2010~2015年安徽三市无偿献血—采供血发展状况调查及对策研究
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安徽医科大学卫生管理学院

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安徽省教育厅高校人文社会科学重点研究项目(SK2016A0474)


Status of development and suggestion on blood collection and supplying of voluntary blood donation in three cities of Anhui Province during the process of new medical reform during 2010-2015
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School of Health Services Management, Anhui Medical University

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    摘要:

    目的 通过对安徽三市2010~2015年采供血情况的调查,系统了解和分析采供血发展状况及存在的问题,并提出相应建议,为促进全省无偿献血工作提供参考。方法 采用描述性流行病学研究方法,通过现场调查和查询血液管理信息系统获取相关数据,应用SPSS13.0进行统计处理。结果①献血总人次数、人口献血率A、C市起伏中略有增长,B市2013年始有下滑趋势,A、C和B市献血率分别波动于11.42‰~16.43‰、8.01‰~9.39‰和5.62‰~7.15‰之间,400ml和≥2次献血比例B(92%~96%和55.88%~64.13%)>A(42%~53%和36.33%~41.44%)>C(10%~23%和8.56%~12.43%);②三市血液采集总量、全血采集量变化同献血总人次数和献血率;单采血小板量A、C两市呈快速增长;临床供血量A、B两市处于增长趋势,C市于2012年后由降转升;近3年A市血液净调入量分别居全省当年的第2和第1位,而B市净调出量均居第1位和第2位,C市近两年净调出跃居全省第3和第1位;③血液报废率A市最低,已连续三年<10%,报废原因主要是ALT不合格;B市以脂血和ALT不合格为主。④献血者分布:三市男性均略多于女性;A、C市18-24岁者各占61.13%和43.79%,青年学生是主体,近年≥25岁者占比有增加趋势,学历均以≥大专为主;B市集中在35~44岁和25~34岁(各占36.40%和27.68%),以职员为主,各学历层次分布均匀。结论 安徽三市自2010年以来无偿献血工作发展平稳,但献血人次数和献血量增长缓慢,献血率较低,供需矛盾客观存在。应进一步强化政府的组织和推进作用,提高公民献血参与率、献血者保留率和团体献血比例,做好献血前征询,减少血液报废。

    Abstract:

    Objective To understand and analyze the development status and existing problems systematically, so that we could propose some promotive suggestions as reference for promoting the development of the blood donation work. Methods The method of descriptive epidemiologic study was used to collecte related data, which was statistically analyzed by SPSS 13.0. Results (1) The total number of blood donation people and the rate of blood donation population fluctuate but slightly rose in city A and C each year, but the indexes has declined in city B since 2013. Blood donation rate in city A, C and B respectively fluctuated in 11.42‰~16.43‰, 8.01‰~9.39‰ and 5.62 ‰~7.15 ‰. The proportions of 400 ml and twice or more blood donation in B(92%-96% and 55.88%~96%) was higher than those in city A (42%~53% and 36.33%~53%) and city C(10%~23% and 8.56%~23%);(2) The fluctuation of the volume of total blood collection and the whole blood collection in the three cities were the same as that of the total number of blood donation people and the rate of blood donation population. The volume of apheresis platelet in city A and C rose rapidly, and that fluctuated but slightly rose in city B; The trend of volume of clinical blood supply were increasing in city A and B; For nearly three years, the net input blood volume in city A were ranked second and first respectively in each year in Anhui province, while the net output blood volume in city B were ranked first and second respectively. In city C, output volumes were more than the input since 2012, and the output volume of the two in city C were ranked third and first respectively for nearly two years; (3) The blood condemnation rate in city A was the lowest, which were below 10% for three consecutive years, and the condemnation reasons were mainly blood lipids and unqualified ALT in city A and B.(4)The 18~34 years old group was the most and young students were the main body, followed by staff. Conclusion The voluntary blood donation work develop smoothly in Anhui province since 2010, but the total number and volume of voluntary blood donation grew slowly and the blood donation rate was low. The government should further strengthen its role to organize and promote the development of voluntary blood donation work, in order to improve the rate of citizen participation, and reduce the volume of blood condemnation.

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  • 收稿日期:2016-09-23
  • 最后修改日期:2016-10-28
  • 录用日期:2017-04-13
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