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目的了解辽宁省医疗机构输血科(血库)建设和临床输血管理情况。方法对全省198家医疗机构的输血科(血库)建设和临床输血管理情况通过调查表的方式进行调查分析。应用SPSS统计软件对反馈回的《医疗机构输血工作相关基本情况调查表》数据进行统计,根据统计结果进行描述性分析。结果三甲医院输血专业科室设置主要以输血科为主,而二甲医院和一级医院的输血科主要还是以检验科血库为主,没有设置独立的输血科室。绝大多数的输血科和血库房屋的使用面积均未满足其任务和功能的需要。目前我省输血专业的主力军仍以检验专业的专科和中专生为主,临床专业背景的输血人员严重不足。输血科目前除了一些常规工作外,并未根据临床需要和单位实际,开展输血治疗工作和特殊实验室检测。三甲医院的临床用血量远远高于二甲和一级医院。结论我省临床输血管理及输血科(血库)建设和管理方面还存在很多问题。我们应尽快制定本省的临床用血管理、输血科(血库)建设方案及考核细则,以指导、监督本省各级医疗机构的相关工作。
Objective To understand the construction of blood transfusion department (blood bank) and clinical transfusion management in medical institutions in Liaoning Province. Methods A total of 198 medical institutions in the province of blood transfusion (blood bank) and clinical management of transfusion through questionnaires for the investigation and analysis. SPSS statistical software was used to make statistics on the “Questionnaire about the Basic Conditions of Blood Transfusion Work in Medical Institutions” that was fed back, and the descriptive analysis was conducted based on the statistical results. Results The blood transfusion departments in the top three hospitals were mainly set up for blood transfusion department. However, the blood transfusion department of the second-class hospitals and the first-class hospitals was mainly dominated by the blood bank of the test department, and no independent transfusion department was set up. Most of the blood transfusion department and the use of blood bank housing area did not meet their mission and function needs. At present, the main force of blood transfusion in our province is still dominated by specialized majors and secondary school specialists in the field of testing, and there is a serious shortage of blood transfusion personnel in the clinical professional background. Blood transfusion department at present except for some routine work, did not based on clinical needs and the actual unit to carry out blood transfusion therapy and special laboratory testing. The clinical blood supply of the top three hospitals is much higher than that of the second and first-class hospitals. Conclusion There are still many problems in the clinical management and transfusion department (blood bank) construction and management in our province. We should formulate the province’s clinical blood management, blood transfusion (blood bank) construction programs and assessment rules as soon as possible to guide and supervise the work of medical institutions at all levels in the province.