国际输血及血液学杂志
國際輸血及血液學雜誌
국제수혈급혈액학잡지
INTERNATIONAL JOURNAL OF BLOOD TRANSFUSION AND HEMATOLOGY
2014年
5期
440-445
,共6页
兰竹%何伟团%谢映明%邓白娟
蘭竹%何偉糰%謝映明%鄧白娟
란죽%하위단%사영명%산백연
血液%质量控制%监测系统%应用
血液%質量控製%鑑測繫統%應用
혈액%질량공제%감측계통%응용
Blood%Quality control%Monitoring systems Application
目的 通过建立全血采集质量监测系统,探索全血采集过程中质量信息的正确收集和分析方法,旨在达到从起始血液就对血液质量进行管理,并将此系统应用于采血工作的指导和改进.方法 选择2013年1月1日至2013年12月31日,于珠海市中心血站采集的19 188袋全血为研究对象.合理设置全自动采血混合仪的工作参数,开发与之匹配的计算机软件.利用网络技术,建立监测系统,并利用所建立的系统获取研究对象收集时间段内所有全血的采集信息,以分析监测系统的工作和初步应用情况.结果 监测系统完整获取并处理19 063袋全血数据,占99.35％(19 063/19 188),其中5 283袋在采集时发生异常情况,包括采集过程中出现流量报警的全血为5 261袋,占27.60％(166/19 063);出现采集过程中断的全血为22袋,占0.12％(22/19 063).采集量不合格的全血为166袋,占0.87％(166/19063),合格全血为18 897袋,占99.13％(18 897/19 063).18 897袋合格全血中,不能用于制备手工血小板为1 289袋,占合格全血袋数的6.82％,不能制备新鲜冰冻血浆的为454袋,占合格全血袋数的2.40％.本组19 063袋全血的采集的平均流量为(71.42±20.91) mL/min,平均流量正常值应≥30.44 mL/min; 400 mL、300 mL、200mL规格全血采集平均流量分别为(77.34±19.44)mL/min、(70.21±20.62)mL/min、(65.38±20.95)mL/min,3个规格的全血采集平均流量比较,差异有统计学意义(F=604.51,P＜0.05);200mL规格全血的平均流量小于300 mL规格和400 mL规格(q=-12.38,-34.17;P＜0.05),300 mL规格全血的平均流量小于400mL规格(q=-19.81,P＜0.05).结论 本研究建立的监测系统运行稳定,具有良好和广泛的应用价值和前景,其应用能够防止不合格全血采集的发生,且为改进实际采血工作提供指导,并为采供血机构提供大量研究数据.
目的 通過建立全血採集質量鑑測繫統,探索全血採集過程中質量信息的正確收集和分析方法,旨在達到從起始血液就對血液質量進行管理,併將此繫統應用于採血工作的指導和改進.方法 選擇2013年1月1日至2013年12月31日,于珠海市中心血站採集的19 188袋全血為研究對象.閤理設置全自動採血混閤儀的工作參數,開髮與之匹配的計算機軟件.利用網絡技術,建立鑑測繫統,併利用所建立的繫統穫取研究對象收集時間段內所有全血的採集信息,以分析鑑測繫統的工作和初步應用情況.結果 鑑測繫統完整穫取併處理19 063袋全血數據,佔99.35％(19 063/19 188),其中5 283袋在採集時髮生異常情況,包括採集過程中齣現流量報警的全血為5 261袋,佔27.60％(166/19 063);齣現採集過程中斷的全血為22袋,佔0.12％(22/19 063).採集量不閤格的全血為166袋,佔0.87％(166/19063),閤格全血為18 897袋,佔99.13％(18 897/19 063).18 897袋閤格全血中,不能用于製備手工血小闆為1 289袋,佔閤格全血袋數的6.82％,不能製備新鮮冰凍血漿的為454袋,佔閤格全血袋數的2.40％.本組19 063袋全血的採集的平均流量為(71.42±20.91) mL/min,平均流量正常值應≥30.44 mL/min; 400 mL、300 mL、200mL規格全血採集平均流量分彆為(77.34±19.44)mL/min、(70.21±20.62)mL/min、(65.38±20.95)mL/min,3箇規格的全血採集平均流量比較,差異有統計學意義(F=604.51,P＜0.05);200mL規格全血的平均流量小于300 mL規格和400 mL規格(q=-12.38,-34.17;P＜0.05),300 mL規格全血的平均流量小于400mL規格(q=-19.81,P＜0.05).結論 本研究建立的鑑測繫統運行穩定,具有良好和廣汎的應用價值和前景,其應用能夠防止不閤格全血採集的髮生,且為改進實際採血工作提供指導,併為採供血機構提供大量研究數據.
