国内24家地市级血站血小板成分血制备效率的研究  

Study on the production efficiency of platelet components in 24 prefecture-level blood stations in China

作　　者：华敏玉 牛伟 姚建 许守广 邱玉霞[5] 李丽[6] 赵冬梅 万珈妤 燕锋[9] 贾红志 李浩 钱佳齐 汪鹏 王振兴[14] 鲍琳 温珊 叶盛[17] 冯雪芳 张曼[19] 蔡晓波[20] 张微 褚德旭 沈有华 丛培芳 张翙 邱艳[26] HUA Minyu;NIU Wei;YAO Jian;XU Shouguang;QIU Yuxia;LI Li;ZHAO Dongmei;WAN JiaYu;YAN Feng;JIA Hongzhi;LI Hao;QiIAN Jiaqi;WANG Peng;WANG Zhenxing;BAO Lin;WEN Shan;YE Sheng;FENG Xuefang;ZHANG Man;CAI Xiaobo;Zhang Wei;CHU Dexu;SHEN Youhua;CONG Peifang;ZHANG Hui;QIU Yan(Wuxi Central Blood Station,Wuxi 214021,China;Puyang Central Blood Station;Zibo Central Blood Station;Yangzhou Central Blood Station;Jiaozuo Central Blood Station;Huai'an Central Blood Station;Qinhuangdao Central Blood Station;Jiujiang Central Blood Station;Handan Central Blood Station;Yancheng Central Blood Station;Chengde Central Blood Station;Xianyang Central Blood Station;Bijie Central Blood Station;Dongguan Central Blood Station;Yichun Central Blood Station;Ganzhou Central Blood Station;Nanjing Red Cross Blood Center;Xingtai Central Blood Station;Baoding Central Blood Station;Taizhou Central Blood Station;Tongzhou Blood Station;Chifeng Central Blood Station;Shangrao Central Blood Station;Qingdao Central Blood Station;Nanning Blood Center;Beijing Red Cross Blood Center)

机构地区：[1]无锡市中心血站,江苏无锡214021 [2]濮阳市中心血站 [3]淄博市中心血站 [4]扬州市中心血站 [5]焦作市中心血站 [6]淮安市中心血站 [7]秦皇岛市中心血站 [8]九江市中心血站 [9]邯郸市中心血站 [10]盐城市中心血站 [11]承德市中心血站 [12]咸阳市中心血站 [13]毕节市中心血站 [14]东莞市中心血站 [15]宜春市中心血站 [16]赣州市中心血站 [17]南京红十字血液中心 [18]邢台市中心血站 [19]保定市中心血站 [20]泰州市中心血站 [21]北京市通州区中心血站 [22]赤峰市中心血站 [23]上饶市中心血站 [24]青岛市中心血站 [25]南宁中心血站 [26]北京市红十字血液中心

出　　处：《中国输血杂志》2022年第9期937-942,共6页Chinese Journal of Blood Transfusion

摘　　要：目的了解我国地市级血站血小板成分血制备效率现状,为地市级血站优化血小板成分血制备模式,不断提高制备效率和供应能力提供数据支持。方法收集我国采供血机构执业比对平台24家地市级血站2017—2020年单采血小板采集量、单采血小板时同步单采血浆的人次数、每一单采程序采集单采血小板的平均单位数、单采血小板报废率、过期单采血小板量和单采血小板发放量;收集浓缩血小板制备量、过期浓缩血小板量、浓缩血小板合格量和浓缩血小板发放量等数据进行统计分析,并利用公式计算血小板成分血制备量、血小板成分血制备效率等。结果24家地市级血站单采血小板采集量年平均增长率为12.23%,占血小板成分血的比例为99.80%;每一单采程序采集单采血小板的平均单位数为1.75成人治疗量,仅有5家血站在2019~2020年期间单采血小板时同步单采血浆;单采血小板报废率为0.28%,其中过期报废率为0.007%。浓缩血小板制备1621.2成人治疗量,浓缩血小板过期报废率为13.03%。血小板成分血制备效率97.56%,其中单采血小板制备效率97.61%;浓缩血小板制备效率74.43%。结论地市级血站血小板成分血供应能力地区差异大,单采血小板为血小板成分血供应主体,采集能力逐年递增,且具有制备效率高、过期报废量低特点;浓缩血小板制备开展有限且制备效率低、过期报废率高。Objective To learn the production efficient of platelet components among prefecture-level blood stations in China,to provide supporting data for those blood stations to optimize the production mode of platelet components and continuously improve production efficiency and supply capacity.Methods The data from 2017 to 2020 was obtained from 24 prefecture-level blood stations who were the members of the practice comparison network for blood institutes in China.The collection units of apheresis platelets,the number of dual-collections of apheresis platelets and plasma,the average apheresis units of one platelet apheresis procedure,the discarded rate of apheresis platelets,the amount of expired apheresis platelets and the amount of apheresis platelets issued were collected.For concentrated platelets,the prepared amount of platelet concentrates and the amount of expired platelet concentrates were collected;both the quantity of qualified and issued concentrated platelets were submitted for statistical analysis.The total output and efficiency of platelet components were calculated based on the collected data.Results The average annual growth rate of apheresis platelets collection in 24 prefecture-level blood stations was 12.23%,accounting for 99.80%of the total platelet output;the average collection unit of one platelets apheresis procedure was 1.75;from 2019 to 2020,only 5 blood stations performed dual-collection of platelet and plasma during one apheresis procedure;the discarded rate of apheresis platelets was 0.28%,of which 0.007%was due to expiration.A total of 1621.2 therapeutic units of concentrated platelets were prepared,and 13.03%of them was discarded due to the expiration.The production efficiency of platelet components was 97.56%,of which the production efficiency of apheresis platelets was 97.61%and the production efficiency of concentrated platelets was 74.43%.Conclusion There are large regional differences in the supply capacity of platelet components in prefecture-level blood stations.Apheresis platelets a

关 键 词：血站 单采血小板 浓缩血小板 制备效率 

分 类 号：R457.12[医药卫生—治疗学] R331.143[医药卫生—临床医学]