浅谈军队血站实施血液采集全过程的质量控制  

Implementation of total quality control for blood collection in army blood bank

作　　者：黄红梅[1] 蒋天伦[1] 陆华[1] 刁荣华[1] 喻荷莲[1] 王世春[1] 赵树铭[1] 

机构地区：[1]第三军医大学附属西南医院输血科中国人民解放军重庆血站,重庆400038

出　　处：《中国输血杂志》2017年第6期649-651,共3页Chinese Journal of Blood Transfusion

摘　　要：目的探讨军队血站血液采集全过程实行质量控制后所取得的成效和存在的问题。方法回顾血液采集全过程实行质量控制所采取的具体措施,统计分析血站实施质量控制前后献血者满意度、献血不良反应发生率、血液报废率及血液报废原因构成比的结果,从而了解所取得的成效。结果实行全程质量控制后献血者对采血工作的满意度由质量控制前的96.03%提高到99.22%;献血不良反应发生率0.41%低于控制前0.77%;血液报废率3.23%低于质量控制前4.91%,但血液报废原因所占比分析,其乳糜血和转氨酶(ALT)导致的血液报废比例较以前偏高。结论血液采集全过程实施质量控制后能有效降低献血者的不良反应发生率及血液报废率,同时也能提高献血者对血站工作人员的满意度,成果显著。但因乳糜血和ALT导致的血液报废比例仍然居高不下,则提示在实施质量控制的同时我们还应加强对无偿献血的宣传力度,广泛普及献血前的相关知识,以减少因献血者饮食、休息等因素导致的血液报废。Objective To evaluated the effects of the implementation of blood collection quality control and the existing problems.Methods The specific measures were evaluated on their quality control.A statistical analysis was made on the effects according to blood donor satisfaction,incidence of adverse reactions to blood donation,blood disposal rate and disposal reason before and after the implementation of quality control.Results After the implementation of total quality control,blood donation satisfaction went from 96.03% to 99.22%;the incidence of adverse reactions（0.41%） was lower than before（0.77%）.The disposal rate（3.23%） was lower than before（4.91%）.However,on the ratio analysis on blood disposal reason,chyle-associated and transaminase（ALT）-associated blood disposal ratio was higher than before.Conclusion The total quality control cannot only effectively reduce the incidence of adverse reactions and blood disposal rate,but also improve the satisfaction of blood donation.However,chyle-associated and transaminase（ALT）-associated blood scrap ratio is higher than before,which indicates that the promotion of unpaid blood donation should be strengthened,blood donation knowledge should be widely disseminated,so that the blood disposal caused by factors such as diet and rest can be reduced.

关 键 词：血站 实施 血液采集 质量控制 

分 类 号：R457.12[医药卫生—治疗学]