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目的分析RhD(-)红细胞(RBC)的预约受理和供应情况,评价RhD(-)RBC预约供应管理模式的有效性。方法回顾性分析本中心2006-2013年RhD(-)RBC的供应情况,用统计学方法分析改进RhD(-)RBC预约和供应方式前(2006-2009年)后(2010-2013年)RhD(-)RBC的供应量、调剂血量、接近失效期而发放给RhD(+)患者输注的血量,以及2012-2013年各临床科室RhD(-)RBC实际使用血量与预约血量的符合率。结果 1)改进预约与供应方式后RhD(-)RBC的供应量、调剂血量和接近失效期而发放给RhD(+)患者输注的血量均比改进前明显降低(P<0.01);2)2012-2013年RhD(-)RBC实际使用血量与预约血量符合率最高的是内科,其次是妇科和外科,最低的是产科。结论改进预约受理和针对不同临床科室采取不同供应策略后,RhD(-)RBC使用量降低,浪费减少,显示当前预约受理和供应管理模式既能满足临床用血需求又有效节约了稀有血型血液资源。
Objective To analyze the reservation acceptance and supply of RhB (-) red blood cells (RBCs) and evaluate the effectiveness of RhD (-) RBC reservation supply management model. Methods The retrospective analysis was conducted on the supply of RhD (-) RBCs in 2006-2013 and the statistical analysis of RhD (-) RBC subscription and supply before (2006-2009) and Rh Rh -) RBC supplies, transfers, near-expiration and blood transfusions to patients with RhD (+) as well as actual and scheduled blood counts of RhD (-) RBCs from clinical departments in 2012-2013 In line with the rate. Results 1) The blood volume of RhD (+) patients who received RhD (-) RBC supply was lower than that of the RhD (-) RBC patients before and after modified reservation and supply. 2) RhD (-) RBC actual use of blood volume and scheduled blood volume in 2012-2013 is the most consistent medical, followed by gynecology and surgery, the lowest is obstetric. Conclusion The improvement of reservation acceptance and the adoption of different supply strategies for different clinical departments lead to the decrease of RhD (-) RBC usage and the reduction of waste, which shows that the current reservation acceptance and supply management model can meet the demand of clinical blood supply and effectively save the resources of rare blood type blood .