新冠疫情防控期间采供血应急预案的实践探讨

Practice of Emergency Plan for blood collection and supply during the COVID-19 epidemic

目的通过分析新冠肺炎疫情期间本市无偿献血和血液供应情况,探讨完善本地区采供血应急预案。方法在新冠疫情防控下,本市启动《采供血应急预案》(简称预案)Ⅰ级响应,采取系列措施开展无偿献血和血液调配,以保证医疗机构临床用血需求;并对2020年疫情期间血小板和全血的采供血量与前3年同期比较,用SPSS统计软件分析。结果2020年2月采集血小板114治疗量,占临床供应的73.55%;2、3月全血采集量与2019年相比,分别下降84.75%和66.38%,采集血量仅占临床用血量的43.13%;2、3月共调入红细胞2894 U、血小板44治疗量,保证了血小板的供应和医疗临床用血需求,4月采供血工作逐步恢复正常。结论通过总结《预案》在启动和运行中存在的不足,进一步完善了采供血应急预案,并将《预案》纳入本市公共卫生应急保障体系,全面提升血液应急保障能力。

Objective To improve the local Emergency Plan for blood collection and supply by analyzing the situation of voluntary blood donation and blood supply during the COVID-19 epidemic in Jingmen.Methods Under the prevention and control of COVID-19,first-level response of the Emergency Plan for Blood Collection and Supply(referred to as Emergency Plan)in our city was initiated,and a series of measures had been taken to promote voluntary blood donation and blood deployment in order to ensure the clinical blood demand in hospitals.The collection and supply of platelets and whole blood during the COVID-19 epidemic period in 2020 were compared with the same period in the previous three years and the differences were analyzed by SPSS statistical software.Results 114 therapeutic doses of platelets were collected in February 2020,accounting for 73.55%of the clinical supply.The units of whole blood collected in February and March,only accounted for 43.13%of clinical blood consumption,decreased by 84.75%and 66.38%respectively compared with the same period in 2019.During February to March 2020,2894 U of red blood cells and 44 therapeutic doses of platelets were transferred.The measures mentioned above ensured the platelet supply and clinical blood use,and blood collection and supply were gradually back to normal in April.Conclusion The Emergency Plan was further improved by analyzing and summarizing the deficiencies during its initiation and operation,and was incorporated into the municipal public health emergency support system to comprehensively improve the capacity of blood emergency supply.