合肥地区献血相关迷走神经反应影响因素分析  

Analysis of donation related vasovagal reactions in Hefei

作　　者：徐庆 纪庆麟 王丽 王恺 郭晓婕 XU Qing;JI Qinglin;WANG Li;WANG Kai;GUO Xiaojie(Anhui Blood Center,Hefei 210032,China.)

机构地区：[1]安徽省血液中心,安徽合肥230032

出　　处：《中国输血杂志》2022年第9期973-976,共4页Chinese Journal of Blood Transfusion

摘　　要：目的探讨合肥市无偿献血全血中发生献血相关血管迷走神经反应的影响因素及其特征分析,并针对性的提出预防措施。方法以2021年1月至2021年12月合肥地区发生献血相关血管迷走神经反应的全血捐献者为研究对象,对性别、年龄、献血月份、初再次献血以及献血量、献血地点、献血组织方式等相关因素进行回顾性分析。结果2021年合肥市无偿献血全血中献血相关血管迷走神经反应发生率为10.46‰,其中发生在血液采集过程中的献血相关血管迷走神经反应占71.89%。献血相关血管迷走神经反应在献血年龄、献血史、采血月份、献血组织方式、献血量等方面比较,差异有统计学意义(P<0.05);在性别、采血地点等方面比较,差异无统计学意义(P>0.05)。平衡年龄因素后,18岁~22岁、23岁~29岁献血人群不同性别之间DRVR发生率差异无统计学意义(P>0.05),30岁~39岁、40岁~49岁、50岁~60岁献血人群不同性别DRVR发生率不同(P<0.05)。不同年龄段献血人群中,初次献血者与重复献血者DRVR发生率均存在统计学差异(P<0.05)。结论全血献血过程中要注意献血者人群特征分析,更多的关注初次、年轻(18岁~30岁)、学生献血者,有助于预防献血相关血管迷走神经反应的发生,更好的保留献血者。Objective To explore the influencing factors and characteristics of blood donation-related vasovagal reactions in whole blood donation in Hefei city,and to put forward specific prevention measures.Methods Whole blood donors with vasovagal reactions related to blood donation in Hefei area from January 2021 to December 2021 were selected as the study subjects,and the related factors such as gender,age,blood donation month,initial or multiple blood donation,blood donation volume,blood donation location,and organization type of blood donation were retrospectively analyzed.Results The incidence of blood donation-related vasovagal reactions was 10.46‰in the whole blood donation in Hefei in 2021,among which 71.89%occurred during blood collection.There were statistically significant differences in blood donation-related vasovagal reactions by blood donation age,blood donation history,blood collection month,organization type of blood donation and blood donation volume(P<0.05),but not by gender and location of blood collection(P>0.05).After balancing the age factors,there was no statistically significant difference in the incidence of DRVR between donors aged 18~22 and 23~29 years by gender(P>0.05),while there were significant differences in blood donors aged 30~39,40~49,and 50~60 years by gender(P<0.05).Among blood donors of different ages,there were statistically different incidences of DRVR among firsttime and repeated donors(P<0.05).Conclusion In the process of whole blood donation,attention should be paid to blood donors first-time,young(18~30 years old)and student,which can help prevent the occurrence of blood donation-related vasovagal reactions and better retain blood donors.

关 键 词：无偿献血 血管迷走神经反应 影响因素 

分 类 号：R193.3[医药卫生—卫生事业管理] Q429.92[医药卫生—公共卫生与预防医学]