use status1 90 hospitals were selected for questionnaire survey. Results The rate of autologous blood transfusion was 44.78% in hospitals in Guangzhou, and the difference between the tertiary referral hospitals and the second referral hospitals was statistically significant （P〈0.001）. The main reasons for not carrying out in hospital included less blood transfusion patients and no in-depth understanding of autologous transfusion technology; no enough personnel and lack of technique, etc. In 2015, the application rate of autologous autotransfu-sion was 0.5%, the rate of dilution autologous blood transfusion was 2.7%, and the rate of self-transfusion was 15.4%. Conclusion It was recommended that autologous blood transfusion should be included in the scope of hospital assessment, and it should be set as one of the contents of clinical blood supervision. Furthermore, the storage autologous trans-fusion technique was recommended in the secondary and primary hospitals. The autologous transfusion could be promo-ted in orthopedics, transplantation, craniocerebral surgery, obstetrics, and gynecology departments.