成分制备过程血液报废的原因分析及预防措施.docVIP

成分制备过程血液报废的原因分析及预防措施 ［摘要］0的针对成分制备过程中导致血压报废 的原因进行分析，并制定相应的预防措施，以降低报 废率。方法针对血站2012年1月?2013年12月成分 制备过程中影响血液报废的因素进行分析，并于2014 年1月?2015年12月实施预防血液报废的应对措施， 比较实施预防措施前后的血液报废发生率。结果 2012?2015年各年影响成分制备过程血液报废的主 要原因为脂肪血，其次为颜色异常、容量不足、破袋 渗血及溶血；以2012年血液报废率1.78%居多，其次 是 2013 年 1.05%，2014 年 0.787。、2015 年 0.72%。实 施干预措施后2014?2015年血液报废率为1.46%，实 施干预措施前的2012?2013年血液报废率为2.76%, 可见实施干预措施后效果较佳，可明显降低血液报废 率，组间比较差异有统计学意义(P ［关键词］成分制备；血液报废；原因；预防 ［中图分类号］R197.6 ［文献标识码］A ［文章编号］ 2095-0616 (2017) 06-187-03 ［Abstract］ Objective To analyze the causes of blood pressure discarding in the process of component preparation, and to formulate corresponding preventive measures to reduce the scrap rate. Methods The factors affecting blood discarding in the process of component preparation in Zhaoqing central blood station from January 2012 to December 2013 were analyzed.Measures to prevent blood discarding were implemented from January 2014 to December 2O15.The incidence of blood rejection before and after the implementation of preventive measures were compared. Results The main causes of blood discarding in the process of influencing ingredient preparation were fat blood, followed by abnormal color, insufficient volume, bleeding and hemolysis in 2012 to 2015.In 2012 the rate of blood loss 1.78% was the most, followed by the year of 2013 was 1.05%，in the year of 2014 was 0.78%，in the year of the year of 2015 was 0.72%.After the implementation of intervention measures, in 2014-2015, blood rejection rate was 1.46%.Before the implementation of intervention measures，in 2012-2013 year，blood rejection rate was 2.76%.It could be seen that the effect of the intervention is better.lt could significantly reduce blood rejection rate，the difference between groups was statistically significant (P 1.1 一般资料 本研究资料均来自于2012年1月?2015年12月 血站所提供的的无偿献血者，年龄20?56岁，依据《献 血者健康检查标准》行体检初筛合格后献血［3］，献血 量200?400mL。材料：热合机、多联袋、无菌接驳机、 离心机、一次性病毒灭或滤器等。 1.2方法 1.2.1研究方法采集全血后需将其置于（4.0±2.0）°C 的低温冰箱中进行保存，依据血液成本制备相关SOP 进行血液分离制备，对血液制备过程中报废血液进行 记录及隔离，行进一步处理。 1.