목적 통과건립전혈채집질량감측계통,탐색전혈채집과정중질량신식적정학수집화분석방법,지재체도종기시혈액취대혈액질량진행관리,병장차계통응용우채혈공작적지도화개진.방법 선택2013년1월1일지2013년12월31일,우주해시중심혈참채집적19 188대전혈위연구대상.합리설치전자동채혈혼합의적공작삼수,개발여지필배적계산궤연건.이용망락기술,건립감측계통,병이용소건립적계통획취연구대상수집시간단내소유전혈적채집신식,이분석감측계통적공작화초보응용정황.결과 감측계통완정획취병처리19 063대전혈수거,점99.35％(19 063/19 188),기중5 283대재채집시발생이상정황,포괄채집과정중출현류량보경적전혈위5 261대,점27.60％(166/19 063);출현채집과정중단적전혈위22대,점0.12％(22/19 063).채집량불합격적전혈위166대,점0.87％(166/19063),합격전혈위18 897대,점99.13％(18 897/19 063).18 897대합격전혈중,불능용우제비수공혈소판위1 289대,점합격전혈대수적6.82％,불능제비신선빙동혈장적위454대,점합격전혈대수적2.40％.본조19 063대전혈적채집적평균류량위(71.42±20.91) mL/min,평균류량정상치응≥30.44 mL/min; 400 mL、300 mL、200mL규격전혈채집평균류량분별위(77.34±19.44)mL/min、(70.21±20.62)mL/min、(65.38±20.95)mL/min,3개규격적전혈채집평균류량비교,차이유통계학의의(F=604.51,P＜0.05);200mL규격전혈적평균류량소우300 mL규격화400 mL규격(q=-12.38,-34.17;P＜0.05),300 mL규격전혈적평균류량소우400mL규격(q=-19.81,P＜0.05).결론 본연구건립적감측계통운행은정,구유량호화엄범적응용개치화전경,기응용능구방지불합격전혈채집적발생,차위개진실제채혈공작제공지도,병위채공혈궤구제공대량연구수거.
Objective To explore the proper way of collection and analysis of quality information in whole blood collecting process,by establishing the quality-monitoring system,in order to manage the blood quality from the initial blood and to guide and improve the blood-collecting.Methods From January 1st,2013 to December 31st,2013,a total of 19 188 bags whole blood collected in Zhuhai Central Blood Bank were collected as study objects.Reasonable work parameters of automatic blood-collecting mixer were set up and computer software which matched the parameters was developed.To establish the monitoring system as well as to access all the whole blood collecting information in the period of study objects collection,in order to analyze the preliminary application results and work conditions of the monitoring system by using the network technology.Results The data of 19 063 bags whole blood were obtained and processed,accounting for 99.35％.5 283 bags occurred abnormal situations in whole blood collecting process,including 5 261 bags with flow alarm,accounting for 27.6％; and 22 bags with blood sampling interrupt,accounting for 0.12％.The whole blood with inappropriate amount of blood collected were 166 bags,accounting for 0.87％,and appropriate amount of blood collected were 18 897 bags,accounting for 99.13％,of which 1 258 bags cannot be used to prepare hand-made platelet,accounting for 6.82％,and 454 bags cannot be used to prepare fresh frozen plasma,accounting for 2.40％.The average flow of all the 19 063 bags whole blood collecting was (71.42±20.91) mL/min.The normal value of average flow should be equal to or more than 30.44 mL/min.The average flow of 400 mL,300 mL and 200 mL whole blood were (77.34±19.44) mL/min,(70.21 ± 20.62) mL/min and (65.38 ± 20.95) mL/min,respectively.There was significant statistical difference of average flow of whole blood collecting among these 3 packaging sizes (F=604.51,P＜0.05).Average flow of whole blood collecting in 200 mL packaging size was less than that in 300 mL and 400 mL packaging size (q=-12.38,-34.17;P＜0.05).Average flow of whole blood collecting in 300 mL packaging size was less than that in 400 mL packaging size (q=-19.81,P＜0.05).Conclusions The monitoring system we established is smoothly operated with good outlook and extensive application value.Its application could not only prevent substandard blood collecting from occurring,but also provide guidance for improving work and a lot of study data for blood-collecting institutions.
