机采血小板互助献血者血液安全风险分析  

Blood safety risk analysis on aphaeresis platelet donation from mutual assistance blood donors in Wenzhou City

作　　者：陈乐丹[1] 陈李[1] 郑盈盈[1] 陈晓义[1] 林皕[1] CHEN Ledan CHEN Le ZHENG Yingying CHEN Xiaoyi LIN Bi.(Wenzhou Blood Center, Wenzhou 325000, China)

机构地区：[1]温州市中心血站,浙江温州325000

出　　处：《中国输血杂志》2017年第1期80-82,共3页Chinese Journal of Blood Transfusion

摘　　要：目的调查本市机采血小板互助献血者的血液安全性。方法对2013-2015年本市机采血小板互助献血者和非互助献血者的血液相关传染性指标检测结果做对比分析,同时分析机采血小板献血者中初次献血者和重复献血者的比例及血液相关传染性指标检测结果。结果本市机采互助献血者血液相关传染性指标检测不合格率高于非互助献血者,且呈逐年上升趋势;机采互助献血者血液相关传染性指标检测不合格构成比顺序分别为:抗-HCV(0.39%)、HBsAg(0.37%)、抗-HIV(0.30%)、ALT(0.12%)、TP(0.10%),且其绝大部分为初次献血者(84.98%),而初次献血者不合格率高于重复献血者(P<0.05)。结论机采互助献血者的血液安全性低于非互助献血者,血液安全风险较高,不宜作为今后的招募方向,要建立低危固定的自愿无偿机采血小板队伍,保证临床用血的安全。Objective To survey the blood safety in the donation of apheresis platelets among mutual assistance blood donors in Wenzhou City. Methods A comparative analysis was conducted through blood related infectious index detection on apheresis platelet donation between mutual assistance and non mutual assistance blood donors from 2013 to 2015 in this city. Meanwhile,the proportion of first and repeat blood donors and blood related infectious index detection apheresis platelet donation were analyzed. Result The blood related infectious index detection failure rate for the aphaeresis donation among mutual assistance blood donors was higher than that of non mutual assistance blood donors in this city. The trend was rising year by year. The percentage composition of blood related infectious index detection failure rate for mutual assistance blood donors was anti-HCV（0. 39%）,HBsAg（0. 37%）,anti-HIV（0. 30%）,ALT（0. 12%）,and TP（0. 10%）. The vast majority were first time blood donors（84. 98%）. The failure rate for first time blood donors was far higher than that of repeat blood donors in mutual assistance blood donors（ P〈0. 05）. Conclusion The blood security in mutual assistance blood donors is lower than that of non-mutual assistance blood donors,who confer a higher risk to blood safety. Thus,in the future,non-mutual assistance blood donors would not be recommended for recruitment in order to establish a low-risk fixed force of apheresis platelet donors and to ensure the safety of blood for clinical use.

关 键 词：机采血小板 互助献血者 非互助献血者 血液相关传染性指标检测 

分 类 号：R457.1[医药卫生—治疗学] R193.3[医药卫生—临床医学]