2012~2021年天津市大学生团体无偿献血情况分析  

Analysis on blood donation of college student groups in Tianjin,2012-2021

作　　者：石彩侠 樊晶[1] 程雪 刘锐 SHI Caixia;FANG Jing;CHENG Xue;LIU Rui(Tianjin Blood Center,Tianjin 300110,China)

机构地区：[1]天津市血液中心,天津300110

出　　处：《中国输血杂志》2022年第7期746-750,共5页Chinese Journal of Blood Transfusion

摘　　要：目的 分析天津市大学生团体无偿献血基本情况,为促进大学生团体无偿献血的可持续发展提供数据支持。方法 将2012年~2021年天津市大学生团体无偿全血献血者定为研究组,同时期其他全血献血者为对照组,对研究组及对照组资料进行统计分析。结果 2012年~2021年天津市大学生团体无偿献血人次占全血献血总人次由8.93%上升至21.32%,献血量占比由5.44%上升至18.82%;大学生团体无偿献血人次年均增长率为12.80%,献血量年均增长率为17.06%;研究组重复献血率20.74%明显低于对照组25.47%,P<0.05;大学生团体无偿献血者献血量从2012年以200 mL为主逐渐过渡到400 mL占比居多,200 mL、300 mL次之;研究组200 mL、300 mL献血率及献血不足量率明显高于对照组,400 mL献血率明显低于对照组,差异有统计学意义;十年间大学生团体无偿献血者初筛淘汰率及谷氨酸氨基转移酶(ALT)淘汰率差异明显,乙型肝炎表面抗原(HBsAg)初筛淘汰率呈明显下降趋势,血红蛋白不合格淘汰率上升明显(P均<0.05);研究组血红蛋白初筛淘汰率明显高于对照组,其余各项初筛淘汰率均明显低于对照组(P均<0.05);复检项目中ALT、乙型肝炎病毒(HBV)复检淘汰率呈下降趋势,2018年最低,随后略有升高,人类免疫缺陷病毒(HIV)复检淘汰率呈上升趋势(P均<0.05);研究组各项复检淘汰率均低于对照组(P均<0.05);研究组血液复检项目中ALT和丙型肝炎病毒(HCV)复检淘汰率男性高于女性(P<0.05),其他复检项目性别对比差异无统计学意义。讨论大学生是无偿献血的重要力量,应建立长效机制维护这一特殊的群体,做好无偿献血健康宣教及个性化服务,促进大学生团体无偿献血持续健康发展。Objective To investigate the basic situation of blood donation given by university students in Tianjin and provide data to support the sustainable development of college blood donation.Methods The group blood donation in Tianjin universities from 2012 to 2021 was enrolled as the study group and other whole blood donors in the same period as the control.The statistical analysis of the two groups was conducted.Results From 2012 to 2021,the number of college blood donations in Tianjin increased from 8.93% to 21.32%,with the average annual growth rate of 12.80%,and the units of blood donated increased from 5.44% to 18.82%,with the average annual growth rate of 17.06%.The repeat donation rate in the study group was significantly lower than that of the control(20.74% vs 25.47%,P<0.05).In 2012,the specification of blood donated by college students were mainly 200 mL(87.38%),then in 2021,gradually transitioned to 400 mL(38.77%),followed by 200 mL(35.19%) and 300 mL(26.03%).The rates of 200/300 mL donation and insufficient blood donation in the study group were significantly higher than those in the control,to the contrary,the rate of 400 mL donation was lower in comparison to the control,with statistically significant differences.The deferral rates of initial screening and ALT among college donors differed significantly over the decade:HBsAg showed a significant downward trend,while Hb increased significantly(P<0.05);the deferral items in the study group was significantly lower than the control(P<0.05),except Hb.During the retest period,the deferral rates of ALT and HBV were decreasing,which was the lowest in 2018 then bounced back slightly;the deferral rate of HIV showed a increasing tendency(P<0.05).The deferral rates of all retest items in the study group were lower than those in the control(P<0.05).In the study group,no significant differences were noticed in the deferral rates of retest items by genders,except for ALT and HCV,as males were higher than females.Conclusion College student groups are an important force

关 键 词：大学生/天津地区 团体无偿献血 可持续发展 

分 类 号：R193.3[医药卫生—卫生事业管理]