经皮穴位电刺激疗法预防街头无偿献血者焦虑引起献血相关血管迷走神经反应的有效性研究  

Effectiveness of transcutaneous electrical acupoint stimulation in preventing anxiety-induced donation-related vasovagal reactions in street voluntary blood donors

作　　者：胡一帆 黄丽萍 刘义全 Hu Yifan;Huang Liping;Liu Yiquan(Xianyang Central Blood Station,Xianyang 712046,Shaanxi Province,China)

机构地区：[1]咸阳市中心血站,咸阳712046

出　　处：《国际输血及血液学杂志》2024年第3期263-268,共6页International Journal of Blood Transfusion and Hematology

摘　　要：目的探讨采取经皮穴位电刺激疗法(TEAS)预防街头无偿献血者焦虑引起献血相关血管迷走神经反应(DRVR)的有效性。方法选择2023年5至7月于咸阳市中心血站1、2号流动献血车参加无偿献血的667例献血者为研究对象。所有献血者献血前,体格检查符合《献血者健康检查要求:GB 18467-2011》,并且《汉密尔顿焦虑量表》(HAMA)评分为7~14分。献血者年龄为18~59岁,男、女性献血者分别为336和331例。根据计算机随机数字生成器生成的随机数字,将这667例献血者随机分为TEAS组(n=341,献血过程中采用TEAS缓解焦虑)和对照组(n=326,献血过程中采取交流沟通、播放轻音乐等常规护理措施)。2组献血者年龄、体重、献血量、性别构成比、初次献血者比例、献血前HMAM评分分别比较,差异均无统计学意义(均P>0.05)。收集2组献血者献血后HAMA评分,献血前、后血压及心率差值,以及DRVR发生率及引发原因占比,并进行统计学分析。定性资料比较采用Mann-Whitney U或t检验,定性资料比较采用χ^(2)检验或Fisher确切概率法。本研究遵循的程序符合咸阳市中心血站医学伦理委员会制定的标准,经过该伦理委员会批准[批准文号:医学伦审(2023)第2号],征得献血者同意,并签署知情同意书。结果①组间比较:TEAS组献血者献血后HAMA评分[(8.13±1.21)分比(8.46±1.16)分],献血前、后收缩压差值[3.18 mmHg(1.94,4.35 mmHg)(1 mmHg=0.133 kPa)比4.29 mmHg(2.65,6.19 mmHg)],舒张压差值[1.86 mmHg(1.44,2.35 mmHg)比2.53 mmHg(1.62,3.45 mmHg)],心率差值[2.30次/min(1.90,2.68次/min)比2.71次/min(2.13,3.21次/min)],均低于对照组,并且差异均有统计学意义(t=3.59,P<0.001;Z=-6.57,P<0.001;Z=-7.13,P<0.001;Z=-7.37,P<0.001)。组内比较:TEAS组、对照组献血者献血后HAMA评分,均低于组内献血前,并且差异均有统计学意义[TEAS组:(8.13±1.21)分比(8.46±1.16)分,t=5.31,P<0.001;对照组:(8.61±1.15)分比(8.72±1.09)分,t=2.9ObjectiveTo explore effectiveness of transcutaneous electrical acupoint stimulation(TEAS)in preventing donation-related vasovagal response(DRVR)induced by anxiety in street voluntary blood donors.MethodsFrom May to July 2023,a total of 667 blood donors who participated in voluntary blood donation on the No.1 and No.2 mobile blood donation vehicles of Xianyang Central Blood Station were selected as the research subjects.Before blood donation,all blood donors′health examinations results complied with the requirements of Whole Blood and Component Donor Selection Requirements(GB 18467-2011),and their Hamilton Anxiety Scale(HAMA)score were 7-14 points.The ages of blood donors ranged from 18 to 59 years old,and there were 336 male and 331 female blood donors.According to the random numbers generated by a computer,these 667 blood donors were randomly divided into TEAS group(n=341,TEAS was used to prevent anxiety during blood donation)and control group(n=326,routine care such as communication and playing light music was adopted during blood donation).There were no significant differences in age,body weight,blood donation volume,gender composition,proportion of first-time blood donors,and HMAM score before blood donation between TEAS and control group(all P>0.05).The HAMA scores,differences in blood pressure and heart rate before and after blood donation,and the incidence and causes of DRVR were collected and compared between the two groups of blood donors.The Mann-Whitney U or t test was used for comparison of quantitative data,and the chi-square test or Fisher′s exact probabilities was used for comparison of qualitative data.The procedures followed in this study were in accordance with the standards set by the Medical Ethics Committee of Xianyang Central Blood Station and were approved by the ethics committee[Approval No.(2023)2],and the blood donors agreed and signed the informed consent form.Results①Comparison between groups:HAMA scores after blood donation[(8.13±1.21)points vs(8.46±1.16)points],and the differ

关 键 词：有效性研究 无偿献血者 经皮穴位电刺激 献血相关血管迷走神经反应 抗焦虑 

分 类 号：R193.3[医药卫生—卫生事业管理]