• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2021, Vol. 23 ›› Issue (3): 332-336.DOI: 10.3969/j.issn.1671-2587.2021.03.010

• 调查研究 • 上一篇    下一篇

多次单采血小板对献血者血常规等指标的影响*

陈兰兰, 张燕华, 车进, 张嘉洪, 麻静敏, 李凤   

  1. 101100 北京市通州区中心血站
  • 收稿日期:2020-03-03 出版日期:2021-06-20 发布日期:2021-06-22
  • 通讯作者: 张燕华,女,主任技师,主要从事输血相关研究,(Tel)010-89525257(E-mail)wzl040616@163.com。
  • 作者简介:陈兰兰(1988-),女,河南信阳人,主管技师,硕士,主要从事血液安全及质量控制方面研究,(Tel)010-89525257。
  • 基金资助:
    *本课题受北京市通州区“两高”人才工程专项基金(No.2017B0400247)资助

Analysis on Blood Routine Indicators and Others in Frequent Platelet Apheresis Donors

CHEN Lan-lan, ZHANG Yan-hua, CHE Jin, et al   

  1. Tongzhou Blood Station, Beijing, 101100
  • Received:2020-03-03 Online:2021-06-20 Published:2021-06-22

摘要: 目的 探讨12个月内多次捐献单采血小板对献血者部分血常规指标及血小板相关因子的影响。方法 将12个月内捐献单采血小板≥20次的献血者60例作为研究组,以初次捐献单采血小板献血者28例作为对照组,收集献血者献血前血红蛋白(HGB)、红细胞比容(HCT)、血小板计数(PLT)、 累计献血次数等数据,并进行分析研究。利用酶联免疫吸附试验,检测两组献血者献血前血浆中血小板生成素(TPO)、血小板活化因子(PAF)、血管性血友病因子(vWF)、β-血小板球蛋白(β-TG)、血小板第4因子(PF4)的血小板生成及活化相关因子的水平,并做统计学分析。结果 研究组献血者平均年龄高于对照组(P<0.05),但其初次献血年龄与对照组相比无统计学差异(P>0.05)。通过协方差分析发现,不同年龄的献血者一年捐献20次以上的单采血小板,其外周血HGB、HCT、PLT等血常规指标变化无显著差异。不同累计献血次数的献血者一年捐献20次以上的单采血小板,其外周血PLT无显著差异(P=0.142),累计献血次数51~100次的献血组HCT、PLT高于另外两组(P=0.033,P=0.023)。不同年龄和不同累计献血次数对献血者血浆TPO、PAF、vWF、β-TG、PF4无显著影响(P>0.05)。结论 多次捐献单采血小板对献血者外周血血红蛋白、红细胞比容、血小板计数无明显影响,年龄及献血次数对血小板相关因子无明显影响。

关键词: 献血者, 单采血小板, 血常规, 血小板生成素

Abstract: Objective To investigate the effect of multiple apheresis platelet donation on some blood routine indicators and platelet correlation factors in plasma. Methods Sixty cases of multiple apheresis platelets donors who have donated platelets twenty times or more per year were listed as study group. 28 cases of first-time apheresis platelet donors were listed as control group. Before donating apheresis platelet, hemoglobin (HGB), hematocrit (HCT), platelet counts (PLT), cumulative number of blood donations were collected and analyzed. The level of thrombopoietin (TPO), platelet activation factor (PAF), von Willebrand factor (vWF), β-thromboglobulin (β-TG), platlet factor 4 (PF4) in plasma of two groups of blood donors before donation were measured by ELISA. Then those data were analyzed statistically. Results The mean age of the blood donors in study group was higher than that of the control group (P<0.05). By covariance analysis, we found that donors of different ages donated apheresis platelet 20 times or more per year, their peripheral blood HGB, HCT, PLT had no significant difference. Donors with different cumulative donation times donate 20 times or more per year, their peripheral blood PLT was no significant difference (P=0.142), but the donors with cumulative number of 51~100 times blood donation had higher HCT3, PLT3 than the other two groups (P=0.033, P=0.023). Different age and the cumulative number of blood donation had no significant influence in TPO, PAF, vWF, β-TG and PF4 (P>0.05). Conclusions Multiple apheresis platelets donations had no significant impact on peripheral HGB, HCT, and PLT. Also there was no obvious influence in platelet related factors.

Key words: Blood donors, Apheresis platelets, Blood routine, Thrombopoietin

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