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目的统计分析本院血液申请/实际输血(O∶T)比值,提高临床科学合理用血。方法通过血液管理系统按照时间顺序统计本院所有临床科室的血液申请和实际输血的量(悬浮红细胞以单位血U表示),时间自2010年1月-2015年12月共6年期间全院临床科室血液申请和实际输血量,按照科室进行列表,全部科室分为手术科室和非手术科室2部分,计算全院、手术科室、非手术科室以及每个科室6年O∶T均值;同时计算血液申请和实际输血之间的差(O-T,单位U),根据实际合血的成本计算O-T部分产生的成本费用。结果全院6年期间的O∶T为2.043±0.189,每年期间无明显规律;手术科室O∶T比值(3.061±0.362)显著高于全部科室(2.043±0.189)(P<0.01)和非手术科室(1.534±0.160)(P<0.01)。手术科室中O∶T比值最高的科室为胸外科,其次为神经外科、妇产科和眼科,均显著高于手术科室均值(P<0.01),O∶T比值最低的科室为烧伤整形科,显著低于手术科室均值(P<0.01)。非手术科室O∶T比值最高的为消化内科,显著高于非手术科室的均值(P<0.01)。全院6年期间每年平均O-T差值近9千U,每年其直接耗费的检测费用在40万左右。结论全院O∶T比值接近AABB高限,非手术科室O∶T比值相对合理,手术科室O∶T比值显著升高,手术科室合理用血还需输血科和手术科室之间加强合作进一步提高临床科学合理用血。
Objective To analyze and compare the blood application / actual blood transfusion (O: T) ratio in our hospital so as to improve the clinical scientific and rational use of blood. Methods Through blood management system in accordance with the chronological statistics of all clinical departments of our hospital blood applications and the actual amount of blood transfusion (suspended red blood cells in units of blood U), time from January 2010 - December 2015 a total of 6 years of clinical hospital Department of blood applications and the actual amount of blood transfusions, according to the department list, all departments are divided into surgical departments and non-surgical departments 2 parts, calculate the hospital, surgical departments, non-surgical departments and departments 6 years O: T mean; simultaneous calculation of blood The difference between the application and the actual blood transfusion (OT, unit U) is calculated based on the actual cost of blood transfusion OT part of the cost incurred. Results The O: T was 2.043 ± 0.189 in 6-year hospitalized period, with no obvious regularity in each year. The O: T ratio in operative department (3.061 ± 0.362) was significantly higher than that in other departments (2.043 ± 0.189) (P <0.01) Department (1.534 ± 0.160) (P <0.01). The department with the highest O: T ratio in the surgery department was thoracic surgery, followed by neurosurgery, obstetrics and gynecology, and ophthalmology, both of which were significantly higher than those of the operating department (P <0.01). The department with the lowest O: T ratio was the department of burn and plastic surgery, Significantly lower than that of the operating room (P <0.01). The highest ratio of O: T in non-surgical departments was in gastroenterology, which was significantly higher than that in non-surgical departments (P <0.01). The hospital average annual O-T 6-year difference of nearly 9 thousand U, the annual cost of direct testing costs about 40 million. Conclusion The ratio of O: T in the whole hospital is close to the high limit of AABB. The ratio of O: T in non-surgical department is relatively reasonable, and the O: T ratio in operation department is significantly higher. Reasonable use of blood in operation department requires further cooperation between blood transfusion department and surgical department Rational use of clinical science blood.