[1]郑奕 谢东甫 孙洁.基于献血者归队的血液安全管理实践[J].中国卫生质量管理,2025,32(11):100-102.[doi:10.13912/j.cnki.chqm.2025.32.11.20]
ZHENG Yi,XIE Dongfu,SUN Jie.Blood Safety Management Practice Based on the Reentry of Blood Donors[J].Chinese Health Quality Management,2025,32(11):100-102.[doi:10.13912/j.cnki.chqm.2025.32.11.20]
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]
卷:
32
期数:
2025年11期
页码:
100-102
栏目:
血液质量
出版日期:
2025-11-15
- Title:
-
Blood Safety Management Practice Based on the Reentry of Blood Donors
- 作者:
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郑奕 谢东甫 孙洁
-
上海市血液中心
- Author(s):
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ZHENG Yi; XIE Dongfu; SUN Jie
-
Shanghai Blood Center
-
- 关键词:
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献血者归队; 假反应性; 血液质量; 血液安全
- Keywords:
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the Reentry of Blood Donors; False Reactivity; Blood Quality; Blood Safety
- 分类号:
-
R331.1;R197.6
- DOI:
-
10.13912/j.cnki.chqm.2025.32.11.20
- 文献标志码:
-
A
- 摘要:
-
目的通过血液筛查反应性献血者归队工作的分组分析及效果评估,探讨提高归队后再次献血率和保障血液安全管理的策略。方法选取2015年9月1日-2023年12月31日参加归队的献血者,根据不同标准分为3组,对成功归队占比、再次献血率等进行比较研究。结果764名归队献血者中,520名献血者检测合格,成功归队占比为68.06%。273人再次参加献血,共捐献2 645 U血液,再次献血人数率为52.50%,再次献血率为508.65%。研究组B和研究组C的成功归队占比与研究组A比较,差异具有统计学意义(P<0.05)。结论通过增加成功归队后的献血屏蔽期,可进一步保障血液质量与安全;增加日常归队宣教和成功归队后的献血招募,可提高归队后的再次献血率,保留更多献血者,保证临床用血安全。
- Abstract:
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ObjectiveTo explore strategies for improving the re-donation rate among returned blood donors and ensuring blood safety management through subgroup analysis and outcome evaluation of the reentry for blood screening reactive donors.MethodsBlood donors who participated in the reentry of blood donors between September 1, 2015, and December 31, 2023, were selected and divided into three groups based on different criteria. Comparative studies were conducted on proportion of successful return and re-donation rates.ResultsAmong 764 returned donors, 520 tested qualified, yielding a successful return proportion of 68.06%. A total of 273 individuals re-donated blood, contributing 2 645 units, with a re-donor rate of 52.50% and a re-donation rate of 508.65%. Statistically significant differences in proportion of successful return were observed between study group B/C and study group A (P<0.05).Conclusion Extending the deferral period after successful return can further safeguard blood quality and safety. Enhancing routine educational outreach during the return process and post-return recruitment efforts can increase re-donation rates, retain more donors, and ensure clinical blood supply safety.
参考文献/References:
[1]冯秋霞,侯 云,潘海平,等.国内献血者归队的现状与思考[J].青岛大学学报(医学版),2024,60(4):630-632.[2]李慧东,张俊玲,吴 南,等.呼和浩特市单试剂反应性无偿献血者的归队情况分析[J].中国输血协会,2023,36(7):626-629.[3]FDA Guidance for Industry.Nucleic acid testing(NAT) for human immunodeficiency virus type 1(HIV-1) and hepatitis C virus(HCV):testing,product disposition,and donor deferral and reentry[S].2010.[4]FDA Guidance for Industry.Use of nucleic acid tests on pooled and individual samples from donors of whole blood and blood components,including source plasma,to reduce the risk of transmission of hepatitis B virus[S].2012.[5]FDA Guidance for Industry.Requalification method for reentry of blood donors deferred because of reactive test results for antibody to hepatitis B core antigen (Anti-HBc)[S].2010.[6]JUHL D,LUHM J,GRG S,et al.Evaluation of algorithms for the diagnostic assessment and the reentry of blood donors who tested reactive for antibodies against hepatitis B core antigen[J].Transfusion,2011,51(7):1477-1485.[7]潘婧婧,张 锋,林 碧,等.献血者血液筛查反应性归队检测结果探讨[J].中国乡村医药,2024,31(3):67-69.[8]向庆林,张天弼,霍宝锋,等.ELISA单试剂抗-HCV反应性献血者的HCV基因分型及归队研究[J].中国输血杂志,2021,34(8):889-891.[9]蒋菲菲,吕 蓉,赵 阳,等.安徽省HBsAg单试剂反应性献血者归队情况分析[J].中国实验血液学杂志,2020,28(4):1391-1396.[10]李 乔,孙爱农,廖艳婷.中山市724名ELISA单试剂反应献血者归队分析[J].河南医学研究,2021,30(21):3869-3872.[11]许婷婷,余 琴,柯颂庆,等.武汉地区单试剂反应性献血者归队策略及结果研究[J].中国实验血液学杂志,2025,33(2):530-537.[12]郭崇健,李天君,李美霖,等.献血者归队流程设计研究[J].中国卫生质量管理,2015,22(2):99-101.[13]侯 云,周宝琴,杨忠思.核酸检测假反应性献血者归队可行性的研究[J].中国卫生标准管理,2023,14(23):168-171.
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更新日期/Last Update:
2025-11-15