摘要
目的通过回顾性统计分析本市中心血站近5年血液报废情况,探讨减少血液报废的相关措施及策略,努力降低血液报废率,节约血液资源。方法对本站2018—2022年血液报废情况进行系统梳理,并根据检测不合格和非检测不合格2类报废原因分别进行大数据分析。结果2018—2022年本站血液总报废率为9.57%(94273/985178),各年份间总报废率有差异(P<0.05)。非检测不合格是本站血液报废的主要原因,其中乳糜血占比最高为7.27%(71661/985178)。检测不合格血液报废ALT(0.49%,4795/985178)>抗-TP(0.23%,2263/985178)>抗-HCV(0.14%,1354/985178)>HBsAg(0.13%,1285/985178)>抗-HIV(0.12%,1140/985178)。男性ALT不合格率(0.63%,1993/317437)明显高于女性(0.19%,388/209601)(P<0.05);18—25周岁ALT不合格率占ALT总不合格率55%(0.49/0.89),明显高于其他年龄段(P<0.05)。结论提升无偿献血公众知晓率,加强献血前健康征询,强化工作人员操作技能培训,以着力降低血液报废率,切实保障临床用血充足、安全、有效。
Objective To conduct a retrospective statistical analysis of the blood discarding situation in Xuzhou Central Blood Station in the past 5 years,so as to explore relevant measures and strategies to reduce blood discarding and save blood resources.Methods The discarding situation of our station from 2018 to 2022 was systematically sorted out,and Big data analysis base on the two causes,which was unqualified testing and non unqualified testing,was conducted.Results The total blood discarding rate of our station from 2018 to 2022 was 9.57%(94273/985178),and there was a difference in the total discarding rate between different years(P0.05).Non qualified testing was the main reason for blood discarding,with lipemic blood accounting for the highest proportion[7.27%(71661/985178)].Blood discarding due to unqualified testing:ALT(0.49%,4795/985178)anti-TP(0.23%,2263/985178)anti-HCV(0.14%,1354/985178)HBsAg(0.13%,1285/985178)anti-HIV(0.12%,1140/985178).The unqualified rate of ALT in males(0.63%,1993/317437)was significantly higher than that in females(0.19%,388/209601)(P0.05).The unqualified rate of ALT at the age of 18-25 accounted for 55%(0.49/0.89)of the total unqualified rate of ALT,and was significantly higher than other age groups(P0.05).Conclusion It is suggested to improve the public awareness of voluntary blood donation,strengthen health consultation before blood donation,promote staff training so as to reduce blood discarding rate,as well as ensure sufficient,safe and effective clinical blood use.
作者
董雯雯
赵艳梅
DONG Wenwen;ZHAO Yanmei(Xuzhou Central Blood Station,Xuzhou 221006,China)
出处
《中国输血杂志》
CAS
2023年第7期629-633,共5页
Chinese Journal of Blood Transfusion
关键词
无偿献血
血液报废
原因分析
改进措施
voluntary blood donation
blood discarding
cause analysis
improvement measures
作者简介
第一作者:董雯雯(1988-),女,主管检验师,Email:qhdww_2006@126.com。
