国内20家采供血机构延迟献血的主要原因分析  

Causes analysis of blood donor deferral in 20 domestic blood centers

作　　者：赵冬雁[1] 居兵[2] 戚海[3] 张珩[4] 马立仙 郭荣[6] 侯玲[7] 白林[8] 张旸 祁涛[10] 陈阳[11] 胡文杰 徐晓珺 陈睿 王林[15] 李涛[16] 罗威 成宁[18] 刘洪华 李俊英[20] 邱艳[1] ZHAO Dongyan;JU Bing;QI Hai;ZHANGHeng;MA Lixian;GUO Rong;HOU Ling;BAI Lin;ZHANG Yang;QI Tao;CHEN Yang;HU Wenjie;XU Xiaojun;CHEN Rui;WANG Lin;LI Tao;LUO Wei;CHENG Ning;LIU Honghua;LI Junying;QIU Yan(Beijing Red Cross Blood Center,Beijing 100088,China;Shandong Blood Center;Hebei Blood Center;Yunnan Kunming Blood Center;Ningxia Blood Center;Urumqi Blood Center;Harbin Blood Center;Taiyuan Red Cross Blood Center;Guangzhou Blood Center;Chengdu Blood Center;Liaoning Province Blood Center;Chongqing Blood Center;Jiangsu Province Blood Center;Shaanxi Blood Center;Hainan Province Blood Center;Changsha Blood Center;Wuhan Blood Center;Inner Mongolia Blood Center;Jiangxi Province Blood Center;Henan Red Cross Blood Center)

机构地区：[1]北京市红十字血液中心,北京,100088 [2]山东省血液中心 [3]河北省血液中心 [4]云南昆明血液中心 [5]宁夏回族自治区血液中心 [6]乌鲁木齐市血液中心 [7]黑龙江省血液中心 [8]太原市红十字血液中心 [9]广州血液中心 [10]成都市血液中心 [11]辽宁省血液中心 [12]重庆市血液中心 [13]江苏省血液中心 [14]陕西省血液中心 [15]海南省血液中心 [16]长沙血液中心 [17]武汉血液中心 [18]内蒙古自治区血液中心 [19]江西省血液中心 [20]河南省红十字血液中心

出　　处：《中国输血杂志》2022年第4期360-364,共5页Chinese Journal of Blood Transfusion

摘　　要：目的调研国内采供血机构造成延迟献血的主要原因。方法参照亚太血液联盟(APBN)的比对指标和国家标准《献血者健康检查要求》,筛选既往病史、服用药物、饮酒、月经生理期、体重不达标、血压异常、体温异常、血红蛋白(Hb)异常、乳糜血、乙型肝炎表面抗原(HBsAg)阳性、丙氨酸氨基转移酶(ALT)升高和其他12项延迟献血原因进行分析。按自然年度统计收集2014~2019年大陆采供血机构执业比对工作组成员单位自愿上报的献血者延迟献血原因排在前3位的相关数据,分析生成柱状图。结果2014~2019年国内20家采供血机构延迟献血率的中位数为12.14%,最低值为0.18%,最高值为32.32%。前3位的延迟献血原因,2014、2015、2018、2019年为ALT升高、Hb异常、血压异常,2016年为ALT升高、乳糜血、血压异常,2017年为ALT升高、Hb异常、乳糜血。结论造成献血者延迟献血的原因较为集中,以ALT升高、Hb异常、血压异常和乳糜血为主。Objective To investigate the main causes of blood donor deferral in domestic blood center.Methods The causes of donor deferral were classified into 12 categories as previous medical history,drug use,alcohol consumption,menstrual period,underweight,abnormal blood pressure,abnormal body temperature,abnormal hemoglobin(Hb),lipemic blood,positive hepatitis B surface antigen(HBsAg),elevated alanine aminotransferase(ALT)and others according to the comparison indicators of Asia-Pacific Blood Network(APBN)and the national standard Blood Donor Health Examination Requirements.The relevant data of the top 3 causes of donor deferral,voluntarily reported by the members of Practice Comparison Working Group of China’s Mainland Blood Collection and Supply Institutions from 2014 to 2019,were collected and a histogram was generated.Results The median donor deferral rate of 20 domestic blood centers from 2014 to 2019 was 12.14%,with the lowest at 0.18%and highest at 32.32%,respectively.The top three causes for donor deferral were elevated ALT,abnormal Hb and abnormal blood pressure in year 2014,2015,2018 and 2019;elevated ALT,lipemic blood and abnormal blood pressure in 2016;elevated ALT,abnormal Hb,and lipemic blood in 2017.Conclusion The main causes of donor deferral were elevated ALT,abnormal Hb,abnormal blood pressure and lipemic blood.

关 键 词：延迟献血 转氨酶 血红蛋白 血压 乳糜血 

分 类 号：R457.12[医药卫生—治疗学] R193.3[医药卫生—临床医学]