新冠疫情对我国地市级血站单采血小板采集供应的影响  

Influence of COVID-19 epidemic on the collection and supply of apheresis platelets in prefecture-level blood stations in China

作　　者：华敏玉 丁月平[2] 王振兴[3] 李丽[4] 赵冬梅 刘伟 严婷婷 温珊 沈有华 朱丽莉[10] 赵兰青 杨崇[12] 胡秀兰 胡官林 任素玲 史亚平 潘阳春 徐爱华 高宏[19] 张涵雪 夏晶晶 王文志 范丽莉 马学超 邱艳 HUA Minyu;DING Yueping;WANG Zhenxing(Wuxi Blood Station,Wuxi 214021)

机构地区：[1]无锡市中心血站,江苏无锡214021 [2]泰州市中心血站,江苏泰州225306 [3]东莞市中心血站,广东东莞523930 [4]淮安市中心血站,江苏淮安223021 [5]秦皇岛市中心血站,河北秦皇岛066001 [6]保定市中心血站,河北保定071051 [7]九江市中心血站,江西九江332099 [8]赣州市中心血站,江西赣江341001 [9]上饶市中心血站,江西上饶334099 [10]洛阳市中心血站,河南洛阳471099 [11]赤峰市中心血站,内蒙古赤峰024099 [12]焦作市中心血站,河南焦作454001 [13]濮阳市中心血站,河南濮阳457005 [14]毕节市中心血站,贵州毕节551799 [15]盐城市中心血站,江苏盐城224055 [16]咸阳市中心血站,陕西咸阳712046 [17]南宁中心血站,广西南宁530003 [18]淄博市中心血站,山东淄博255025 [19]宝鸡市中心血站,陕西宝鸡721013 [20]扬州市中心血站,江苏扬州225007 [21]南京红十字血液中心,江苏南京210042 [22]邢台市中心血站,河北邢台054005 [23]青岛市中心血站,山东青岛266073 [24]承德市中心血站,河北承德067045 [25]北京血液中心,北京100045

出　　处：《临床输血与检验》2023年第5期641-648,共8页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：中国大陆采供血机构执业比对工作组;北京市采供血质量控制和改进中心对本研究工作的支持。

摘　　要：目的 了解我国地市级血站在新冠疫情下单采血小板的采供能力变化,为地市级血站应对突发公共事件时确保单采血小板供应提供参考依据。方法 收集我国采供血机构执业比对平台27家地市级血站2018—2021年单采血小板活跃献血者人数、单采血小板采集总量、初次献血者捐献单采血小板占所有献血者捐献血小板的百分比、单采血小板贮藏前去除白细胞率、单采血小板供应量、单采血小板供应量占全部血小板供应量的百分比、过期单采血小板总量数据;将统计年度分为疫情暴发前(2018—2019年)、疫情期(2020—2021年)2个统计时段,应用SPSS软件t检验方法分别比对疫情前后及各年度单采血小板相关数据统计差异。结果 27家地市级血站疫情暴发前后单采血小板活跃献血者人数合计分别为73866人、89021人,采集总量合计为438 573.4 U、527 174.2 U,发放总量合计分别为425 799 U、515 451.5 U,比较结果皆有显著性差异;疫情暴发前后初次献血者捐献单采血小板血液所占百分比均值分别为4.68%、5.37%,除1家血站外其余26家血站单采血小板储存前去除白细胞率范围在55.06%~100%,单采血小板供应量占全部血小板供应量的百分比在91.48%~100%,有12家血站有过期单采血小板且疫情暴发期与疫情期过期单采血小板分别为24 U、53 U,疫情暴发前后比较结果皆无显著性差异。结论 新冠疫情对我国地市级血站单采血小板献血者招募、采集及供应基本不存在持续不良影响,各血站不断调整应急措施,保证了临床血小板供应。Objective To learn the change of platelet collection and supply capacity of prefecture-level blood stations in China during the COVID-19 epidemic,and to provide reference for prefecture-level blood stations to ensure the supply of platelets when dealing with public emergencies.Methods The data from 2018 to 2021 were obtained from 27 prefecture-level blood stations who were the members of the practice comparison network for blood institutes in China.The number of active apheresis blood donors,the total apheresis platelet collection,the percentage of apheresis platelets donated by first-time donors to all donors,the leukocyte removal rate before apheresis platelet storage,apheresis platelet supply,the percentage of apheresis platelet supply to total platelet supply,and the total number of expired apheresis platelets were collected.The statistical year was divided into two periods:before the outbreak(2018-2019)and during the epidemic(2020-2021),and the statistical differences of platelet collection data before and after the epidemic were compared by SPSS software T-test.Results Before and after the outbreak of the epidemic in 27 prefecture-level blood stations,the total number of platelet-collecting active blood donors was 73,866 and 89,021 respectively,and the number of apheresis platelets was 438573.4 U and 527174.2 U,the total distribution amount of apheresis platelets was 425799 U and 515451.5 respectively,with significant differences.Before and after the outbreak of the epidemic,the average percentage of apheresis platelets donated by the first blood donors was 4.68%and 5.37%,respectively.Except for one blood station,the leukocyte removal rate of apheresis platelets in other 26 blood stations before storage ranged from 55.06%to 100%,and the percentage of apheresis platelets in total supply ranged from 91.48%to 100%.There are 12 blood stations with expired apheresis platelets,and the expired apheresis platelets in the outbreak period and the epidemic period are 24 U and 53 U,respectively.12 blood stations had ex

关 键 词：新冠疫情 血站 单采血小板献血者 单采血小板采集供应 

分 类 号：R457[医药卫生—治疗学]