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作 者:牛校敏 李秀清[1] 解桂贤 张燕[1] 李雅静[1] 韩烨 侯亚平[1] NIU Xiaomin;LI Xiuqing;XIE Guixian(Hebei Blood Center,Hebei,Shijiazhuang 050071,China)
出 处:《河北医药》2022年第14期2172-2174,2178,共4页Hebei Medical Journal
基 金:河北省卫生健康委员会科研基金项目(编号:20210686)。
摘 要:目的分析石家庄市机采血小板献血者血液初筛不合格率因素,为机采血小板工作提供完善和改进措施。方法统计2018年3月到2021年3月石家庄市26746例机采血小板献血者血液初筛检测结果,对初筛不合格率按照转氨酶、乳糜血、血红蛋白量、白细胞计数、血小板计数和红细胞压积进行分析,并探讨了不同性别和不同机采频率机采血小板献血者初筛不合格情况。结果2018年3月到2021年3月,石家庄市机采血小板献血者血液初筛不合格率为12.77%,不合格率以转氨酶和乳糜血为主,其次是血红蛋白量和白细胞计数。男性的转氨酶不合格率最高,女性的血红蛋白量不合格率最高。总体来说,初次机采血小板献血者的不合理率高于再次机采血小板献血者。结论转氨酶和乳糜血不合格是石家庄市机采血小板献血者血液初筛不合格的主要原因,初次机采血小板献血者的不合格率较多,血红蛋白量是女性机采血小板献血者不合格率的主要因素,应该加强机采血小板宣传教育工作。Objective To investigate the influencing factors on the unqualified rate of machined-collected platelets in primary blood screening of blood donors in Shijiazhuang,so as to provide improvement measures for machined-collected platelets.Methods The results of primary blood screening of 26746 blood donors in Shijiazhuang from March 2018 to March 2021 were statistically analyzed,and the unqualified rate of primary blood screening was analyzed according to transaminase,chylomicrons,hemoglobin content,white blood cell count,platelet count and erythrocyte press.In addition,the unqualified rates in different genders and frequencies of machine-collected platelet were explored.Results The unqualified rate of primary blood screening of blood donors in Shijiazhuang from March 2018 to March 2021 was 12.77%,and the unqualified rates were mainly transaminase and chylomicrons,followed by hemoglobin and white blood cell count.The unqualified rate of transaminase in males was the highest,however,that of hemoglobin in females was the highest.In general,the unqualified rate of primary blood screening of blood donors was higher than that of secondary mechanical platelet donors.Conclusion The unqualified transaminase and chylomicrons are the main reasons for unqualified initial blood screening in machined-collected platelets donors in Shijiazhuang.The unqualified rate of primary mechanical platelet donors is relatively higher,and the amount of hemoglobin is the main factor affecting the unqualified rate in female donors.Therefore,it is necessary to strengthen the publicity and education for the donors.
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