2015—2018年广州血液中心保密性弃血献血者特征分析  

Characteristics of donors whose donation was discarded confidentially in Guangzhou Blood Center from 2015 to 2018

作　　者：罗伟峰[1] 林永桔[1] 滕青[1] 张旸 蓝琴[1] 李丰沛 郑晓晓[1] 聂咏梅[1] LUO Weifeng;LIN Yongju;TENG Qing;ZHANG Yang;LANQin;LI Fengpei;ZHENG Xiaoxiao;NIE Yongmei(Guangzhou Blood Center , Guangzhou Key Laboratory of Medical , Guangzhou 510095,China)

机构地区：[1]广州血液中心广州市医学重点实验室

出　　处：《中国输血杂志》2019年第6期581-584,共4页Chinese Journal of Blood Transfusion

基　　金：广州市医学重点学科建设项目(血液安全重点实验室);广州市卫生计生科技重大项目(20161A031003);广州市卫生健康科技项目(20191A010048)

摘　　要：目的回顾性分析2015-2018年广州血液中心保密性弃血的献血者特征,为制定献血者招募策略提供依据。方法对2015-2018年广州血液中心保密性弃血献血者人群性别、年龄、献血次数、教育程度、弃血原因、血液检测结果和重复献血者抗-HIV阳转情况进行了分析统计。结果 2015-2018年共有72人次要求保密性弃血,发生率为0.0059%(72/1 221 947),其中18-30岁年龄段(69.4%,50/72)、首次献血(72.2%,52/72)、高中以下教育程度(36.1%,26/72)献血者是保密性弃血的主要人群;高危性行为(33.3%,24/72)是保密性弃血的首要原因;与非保密性弃血献血者相比,保密性弃血献血者HBsAg(OR=1.862)及抗-HIV(OR=60.159)阳性率较高,重复献血者抗-HIV阳转率的升高有统计学意义(OR=332.11,P<0.001)。结论保密性弃血是保障血液安全非常重要的措施;在献血者招募过程中,应重点对特定目标人群进行详细献血前健康征询,排除高危献血者,保证血液安全。Objective To investigate and analyze the characteristics of blood donors whose blood were confidentially discarded in Guangzhou Blood Center from 2015 to 2018, in order to set up recruitment strategy of blood donors. Methods The donors′ gender, age, donation times,education level, the reasons for confidential exclusion, blood test results and anti-HIV seroconversion of repeated donors in Guangzhou Blood Center from 2015 to 2018 were analyzed. Results A total of 72 donors called back to request confidential unit exclusion, with an incidence of 0.0059%(72/1 221 947).The donors at the age of 18-30 years old(69.4%,50/72), with the first time donation(72.2%,52/72) and education level below high school(36.1%,26/72) were the main group requesting confidential unit exclusion. High risk sexual behavior was the primary cause leading to confidential unit exclusion, responsible for 33.3%(24/72). Compared with non-confidential exclusion donation, the positive rates of HBsAg(OR=1.862) and anti-HIV(OR=60.159) in confidential exclusion donation was significantly higher, and anti-HIV seroconversion rate of repeated donation was significantly higher than that in non-confidential exclusion donation(OR=332.11,P<0.001). Conclusion Confidential exclusion of blood was of importance for blood safety. In the processing of blood donor recruitment, the target group should be carefully consulted for the questionnaire before donation in order to exclude the high risk donors.

关 键 词：保密性弃血 无偿献血 献血者特征 献血者招募 

分 类 号：R446.6[医药卫生—诊断学] R457.1[医药卫生—临床医学]