Rh阴性孕产妇临床血液输注情况分析及供需矛盾的探讨

Analysis of clinical transfusion of Rh negative pregnant blood and discussion of supply and demand contradiction

目的对嘉峪关市Rh阴性孕产妇的临床血液输注情况进行调查,为解决Rh阴性血液供需矛盾提供数据参考和应对策略。方法整理收集74名Rh阴性孕产妇的备血信息,并对血站预约血液和自体备血的144 U Rh阴性红细胞临床使用情况进行统计分析。结果嘉峪关市孕产妇人群中Rh阴性比例为3.8‰,74名Rh阴性孕产妇备血率达83.78%,144 U Rh阴性红细胞中有效输注率为30.56%。结论面对Rh阴性患者输血问题,只有通过加大媒体正面宣传引导,血液开源节流,完善法律规范,解除医务人员后顾之忧等多方面共同努力,才能使之真正走上安全有效合理的轨道。

Objective To investigate the clinical blood transfusion of Rh negative to pregnant women in Jiayuguan and provide data reference and coping strategies for solving the contradiction between supply and demand of Rh negative blood.Methods Collect the data of blood preparation for 74 Rh negative pregnant women and analyze autologous blood preparation in the clinical use of 144URh negative red blood cells.Results The ratio of Rh negative for pregnant women in Jiayuguan was 3.8‰,the ratio of 74 Rh negative pregnant women blood preparation was 83.78%,and the effective infusion rate of 144URh negative erythrocyte was 30.56%.Conclusion In the face of the problem of blood transfusion for patients with Rh negative,only by increasing positive publicity and guidance of the media,increasing blood source and reducing blood flow,improving the legal norms and relieving the worries of medical personnel,can Rh negative blood transfusion be truly on the track of security,effective and rationality.