单采血小板献血者血肿情况分析  

Analysis of hematoma in plateletpheresis donors

作　　者：齐瑛[1] 朱文钦[1] 叶长英[1] 陈岑[1] QI Ying;ZHU Wenqin;YE Zhangying;CHEN Cen(Department of Blood Donation Service,Fujian Blood Center,Fuzhou,350004,China)

机构地区：[1]福建省血液中心献血服务二科,福州350004

出　　处：《临床血液学杂志（输血与检验）》2018年第5期802-805,共4页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的:分析单采血小板献血者血肿情况和发生原因,探讨血肿改进措施和电话再招募方式,以促进献血者的保留。方法:通过血液管理信息系统和现场登记的献血不良反应记录单,统计分析2017年福建省血液中心单采血小板血肿相关数据,对血肿发生后大于3个月未再次捐献单采血小板的献血者按照招募程序逐一电话再招募。结果:8 835例单采血小板献血者中,发生血肿257例(2.91%),男性初次献血者(16例)与男性重复献血者(173例)血肿比较差异有统计学意义(P<0.05)。在献血者血肿后未再次捐献的比较中:男性初次献血者(15例)与男性重复献血者(36例)比较;女性初次献血者(9例)与女性重复献血者(26例)比较;男性重复献血者(36例)与女性重复献血者(26例)比较,3组均差异有统计学意义(均P<0.01)。257例血肿主要原因按比例依次是采血人员采血技术欠佳113例(43.97%)、献血者血管条件欠佳57例(22.18%)、捐献过程手臂移动56例(21.79%);单采血小板血肿后未再次捐献的献血者电话再招募成功率为55.81%(48/86)。结论:单采血小板血肿发生后对初次献血者和女性献血者献血意愿影响较大。针对血肿原因,提高工作人员穿刺技术,捐献过程中人性化的服务可减少血肿的发生。对单采血小板血肿后未再次捐献的献血者进行电话再招募,简便、易行、成功率高,有助于献血者的回召和保留。Objective：To analyze circumstances and the cause of hematoma in plateletpheresis donors,discussion on improvement measures and telephone re-recruitment to promote the retention of the lost blood donors.Method：According to the data in the blood management information system and the record of Complication Related to Blood Donation,the data related to hematoma in plateletpheresis donors in Fujian Blood Center in 2017 were counted.In accordance with recruitment procedures,the donors who didn＇t donated apheresis platelets 3 months after hematoma were recruited again by telephone.Result：A total of 2.91%（n=257）hematoma was recorded in8835 plateletpheresis donors.There was statistical difference in hematoma between male first-time donors（16 cases）and male repeated donors（173 cases）（P〈0.05）,There were statically significant differences in the number of donors who didn＇t donate again after 3 months of hematoma in the following three groups：male first-time donors（15 cases）and male repeated donors（36 cases）（P〈0.01）,female first-time donors（9 cases）and female repeated donors（26 cases）（P〈0.01）,male repeated dondors（36 cases）and female repeated donors（26 cases）（P〈0.01）.The main causes of hematoma are poor blood collection technique（43.97%）,poor blood vessel condition（22.18%）and arm movement（21.79%）.The success rate of telephone re-recruitment of plateletpheresis donors after hematoma was 55.81%.Conclusion：The donors are more significant.According to the causes of hematoma,improving the puncture technique of the staff and people-oriented service during donation can reduce the occurrence of hematoma.It is simple,easy and successful to re-recruit plateletpheresis donors after hematoma by telephone call,which is helpful to retention of plateletpheresis donors.

关 键 词：单采血小板 血肿 分析 电话招募 

分 类 号：R457.1[医药卫生—治疗学]