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作 者:孙琼芝 SUN Qiongzhi(Jiangsu Wuxi Central Blood Station,Wuxi 214021,China)
出 处:《中国医药指南》2024年第2期125-129,共5页Guide of China Medicine
摘 要:目的血小板是一种重要的血液成分,在预防和治疗出血中起到重要的作用,由于其短暂的保存期,对采集和供应提出挑战。通过回顾分析,提出解决策略。方法从单位采血数据库中调出2018—2022年血小板采集和供应以及献血者数据并分析。结果男性献血者人数和采集人次均超过女性献血者。2018年至2021年,血小板采集量和供应量都有不同程度的涨幅,2019年至2020年的采集量涨幅超过了临床用血量的涨幅,2021年采集量涨幅低于临床用血量的涨幅。2022年采集量低于2021年的,同时也低于供应量。献血者、采集和供应ABO血型分布:O型>A型>B型>AB型。采集量包括报废血小板,合格血小板没有过期报废。2018年至2022年,个人自愿献血比例逐年增加,团体自愿比例逐年下降,2022年团体自愿比例略有升高。2018年至2021年双份的采集量和占比逐年增加,2022年略有下降。不同年龄段献血人数和献血人次比例中36岁以上人群构成比逐年上升,26~35岁比例在下降。结论为了满足不断增长的临床血小板用量,需要加大献血者招募和保留力度,增加献血场所、设备、设施和人员的投入,提高献血者的献血体验,扩大献血者队伍。Objective Platelets are an important blood component that plays an important role in preventing and treating bleeding.Due to their short shelf life,collection and supply pose challenges.Propose solutions through retrospective analysis.Methods Data of platelet collection and supply and blood donors from 2018 to 2022 were retrieved from the unit computer system.Results From 2018 to 2021,there were varying degrees of increases in platelet collection and supply.The increase in collection volume from 2019 to 2020 exceeded the increase in clinical blood usage,while the increase in collection volume in 2021 was lower than the increase in clinical blood usage.The collection volume in 2022 is lower than that in 2021,and also lower than the supply volume.Blood donors,collection and distribution of ABO blood types:O type>A type>B type>AB type.The collected amount includes discarded platelets,and qualified platelets have not expired or been discarded.From 2018 to 2022,the proportion of individual voluntary blood donation increased year by year,while the proportion of group voluntary blood donation decreased year by year.In 2022,the proportion of group voluntary blood donation slightly increased.The number of male blood donors and the number of collection times both exceed that of female blood donors.The collection volume and proportion of double copies increased year by year from 2018 to 2021,and slightly decreased in 2022.The proportion of people aged 36 and above who donate blood and the proportion of blood donors in different age groups has been increasing year by year,while the proportion of people aged 26 to 35 is decreasing.Conclusions In order to meet the increasing clinical platelet usage,it is necessary to increase the recruitment and retention of blood donors,increase investment in blood donation venues,equipment,facilities,and personnel,improve the blood donation experience of blood donors,and expand the donor team.
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