摘要
目的 了解舟山群岛单采血小板无偿献血人群特点及其单采血小板采供现状与发展的影响。方法 收集2017年1月1日~2021年12月31日,在舟山市中心血站登记捐献单采血小板的1 151名无偿献血者中,选择最终通过健康体检的1 038名单采血小板献血者的人口学、献血时间分布及血象检测等数据做统计分析;考察现有的单采血小板采供量对临床用血达到满足情况;电话访谈其中仅捐献过1次的单采血小板献血者,调查其尚未再次捐献血小板的原因。结果 2017年~2021年舟山市单采血小板捐献者占人口的中位数(M)比例为0.454‰,报名捐献单采血小板的献血者完成捐献率90.18%(1 038/1 151),共捐献2 659(人)次、3 205 U单采血小板,人均捐献量(1.29±0.77)U/(人)次,基本满足舟山群岛临床用血需求,1 038名献血者年龄18~59[M(QR)34(16)]岁,其中31~45岁献血者占47.50%(493/1 038),男女献血者比例2.0∶1;大专及以上文化程度者占70.61%(733/1 038);献血者中ABO血型分布:A>O>B>AB;捐献血小板时间分布:2017年~2019年第2季度为第1高峰期、第3季度为第2高峰期;2020年只有第3季度为高峰期,2021年则全年呈波动性,没有明显高峰期;历年第1季度献血人次占比均为最低;2017年和2018年捐献血小板1次者比例分别占79.79%(75/94)、51.63%(95/184),2019年~2021年捐献血小板≥2次者比例分别达60.35%(137/227)、57.36%(187/326)、53.13%(170/320)。5年共有10.88%(113/1051)自愿捐献血小板者不合格者未能捐献(采集)单采血小板,其中72.57%(82/113)为献血者血液检测不合格。结论 海岛城市舟山单采血小板自愿捐献者的各种人口学特征等因素均影响其捐献行为;结合群岛特殊的自然环境与人口学特征,健全单采血小板捐献(者)体系,提升了公众对捐献单采血小板的认知和血站采供血服务水平,舟山市单采血小板捐献量逐年增加且基本满足全岛临床用血小板需求。
Objective To study the characteristics of voluntary apheresis platelet donors in Zhoushan Islands and its influence on the collection and supply of apheresis platelets. Methods From January 1, 2017 to December 31, 2021, 1038 eligible donors were selected out of 1151 apheresis candidates for demographic analysis, donation time analysis, blood routine test. We also investigated whether the current supply of apheresis platelet met the needs of clinical. The lapsed donors(with only one donation) were telephone interviewed to investigate the lapsing reasons. Results From 2017 to 2021, the median(M) ratio of platelet donors to the population in Zhoushan City was 0.454 ‰. And 90.18%(1038/1151) of the candidates completed donation, involving 2659 donations and 3205 U products. The per capita donation amount was(1.29±0.77) U per person, which basically met the blood demand in clinical of Zhoushan Islands. The 1038 platelet donors were 18 to 59 yeas old[M(QR) 34(16)], and 47.50%(493/1038) of them aged 31 to 45;the ratio of male to female blood donors was 2.0∶1;70.61%(733/1038) had college education or above;ABO blood group profile was A>O>B>AB. There were several peak periods of donation during 2017~2021: the second and third quarters of 2017~2019 and the third quarter of 2020;none in 2021, as yeae 2021 was volatile. The donation proportion of the first quarter was the lowest throughout 2017~2021. In 2017 and 2018, the proportion of donors with one donation accounted for 79.79%(75/94) and 51.63%(95/184), respectively. From 2019 to 2021, the proportion of donors with twice or more donation accounted for 60.35%(137/227), 57.36%(187/326) and 53.13%(170/320), respectively. During 5 years, 10.88%(113/1051) of the candidates failed to donate platelets, of whom 72.57%(82/113) were due to unqualified pre-donation testing. Conclusion The donation behaviors in Zhoushan have been affected by each above-mentioned demographic factors. The awareness of donation and donation services in Zhoushan have been improved as combing the spe
作者
王衡
陈燕林
王海红
宋晶
李浩孺
WANG Heng;CHEN Yanlin;WANG Haihong;SONG Jing;LI Haoru(Zhoushan Central Blood Station,Zhoushan 316000,China)
出处
《中国输血杂志》
CAS
2022年第11期1144-1150,共7页
Chinese Journal of Blood Transfusion
基金
舟山市科技计划项目(2019C31122)。
关键词
单采血小板
无偿献血者
海岛城市
献血小板影响因素
舟山
apheresis platelets
voluntary blood donors
island cities
influencing factors
platelet donation
Zhoushan
