2014-2016年三年广州地区机采血小板报废原因分析和对策

Retrospective Analysis and Countermeasures of the Cause of Scrapped Apheresis Platelet in Guangzhou in 2014 to 2016

目的了解广州地区机采血小板报废的主要原因,为保障用血安全和节约血液资源提供参考依据。方法通过回顾性分析,统计2014年1月—2016年12月广州地区机采血小板采集量、报废原因、报废率等相关数据,提出有效对策。结果 2014年1月—2016年12月共采集机采血小板共173 823.25个治疗量,报废的单采血小板为1 962个治疗量,总报废率为1.13%。其中检验性原因报废率为0.81%,非检验性原因报废率为0.32%。检验性原因呈明显的下降趋势,HBs Ag阳性、抗-HCV阳性和核酸阳性为其中主要因素。非检验性原因报废最主要因素为血量不足。结论通过针对性的献血前、中、后控制措施可以降低输血传播疾病的几率,减少不必要的血小板报废。

Objective To evaluate the main causes of scrapped apheresis platelet in Guangzhou and provide a basic for blood safety and make economic use of blood resources. Methods Retrospective analysis the collection, the cause and scrapped rate of apheresis platelet in Guangzhou from January 2014 to December 2016 and put forward effective countermeasures. Results A total of 173 823.25 U apheresis platelet was collected from January 2014 to December 2016, in which 1 962 U was scrapped. The totally scapped rate was 1.13%. 0.81% scrapped rate was due to detection and decrease obviously these three years, while 0.32% due to non-detection. The main causes of detection factors were HBsAg positive, anti-HCV positive and NAT positive, while non-detection factor mainly cause by blood collect inadequate. Conclusion The results suggest that the countermeasures for before, during and after blood donation can reduce the risk of blood transfusion diseases and unnecessary platelet scrapped.