重庆某医院母乳库建立与运行实践探讨

Practice of establishment and operation of breast milk bank in a hospital of Chongqing

目的总结重庆西南医院母乳库建立与运行经验,为我国母乳库的建立与运行提供参考。方法对2016年12月至2017年12月重庆西南医院母乳库的捐乳人数和次数,捐乳量(包括合格捐乳量、不合格捐乳量及其原因),亲母母乳特供,亲母母乳供奶量,受捐人数及发放奶量进行统计分析。结果母乳库运行1年期间捐乳人数231人,现场捐乳254人次,冻乳捐献91人次。合格捐乳量705059 mL,合格新鲜乳49319 mL(7.0%),合格冻乳655740 mL(93.0%),合格冻乳量是合格新鲜乳的13倍。新鲜乳合格率为94.1%(49319/52409),高于冻乳的合格率(85.0%,655740/771810)。不合格捐乳主要为乙肝病毒阳性3人,梅毒螺旋体阳性1人,巨细胞病毒IgM阳性3人,乳汁细菌培养阳性24人。亲母母乳特供6人,亲母母乳特供奶量17811 mL。受捐人数893人,发放奶量603661 mL。结论目前重庆西南医院母乳库总体运行良好,但捐乳量也只能满足早产儿和病危儿;收集冻乳是今后提高母乳库捐奶量的有效途径,但冻乳的合格率有待提高。

Objective To summarize the experience of establishment and operation of breast milk bank in Southwest Hospital of Chongqing,so as to provide reference for the establishment and operation of breast milk bank in China.Methods Statistic analysis was made of the number and frequency of donated breast milk,donated milk yield,including qualified donated milk yield,unquali fied donated milk yield and the reasons,number of donated mother milk,donated mother milk yield,number of beneficiaries,and the provided milk yield of Southwest Hospital of Chongqing from December 2016 to December 2017.Results The number of do nated breast milk during one year of operation of breast milk bank was 231,and the frequency of donation on scene was 254,while the frequency of frozen milk donation was 91.The qualified donated milk yield was 705059 mL,among which fresh qualified donat ed milk yield was 49319 mL(7.0%),while the frozen qualified donated milk yield was 655740 mL(93.0%).The frozen qualified donated milk yield was 13 times that of the fresh qualified donated milk yield.The qualified rate of fresh donated milk was 94.1%(49319/52409),higher than that of frozen donated milk(85.0%,655740/771810).The situation of unqualified donated milk was as follows:3 donators with positive hepatitis B virus,1 with positive treponema pallidum,3 with positive cytomegalovirus IgM,and 24 with positive bacteria in milk.Six people donated mother milk and the milk yield was 17811 mL.The number of beneficiaries was 893,and the provided milk yield was 603661 mL.Conclusion The operation of breast milk bank in Southwest Hospital of Chongqing is good at present,however,the donated milk yield can just satisfy the demand of premature infants and critically ill in fants.Collection of frozen milk will be an effective way for enhancing the donated milk yield of breast milk bank,however,the quali fied rate of frozen donated milk still needs to be improved.