冷沉淀凝血因子在肇庆地区应用现状调查及分析.doc

冷沉淀凝血因子在肇庆地区应用现状调查及分析 　　[摘要]目的 探讨肇庆地区近4年来冷沉淀凝血因子的应用现状，分析存在的问题，为制订血液成分库存计划及临床用血指导提供有效的参考依据。方法 对2013年1月～2016年12月肇庆地区冷沉淀凝血因子的临床用血量、制备量进行统计分析。 结果 2013年1月～2016年12月年肇庆地区冷沉淀凝血因子的使用量从34 974 U增长到50 489 U，满足率由107%降至98%；将采集后13 h内制备的新鲜冰冻血浆作为制备冷沉凝血因子淀的原料浆，辖区内制备冷沉淀凝血因子的原料新鲜冰冻血浆制备量合计增加3 270 200 ml，增幅由24%上升到36%，提高了冷沉淀凝血因子的制备量。结论 随着医疗水平的提高和成分输血的推行，肇庆地区冷沉淀凝血因子的使用数量将持续增多，因此血站在保障血液质量及服务的同时，应开展冷沉淀凝血因子使用情况的深入调查，指导临床科学合理用血，才能确保血液能得到合理有效利用，降低风险 [关键词]冷沉淀凝血因子；现状调查；肇庆地区 [中图分类号] R195.1 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0146-03 Investigation and analysis on the application status of cryoprecipitated antihemophilic factor in Zhaoqing Area LU Shao-fen PI Yan CHEN Fu-ru HE Yu-bing LUO Huai-xue Central Blood Station of Zhaoqing City in Guangdong Province，Zhaoqing 526020，China [Abstract]Objective To investigate the application status of cryoprecipitated antihemophilic factor in the past four years in Zhaoqing Area，to analyse existing problems and to provide an effective reference for the formulation of blood components inventory plan and guideline for the use of clinical blood products.Methods The clinical blood volume and preparation volume in Zhaoqing Area from January 2013 to December 2016 were analyzed statistically.Results From January 2013 to December 2016，the use of cryoprecipitated antihemophilic factor in Zhaoqing Area increased from 34 974 U to 50 489 U，and the satisfaction rate decreased from 107% to 98%.The fresh frozen plasma prepared in 13 hours after collection was used as raw material slurry for preparing cryoprecipitated antihemophilic factor starch.The total amount of fresh frozen plasma prepared by cryoprecipitated antihemophilic factor in Zhaoqing Area increased by 3 270 200 ml，the increase from 24% to 36%，which improved the preparation of cryoprecipitated antihemophilic factor.Conclusion With the improvement of medical level and the implementation of the composition of blood transfusion，the use of cryoprecipitated antihemophilic factor in Zhaoqing Area will