Reason analysis and countermeasure discussion of disposal rate for apheresis platelets
-
摘要: 目的:分析机采血小板报废的原因,进而探讨改进的措施,降低机采血小板报废率,保障血液安全。方法:通过回顾性研究,对2011-2016年福建省血液中心机采血小板报废相关数据进行归类、统计分析。结果:期间采集机采血小板48 605人次,报废637人次,总报废率1.311%。感染性指标不合格报废占63.108%(402/637),非感染性指标不合格报废占36.892%(235/637),2011-2016年感染性指标不合格报废率和非感染性指标不合格报废率间的差异有统计学意义(P<0.01)。报废主要原因依次为生化检测(ALT)不合格、少量血、核酸检测阳性、梅毒阳性、乳糜血、HBV阳性、HCV阳性、冲红、HIV阳性、操作不当及血液过期等。结论:分析结果提示献血宣传、献血者的正确选择、献血前的初筛检测是保证血液质量、减少血液报废的重要措施,应该继续保持和加强;同时通过有针对性的控制措施既可以降低输血传播疾病的危险,又能减少不必要的报废,且能对今后机采献血者的招募以及机采血小板的采集和储存具有重要的参考价值和指导意义。Abstract: Objective:To analyze the cause of the disposal of apheresis platelets,and explore the improvement measures to reduce the disposalrate and ensure the safety of blood.Method:Retrospective analysis was used to classify and analyze the data of apheresis platelet collection in Fujian blood center from 2011 to 2016.Result:A total of 48 605 cases of volunteer apheresis platelet donors were collected from 2011 to 2016 in Fujian blood center,and among which,637 cases were discarded.The total disposal rate was 1.311%.The disposal ratecaused by unqualified infectious index accounted for 63.1%(402/637).The disposal rate caused by unqualified non infectious indicators accounted for 36.9%(235/746).There was a significant difference in disposal rate between unqualified infectious index and unqualified non infectious indicators from 2011 to 2016(P<0.01).The main disposal reasons were unqualified biochemical detection(ALT),followed by a small amount of blood,nucleic acid detection positive,syphilis positive,chylous blood,HBV positive,HCV positive,RBCs contamination,HIV positive,improper operation and blood expired.Conclusion:The results showed that blood donation propaganda,correct choice of blood donors,and the screening test before blood donation could ensure the quality of blood,reduce blood disposal,which should be continued tomaintain and strengthen.At the same time,targeted control measures can reduce the risk of transfusion transmitted diseases,but also can reduce unnecessary disposal,and have an important guidingsignificance and reference value for the donor recruitment and platelet collection in future.
-
Key words:
- voluntary blood donation /
- apheresis platelets /
- disposal /
- blood security
-
-
[1] Slichter SJ.Evidence-based platelet transfusion guideline[J].Hematologe Am Soc Hematol Educ Program,2007:172-178.
[2] 聂冬梅,古醒辉,王霞,等.2007-2014年深圳地区单采血小板报废原因分析及对策[J].中国输血杂志,2016,29(7):758-760.
[3] 张莉.无偿献血者ALT升高原因分析及应对策略[J].临床血液学杂志,2014,27(8):704-705.
[4] 高景波,刘艳春,王芳.溶血和乳糜微粒对ALT检测的影响[J].中国输血杂志,2016,29(7):758-760.
[5] 齐蔓莉.梅毒的起源和流行病学[J].中国医学文摘皮肤科学,2015,32(4):334-337.
[6] 王艳梅,朱文钦.机采血小板采集失败原因分析及改进措施[J].临床血液学杂志,2015,28(12):1051-1052.
[7] 高岩,张淑平.对机采血小板报废情况回顾性分析及对策[J].护理研究,2009,23(1):265-266.
-
计量
- 文章访问数: 351
- PDF下载数: 190
- 施引文献: 0