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在教学医院的血液制品消费模式

Lava Shrestha¹, Numaya Gurung², Narayan Bahadur Mahotra¹

¹Department of Clinical Physiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine.

Journal of Nepal Health Research Council

|March 18, 2025

概括

尼泊尔的输血服务面临挑战. 这项研究显示,对全血和红细胞的需求很高,仅有46%的产品被输血,这凸显了需要更好的血液管理策略的需要.

科学领域:

输血医学输血医学
血液学血液学血液学
公共卫生公共卫生

背景情况:

输血至关重要,但在低收入和中等收入国家面临资源和利用挑战.
尼泊尔需要对血液使用进行详细分析,以指导资源分配和政策.
了解血液利用模式对于改善输血实践至关重要.

研究的目的:

分析尼泊尔血液制品的整体和成分特定使用情况.
探索血液和血液制品利用的时间趋势.
为了确定血液输血管理的改进领域.

主要方法:

在尼泊尔的Tribhuvan大学教学医院 (TUTH) 进行了一项观察性研究.
2019年1月1日至12月31日的数据包括患者人口统计,血型和血液产品请求/输血.
使用SPSS v20.20进行统计分析.

主要成果:

与其他中心 (1855个单位) 相比,TUTH占了大部分的血液产品请求 (25,716个单位).
血型A阳性 (31.4%) 和O阳性 (30.6%) 是最常被要求的. 血液 (44.2%) 和红细胞 (37.2%) 是最常被要求的.
只有46%的要求的血液制品被输血;需求在12月达到顶峰.

结论:

全血和包装红细胞是最常被要求的产品.
包装红细胞被输血的频率高于全血,尽管更高的全血请求.
这些发现凸显了尼泊尔改善输血管理和利用策略的迫切需要.

关键词:

血液银行; 输血; 血液利用; LMICs. 在尼泊尔,尼泊尔.

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