在献血过程中评估出血持续时间和不良捐赠者反应
Caroline Gesu Ngunyi1,2, Michel Noubom3, Jude Eteneneng Enoh1,4
1Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Vox sanguinis
|April 14, 2025
概括
长时间的出血时间是不良捐赠者反应 (ADR) 的重要因素,再穿孔血液瘤是最常见的. 实施数字静脉探测器可以提高献血的安全性和供应.
科学领域:
- 输血医学 输血医学
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 输血服务在满足需求和供应方面面临重大挑战. 献血者的不良反应 (ADR) 是重复献血的主要威因素. 这项研究调查了影响喀麦隆ADRs的因素.
- 了解ADRs的原因对于改善捐赠者保留和确保稳定的血液供应至关重要.
研究的目的:
- 在喀麦隆的一家血液银行评估出血的持续时间和不良捐赠者反应 (ADR) 的发生率.
- 确定对ADRs的诱导因素,并建议干预措施以减轻它们.
主要方法:
- 在喀麦隆巴福萨姆地区医院进行了为期24个月的实验研究.
- 在全血献血者中记录了不良献血反应 (ADR),比较出血时间在10分钟内或超过10分钟的献血者,以及接受咨询和未接受咨询的献血者.
主要成果:
- 总体而言,13.9%的捐赠者经历了副作用,重刺相关的血液瘤是最常见的 (5.95%).
- 血流持续时间超过10分钟的捐赠者,相比于在10分钟内出血的捐赠者 (10.6%) (p=0.0013),对副作用的发生率明显更高 (28.9%).
- 捐赠者咨询对不良反应的发生没有显著影响.
结论:
- 长时间的出血时间被确定为ADRs的新型诱导因素,通常与瘤切除术错误 (如重新穿孔血液瘤) 相关.
- 建议在血液银行采用数字静脉探测器设备,以减少不良捐赠者事件,从而增加献血率并缓解血液供应短缺.
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