摘要
目的了解浙江全省和各地市Rh阴性血液的供应情况以及省内各地市间的调剂情况,探讨Rh阴性血液保障的有效管理模式。方法回顾性分析2014-2018年浙江全省和各地市RBC总量的供应情况,以及Rh阴性RBC的供应和省内调剂情况。结果浙江全省总体上,RBC供应量和Rh阴性RBC供应量以及省内各地市间Rh阴性RBC调剂总量均呈逐年上升趋势(r值分别为0.987、0.989、0.949,P值分别为0.002、0.001、0.051),前两者高度相关(r=0.979,P=0.004);后两者差异无统计学意义(r=0.703,P=0.186);全省整体上Rh阴性RBC供应量在RBC供应量中的占比呈逐年上升趋势,分别为0.531%、0.565%、0.591%、0.599%和0.602%;各地市的RBC供应量呈逐年上升趋势,但是在Rh阴性RBC供应量以及省内各地市间Rh阴性RBC调剂量上呈起伏状态,地区间的差异较大。结论各地市Rh阴性RBC供应呈起伏状态,全省整体供应量逐年上升,省内各地市间的调剂活动日趋活跃和重要,因此加强区域性联动保障,建立和健全Rh阴性血液的跨区域调剂机制,对Rh阴性血液保障具有重要的意义。
Objective To explore the effective management mode of Rh negative blood security by investigating the supply and regulation of Rh negative blood in Zhejiang Province. Methods The supply of RBC, the supply and the regulation of Rh negative RBC in Zhejiang province from 2014 to 2018 were analyzed retrospectively. Results In the whole province, the supply of RBC and Rh negative RBC, as well as the total amount of Rh negative RBC regulation among cities in the Zhejiang province showed an increasing trend year by year(r=0.987, 0.989, 0.949;P=0.002, 0.001, 0.051). The first two were highly correlated(r=0.979, P=0.004), while the latter two were not statistically significant(r=0.703, P=0.186). In the whole province, the proportion of Rh negative RBC supply in RBC supply increased year by year, which was 0.531%, 0.565%, 0.591%, 0.599% and 0.602% respectively. The RBC supply in each city showed an upward trend year by year, but fluctuated in Rh negative RBC supply and Rh negative RBC dose regulation between cities in the province, and there were great differences among cities. Conclusion The supply of Rh negative RBC in different cities is fluctuating, the overall supply in the province is increasing year by year, and the regulation within the province is becoming more and more active and important. Therefore, it is of great significance to strengthen regional linkage guarantee, establish and improve the cross regional coordination mechanism of Rh negative blood.
作者
郑茵红
李阿中
李殷芳
韩文娟
ZHENG Yin-hong;LI A-zhong;LI Yin-fang;HAN Wen-juan(The Blood Center of Zhejiang Province,Hangzhou,Zhejiang 310053,China)
出处
《中华全科医学》
2020年第4期679-681,共3页
Chinese Journal of General Practice
基金
浙江省医药卫生科技计划项目(2019KY369)。
关键词
RH阴性
血液保障
血液调剂
Rh negative
Blood security
Blood regulation
