2015~2019年长春市无偿献血血液报废原因分析及应对策略分析  

Cause analysis and countermeasures of scrapping of unpaid blood donation in Changchun City from 2015 to 2019

作　　者：于小棠 韩瑜[1] 刘然[1] YU Xiao-tang;HAN Yu;LIU Ran(Changchun Center Blood Station,Changchun 130000,China)

机构地区：[1]长春市中心血站,130000

出　　处：《中国实用医药》2022年第17期179-181,共3页China Practical Medicine

摘　　要：目的 分析2015~2019年长春市无偿献血血液报废原因及应对策略,以保障临床血液安全、充足供应。方法 收集长春市2015~2019年无偿献血血液报废信息进行分类汇总。分析血液报废情况、检测原因报废情况及非检测原因报废情况。结果 2015~2019年血液总报废率分别为4.0%、3.8%、3.4%、2.9%、3.2%,各年度血液总报废率比较差异有统计学意义(P<0.05),且各年度血液报废率呈逐年下降趋势。报废血液中检测原因占比由高到低依次为梅毒螺旋体抗体(抗-TP, 33.2%)、乙型肝炎病毒表面抗原(HBsAg, 30.6%)、丙氨酸氨基转氨酶(ALT, 12.9%)、丙型肝炎病毒抗体(抗-HCV, 12.3%)、HIVAg/Ab(8.0%)、核酸检测(NAT, 3.1%)。报废血液中非检测原因占比由高到低依次为破损(52.2%)、其他(凝块、非标量、溶血等, 14.9%)、颜色异常(14.1%)、不规则抗体(7.8%)、乳糜血(6.7%)、蛋白析出/絮状物(4.3%)。结论 加强对无偿献血血液采、制、检、供等各个环节的质量管理和质量控制,精准把控不合格血液的产生原因,对保护献血者的爱心、提高血液质量、保障临床血液供应充足具有重要意义。Objective To analyze the cause and countermeasures of scrapping of unpaid blood donation in Changchun City from 2015 to 2019,so as to ensure the safety and sufficient supply of clinical blood.Methods Collected information on scrapping of unpaid blood donation in Changchun City from 2015 to 2019 for classification and summarization.Analysis was made on blood scrapping,scrapping for testing reasons,and scrapping for non-testing reasons.Results The total scrapping rate from 2015 to 2019 were 4.0%,3.8%,3.4%,2.9%,and 3.2%,respectively,and there was a statistically significant difference(P<0.05)in the comparison of the total blood scrapping rate in each year,and the blood scrapping rate showed a decreasing trend year by year.The proportion of scrapping for testing reasons from high to low were Treponema pallidum antibody(anti-TP,33.2%),hepatitis B virus surface antigen(HBsAg,30.6%),alanine aminotransferase(ALT,12.9%),hepatitis C virus antibody(anti-HCV,12.3%),HIVAg/Ab(8.0%),nucleic acid test(NAT,3.1%).The proportion of scrapping for non-testing reasons from high to low were broken(52.2%),other(clot,off-label volume,hemolysis,14.9%),abnormal color(14.1%),irregular antibodies(7.8%),celiac blood(6.7%),and protein precipitation/flocculent(4.3%).Conclusion Strengthening quality management and quality control in all aspects of blood collection,production,inspection and supply,and precisely controlling the causes of unqualified blood are of great significance to protect the love of blood donors,improve blood quality and guarantee adequate clinical blood supply.

关 键 词：血液报废 血液资源 血液供应 无偿献血 

分 类 号：R197.6[医药卫生—卫生事业管理]