焦作市无偿献血者血液报废原因分析和处理对策

Analysis of Causes of Blood Discarding of Unpaid Blood Donors in Jiaozuo and Countermeasures

目的了解焦作市无偿献血者血液报废原因,采取有效措施,减少血液报废。方法统计2012年1月1日—2015年12月31日采集血量为299 094 u,报废血量为5 895 u,报废血液原因按ALT、HBs Ag、抗-HCV、抗-HIV、抗-TP、脂肪血、破损、溶血、凝块、不足量进行统计分析。结果 2012—2015年报废血量占采血量1.971%,检测不合格是导致血液报废最大的原因,其中HBs Ag所占比例最大,占报废血22.75%,ALT、抗-TP、抗-HCV、抗-HIV分别为19.03%、18.51%、18.13%、8.82%;物理原因报废血中破损比例较大,占报废血7.02%,不足量、凝块、溶血、脂肪血分别为3.51%、0.87%、0.71%、0.64%。结论 2012—2015年每年报废的血液逐年下降,通过无偿献血宣传,提高工作人员操作技能,严格各项操作规程,有效监控无偿献血的各个环节,可避免不必要的血液报废。

Objective To know the causes of blood discarding of unpaid blood donors in Jiaozuo and adopt the effectivem easures to reduce the blood discarding. Methods The blood collection volume of 299094 u from January 1, 2012 to December 31, 2015 was counted, and the blood discarding volume was 5895 u, and the discarding causes were counted andanalyzed according to the ALT, HBsAg, anti-H C V , an ti-H IV , an ti-T P , fat blood, breakage, hem olysis, clot and deficiency.Results From 2012 to 2015, the blood discarding volume accounted for 1.971% in the blood collection volume, and the unqualifiedinspection was the biggest cause of blood discarding, among them , the ratio of HBsAg was the biggest with22.75% , and the ratios of ALT, an ti-T P , anti-H C V and an ti-H IV were respectively 19.03% , 18.51% , 18.13% and 8.82% ,and the ratio of breakage was bigger, accounting for 7.02% , and the ratios of deficiency, clot, hemolysis and fat blood wererespectively 3.51% , 0.87% , 0.71% and 0.64% . Conclusion The blood discarding volume is gradually decreasing from 2012to 2015, and the unpaid blood donation publicity, im proving the operational skills of working staff, strictly carrying out variousoperational procedures and effectively monitoring of various links of unpaid blood donation can avoid the unnecessaryblood discarding.