无偿献血者献血前淘汰情况分析  

Causes of blood donor deferral in primary blood screening, Hangzhou

作　　者：周丹 万康烈 刘洁 周丽[1] 韩浙东[1] 潘凌凌[1] ZHOU Dan;WAN Kanglie;LIU Jie;ZHOU Li;HAN Zhedong;PAN Lingling(Zhejiang Blood Center,Hangzhou 310052,China)

机构地区：[1]浙江省血液中心,浙江杭州310052

出　　处：《中国输血杂志》2021年第11期1242-1244,共3页Chinese Journal of Blood Transfusion

摘　　要：目的了解杭州市无偿献血者献血前淘汰的主要原因,进行分析并采取相应措施。方法对2019年1月至2020年12月杭州市8个献血点无偿献血者献血前淘汰原因进行统计分析。结果 2019~2020年杭州市8个献血点总共登记献血者103 325人次,成功采集87 435人次,淘汰15 890人次,献血前平均淘汰率为15.38%。其中2019年总共登记49 335人次,成功采集44 462人次,淘汰4 873人次,献血前平均淘汰率为9.88%;2020年总共登记53 990人次,成功采集42 973人次,淘汰11 017人次,献血前平均淘汰率为20.41%。献血前淘汰的原因中ALT、病史、乳糜血位列前三。病史、HBsAg、TP、ALT及乳糜血淘汰存在显著性别和献血既往史差异,Hb淘汰存在明显性别差异。结论加大无偿献血献血前的宣教工作,加强献血前的体检初筛检查,尤其是加强献血前TP检测,能够有效减少高危献血人群比例,降低血液报废率,避免血液资源浪费,缓解血液供需矛盾。Objective To investigate the deferral causes of voluntary blood donors in primary blood screening in Hangzhou, so as to take steps to reduce the deferral rate.Methods The causes of donor deferral in 8 blood donation sites in Hangzhou from January 2019 to December 2020 was statistically analyzed. Results A total of 103 325 donors(49 335 in 2019, 53 990 in 2020)were registered in 8 blood donation sites in Hangzhou From 2019 to 2020, among which 87 435(44 462 in 2019, 42 973 in 2020)were successfully donated, and 15 890(4 873 in 2019, 11 017 in 2020) were deferred, with a deferral rate of 15.38%(9.88% in 2019, 20.41% in 2020). The main reasons leading to donation deferral were Alt, medical history and lipemic blood. Significant differences were noticed in deferral items as medical history, HBsAg, TP, ALT and lipemic blood by gender and donation history, and not in Hb by gender.Conclusion Promoted publicity, specified primary blood screening, especially the pre-donationTP detection can effectively reduce the proportion of high-risk blood donors, cut down blood deferral rate, thus avoiding the waste of blood resources and balancing blood supply and demand.

关 键 词：献血者 淘汰 血液安全 

分 类 号：R446[医药卫生—诊断学]