产科临床用血数据分析.docVIP

产科临床用血数据分析 　　[摘要] 目的 通过分析首都医科大学宣武医院（以下简称“我院”）产科近6年临床用血量及大量输血数据，为提高输血科备血能力、安全库存水平提供循证输血医学依据。 方法 回顾性分析2011年1月～2016年12月我院产科共15 498例产妇的成分用血总量、输血率、大量输血率、用血极值以及大量输血患者的临床诊断等数据，比较近6年产科用血的变化特征，分析产科患者临床用血的变化趋势。 结果 15 498例产妇中输血患者229例，总输血率1.48%，2011～2014年?a科输血量、输血率、大量输血率逐年下降，2014年下降至177 U、0.70%、0.03%，自2015～2016年又有上升趋势，2016年升至501 U、2.28%、0.40%。红细胞输注10 U以上的患者29例，2012、2015、2016年红细胞用血极值分别为42、24、20 U。 结论 2011～2014年产科用血量、输血率、大量输血率稳步下降，2015～2016年又出现上升，提示产科用血风险增加，大量输血极值减低，输血科应根据实际情况，积极配合产科做好产前备血，保障产科医疗安全。 　　[关键词] 产科；大量输血；红细胞输注 　　[中图分类号] R467 [文献标识码] A [文章编号] 1673-7210（2017）09（c）-0173-04 　　[Abstract] Objective To provide evidence-based medical basis to improve the blood supply ability and safety stock level of blood transfusion in Department of Obstetrics， Xuanwu Hospital， Capital Medical University （our hospital for short） by analyzing clinical blood use and other data of blood transfusion for nearly 6 years. Methods Retrospective study was conducted by our hospital to analyze the data about clinical blood use of 15 498 obstetrical patients from January 2011 to December 2016， including component blood transfusion quantity， blood transfusion rate， massive blood transfusion rate， supreme value of massive blood transfusion and clinical information of massive blood transfusion patients. Results 229 of 15 498 patients had received blood transfusion， with the rate of 1.48%. Transfusion quantity， blood transfusion rate and massive blood transfusion annually decreased from 2011 to 2014， fell to 177 U， 0.70% and 0.03% in 2014. Since 2015， the index started to rise and reached 501 U， 2.28% and 0.40% by 2016. 29 patients had received red blood cell infusion more than 10 U. The supreme value of red blood cell infusion was 42 U in 2012， 24 U in 2015 and 20 U in 2016 respectively. Conclusion The transfusion quantity， blood transfusion rate and massive blood transfusion of blood transfusion department annually decreased from 2011 to 2014. An increase followed in 2015 and 2016. It Indicated an in