摘要
目的调查分析全血献血者献血血管迷走神经反应,寻找应对措施。方法统计2015年1-12月采集全血41 624人次,分析650例血管迷走神经反应全血献血者相关信息。结果 2015年全血采集中发生反应率为1.6%。其中男性408人,女性242人(1.6%对1.5%),初次献血者561人,89人重复献血者(2.4%对0.5%)。采血车出现反应率最高2.1%,献血屋0.7%,站内0.2%。按年龄段分布情况18-25岁反应率最高3.2%,其次是25-35岁年龄段1.1%。男女性献血者的反应发生率的比较差别无统计学意义(P>0.05);初次和重复献血者、献血者不同年龄段、献血者不同职业和不同采血地点的献血反应发生的比较差别有统计学意义(P<0.05);季节对献血反应的发生率的比较差别无统计学意义(P>0.05)。结论全血献血过程中要更多地关注初次,年轻,学生,降低血管迷走神经反应的发生,有助于更好地保留献血者。
Objective To analyze the vasovagal reaction in whole blood donors,and to propose potential countermeasures. Methods 41,624 whole blood donations were made from January to December 2015. We analyzed 650 whole blood donation cases with vasovagal reaction. Results The vasovagal reaction rate was 1. 6% among whole blood donors. Male donors accounted for 408 cases and 242 cases occurred in female donors（ 1. 6% vs. 1. 5%）. 561 cases were considered recordclean donations and 89 were from donors with multiple donation records（ 2. 4% vs. 0. 5%）. The vasovagal reaction were most likely to occur on vehicle collection sites（ 2. 1%）. 0. 7% occurred in in-door blood donations and 0. 2% were sported at blood stations. Donors aged 18-25 possessed the highest reaction rate at 3. 2%,followed by the 25-35 years group at 1. 1%.The reaction rate showed no statistical difference between male and female donors（ P〈0. 05）. However,donation history,donors＇ ages,occupations and donation locations did bring differences that were statistically significant.（ P〈0. 05）. Seasons,on the other hand,showed insignificant connections to the reaction rate（ P〉0. 05）. Conclusion More attention should be drawn to younger donors with no previous donation records during whole blood donation process. We assume this would reduce the occurrence of the vasovagal reaction and help maintaining a stable base of blood donors.
出处
《中国输血杂志》
北大核心
2017年第11期1281-1282,共2页
Chinese Journal of Blood Transfusion
关键词
全血捐献
献血不良反应
献血者
whole blood donation
adverse reaction
blood donor
