2007-2014年深圳地区单采血小板报废原因分析及对策

发布时间：2018-03-09 15:37

本文选题：无偿献血　切入点：单采血小板　出处：《中国输血杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的了解深圳地区单采血小板报废的主要原因,为降低经输血传播疾病的发生及提高献血者的招募能力提供参考依据。方法通过回顾性研究,对2007-2014年深圳市血液中心采集的单采血小板相关数据进行分析,提出保障安全输血的有效措施。结果 2007-2014年深圳市血液中心采集并筛查无偿捐献单采血小板共95 476人次,报废746例,单采血小板的总报废率为0.78%(746/95 476),检测因素报废的占78.2%(583/746),非检测因素报废的占21.8%(163/746),2007-20014年检测因素报废率和非检测因素报废率间的差异有统计学意义(P0.001);酶免检测项目阳性报废率为0.34%,是单采血小板检测报废的首要原因,其次是核酸检测项目阳性报废,报废率为0.24%,再次是生化检测(ALT)不合格报废,报废率均为0.08%;在非检测因素报废原因中,冲红报废率为0.05%,是非检测因素报废的主要原因,其次是过期报废和不足量,报废率均为0.04%。结论分析结果提示通过有针对性的控制措施既可以降低输血传播病毒的残余危险,又能减少不必要的报废,且能对今后自愿无偿单采献血者的招募以及单采血小板的采集和储存具有重要的参考价值和指导意义。
[Abstract]:Objective to understand the main causes of single platelet scrapping in Shenzhen, and to provide a reference for reducing the incidence of transfusion-transmitted diseases and improving the recruitment ability of blood donors. The data of platelet collection collected by Shenzhen Blood Center from 2007 to 2014 were analyzed, and the effective measures to ensure safe blood transfusion were put forward. Results from 2007 to 2014, 95,476 blood platelets were collected and screened by Shenzhen Blood Center. 746 cases of scrapping, The total scrapping rate of single platelet was 0.78 / 746 / 95,476g, the proportion of detected factors was 78.2 / 583 / 746 / 746, and that of non-detected factors was 21.863 / 7460.There was significant difference between the scrapping rate of detected factors and non-detected factors in 2007-20014 (P 0.001). The rate of 0.34% is the primary reason for the scrapping of platelet detection. Secondly, the positive rate of nucleic acid test items was 0.24%, and the second one was biochemical test alt) unqualified scrapping, the scrapping rate was 0.08%, among the non-detected factors, the rate of red scrapping was 0.055.The main reason of non-detectable factors of scrapping was non-detectable factors. The second is outdated and inadequate, the scrapping rate is 0.04. Conclusion the analysis results indicate that the residual risk of transfusion transmitted virus can be reduced and the unnecessary scrap can be reduced by means of targeted control measures. It has important reference value and guiding significance for the recruitment of voluntary blood donors and the collection and storage of platelets.
【作者单位】：深圳市血液中心;
【分类号】：R446

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