2008至2012年韶关市无偿献血血液报废原因分析

Analysis on Blood Discarding in Unpaid Blood Donation in Shaoguan City From 2008 to 2012

目的回顾统计分析血液报废情况,寻找减少血液浪费的措施,减少血液资源的浪费。方法对2008至2012年韶关市无偿献血中不合格血液,按不合格的原因归类统计分析,判断影响血液报废的因素。结果脂肪血是我市血液报废的首要原因,ALT与血液传播疾病紧随其后。在报废血液中,脂肪血占41.13%,ALT阳性占21.58%,HbsAg阳性、梅毒阳性、HCV阳性、HIV阳性约占29.35%,其他原因占7.30%。结论加强献血前知识的宣传和进行ALT和梅毒采前快速检测,及提高HBsAg快速检测的质量,可以有效提高合格血液、无偿献血者的招募率和减少采集血液的报废率。

Objective To analyze the situation of blood discarding retrospectively and seek measures, so as to reduce the waste of blood resources. Methods Unqualified donated blood from 2008 to 2012 were classified according to reasons of discarding, and analyzed statistically to identify factors that affected blood discarding. Results The primary cause of blood discarding in our city was blood fatty, accounting for 41.13%; the next was ALT positive （21.58%） and blood transmitted diseases （including HbsAg positive, syphilis, HCV positive, and HIV positive, accounting for 29.35%）; other reasons accounted for 7.30%. Conclusions Further publicizing the knowledge of blood donation and promoting rapid test of ALT, syphilis and HBsAg before blood collection can improve the qualification of blood, increase recruitment rate of unpaid blood donation, and decrease the discarding rate of blood collection.