2009—2022年广州地区保密性弃血情况调查  

Confidential unit exclusion in Guangzhou from 2009 to 2022

作　　者：梁明月[1] 骆宏[1] 黄伯泉[1] 何博[1] 陈小光[1] 黄晓斌[1] 戎霞[1] 张伟东[1] LIANG Mingyue;LUO Hong;HUANG Boquan;HE Bo;CHEN Xiaoguang;HUANG Xiaobin;RONG Xia;ZHANG Weidong(Guangzhou Blood Center,The Key Medical Laboratory of Guangzhou,Guangzhou 510095,China)

机构地区：[1]广州血液中心广州市医学重点实验室血液安全重点实验室,广东广州510095

出　　处：《中国输血杂志》2024年第1期80-83,共4页Chinese Journal of Blood Transfusion

基　　金：广州市科技计划项目(2023A03J0996,2023A03J1001,2023A03J1000)。

摘　　要：目的对广州地区保密性弃血情况进行调查分析,为保障血液安全提供科学依据。方法对2009—2022年广州地区保密性弃血献血人次、献血者人群特征、保密性弃血原因和献血后回告时间进行统计分析。结果2009—2022年广州地区保密性弃血回告率为0.0062%(260/4170984),各年间的保密性弃血回告率有差异(P<0.05);2009—2022年保密性弃血回告率在性别和职业方面无差异(P>0.05),在献血年龄、献血次数、文化程度和婚姻状态方面有差异(P<0.05),其中18~30岁献血者(0.0073%)和首次献血者(0.0108%)是保密性弃血的主要人群。高危性行为(28.46%,74/260)是保密性弃血的首要原因,保密性弃血回告时间高峰期在献血后72 h内,其中献血后24~72 h回告要求保密性弃血的人次(68.46%,178/260)占比最高。结论保密性弃血是保障血液安全非常重要的措施,在献血者招募过程应重点对18~30岁献血者和首次献血者进行详细的献血前健康征询,排除高危献血者,同时强化保密性弃血回告及方法途径指引宣传,做好保密性弃血原因登记和分类工作,从源头筛选出合格、低风险的无偿献血者,保障血液安全。Objective To investigate the condition of confidential unit exclusion(CUE)in Guangzhou,so as to ensure blood safety.Methods The number of CUE donors,demographic characteristics of CUE donors,reasons for CUE,and response time of CUE after blood donation in Guangzhou from 2009 to 2022 were statistically analyzed.Results From 2009 to 2022,the response ratios of CUE was 0.0062%(260/4170984)and the ratios had statistically significant difference between different years(P<0.05).For the response ratios of CUE,no statistically significant difference was noticed in gender and occupation(P>0.05),but statistically significant differences were found in age,number of blood donations,education background,and marital status(P<0.05).Blood donors aged 18~30(0.0073%,P<0.05)and firsttime blood donors(0.0108%,P<0.05)were the main groups of CUE.High risk sexual behavior(28.46%,74/260)was the primary reason for CUE.The CUE response peak was within 72 hours after blood donation,and the response ratios within 24-72 hours after blood donation was the highest(68.46%,178/260).Conclusion CUE is a crucial measure to ensure blood safety.Detailed pre-donation health consultations are suggested for blood donors aged 18-30 and first-time blood donors so as to better excluding high-risk blood donors.Strengthening the publicity of CUE response and process,registering and classifying the reasons for CUE are also important.

关 键 词：保密性弃血 人群特征 献血后回告 

分 类 号：R457.1[医药卫生—治疗学] R193[医药卫生—临床医学]