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目的了解我国采供血机构全血供应的变化趋势,发现趋势变化中存在的问题,分析原因,以寻求解决的方法。方法采用问卷调查形式(邮寄的方式回馈,辅助以电话咨询),对355家采供血机构2006～2008年的血液采集总量和全血供应的情况进行调查。分别计算2006～2008年355家采供血机构和其中31家血液中心、324家中心血站的全血供应在总采血量中的占比,以及3年间全血供应的变化值。分析全血供应的总的趋势,比较血液中心与中心血站全血供应的比例差异和变化差异。结果 2006～2008年全国355家中心血站以上级别的采供血机构的总供血量平均年递增15.3%,全血绝对供应量平均每年以13.3%的幅度递减,全血的相对占比由2006年的7.37%降为4.14%。血液中心的全血供应比例明显低于中心血站。结论我国全血供应比例仍然偏高,并且存在明显的地区差异。全血供应政策不能实行“一刀切”。只有加强临床医务工作者的输血专业知识,提高成分输血优先意识,规范临床全血输注指证,健全输血监管,才能合理控制全血供应,做到全血使用“有据可依”、“有据能依”。
Objective To understand the changing trend of whole blood supply of blood supply and blood supply agencies in our country, to find out the problems existing in the trend changes and to analyze the causes so as to seek solutions. Methods A total of 355 blood collection and supply institutions for blood collection and blood supply from 2006 to 2008 were surveyed by means of questionnaires (postal mail and telephone consultation). The proportion of total blood supply in 355 blood collection centers and 31 blood centers and 324 blood centers in 2006-2008 were calculated respectively, and the changes of whole blood supply in 3 years were calculated. Analyze the general trend of whole blood supply and compare the differences in the proportion of the whole blood supply between the blood center and the center blood station. Results From 2006 to 2008, the total blood supply of blood supply and blood supply institutions above the blood rank of 355 centers increased 15.3% annually on average, and the absolute supply of whole blood decreased by an average of 13.3% annually. The relative proportion of whole blood was increased from 2006 7.37% of the year dropped to 4.14%. Blood center of the whole blood supply was significantly lower than the center of blood. Conclusion The proportion of whole blood supply in China is still high, and there are obvious regional differences. Whole blood supply policy can not be implemented “across the board ”. Only by strengthening the professional knowledge of blood transfusion of clinical medical workers, improving the priority of blood transfusion, standardizing the indication of clinical whole blood transfusion, and improving the blood transfusion regulation can the whole blood supply be rationally controlled so that whole blood can be used “ ”Evidence to follow ".