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作 者:罗玖 彭丽娟 LUO Jiu;PENG Li-juan(Central Blood Station of Ganzhou City,Jiangxi Ganzhou 341000)
出 处:《中国医疗器械信息》2024年第17期55-58,共4页China Medical Device Information
摘 要:目的:分析AMICUS血细胞分离机单采血小板解聚不良的影响因素。方法:抽取2023年1月~2023年12月献血者144例,用AMICUS血细胞分离机单采血小板,统计解聚不良发生率,并分析其影响因素。结果:血小板解聚不良率9.03%;两组Hb、HCT、PLT、MPV、PDW测定结果未见差异性(P>0.05)。观察组pH值测定结果低于对照组;循环血量较低、采集时间高于对照组;献血前食用高糖食物构成比高于对照组(P<0.05)。经多因素Logistic回归分析显示,献血前食用高糖食物、pH值低、循环血量低、采集时间长为血小板解聚不良影响因素(P<0.05)。结论:AMICUS血细胞分离机单采血小板时可能发生解聚不良现象,主要与pH值、循环血量、采集时间等相关,可依据此预先制定防控措施。Objective:To analyze the influencing factors of poor platelet depolymerization in AMICUS blood cell separators.Methods:144 blood donors were selected from March 2021 to December 2023,and platelets were collected using an AMICUS blood cell separator to analyze the incidence of poor depolymerization and its influencing factors.Results:The poor platelet depolymerization rate is 9.03%;There was no significant difference in the measurement results of Hb,HCT,PLT,MPV,and PDW between the two groups(P>0.05).The pH measurement results of the observation group were lower than those of the control group;Low circulating blood volume and longer collection time compared to the control group;The proportion of high sugar foods consumed before blood donation was higher than that of the control group(P<0.05).Multiple Logistic regression analysis showed that consuming high sugar foods before blood donation,low pH value,low circulating blood volume,and long collection time were the adverse factors affecting platelet depolymerization(P<0.05).Conclusion:Poor platelet depolymerization may occur when AMICUS blood cell separator collects platelets alone,which is mainly related to pH value,circulating blood volume,collection time,etc.Prevention and control measures can be formulated in advance based on this.
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