Sun Pan, Zhu Liyuan, Ma Li, Li Changqing, Wang Zongkui, Zhang Rong, Ye Shengliang, Wang Ya
Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu 610052, China.
Blood Center of Aba Tibetan and Qiang Autonomous Prefecture, Barkam 624000, China.
Healthcare (Basel). 2023 Jul 5;11(13):1944. doi: 10.3390/healthcare11131944.
The purpose of this paper is to describe blood services in the Aba Tibetan and Qiang Regions, (hereinafter referred to as Aba Prefecture), a region of China's Qinghai-Tibetan Plateau, the third largest area of Tibet and the main inhabited area of the Qiang people. We present a comprehensive investigation into blood donations, donors, screening and supply in the 13 counties of Aba Prefecture based on data from 2013 to 2018. Geography and population were also used to analyze the differences in blood services among different regions. The number of blood donors totaled 19,047. Over the past 6 years, blood donations have increased by 29 and clinical blood usage by 45%. The blood donation rate was 3.4‱ and per capita blood use was 1.04 mL, both of which were significantly lower than the national average, and blood donation decreased with altitude. It should be noted that the donation rate of the Tibetan and Qiang peoples is much lower than that of the Han population. Moreover, the rejection rate of blood in laboratory testing was found to be higher than the national average, especially in counties located at higher altitudes. Blood donations and usage increased every year in Aba Prefecture, but blood shortage is still an important issue. In addition, the prevalence of transfusion-transmitted diseases is relatively high, which may be linked to lower-education and unfavorable geographical and medical conditions.
本文旨在描述中国青藏高原地区阿坝藏族羌族自治州（以下简称阿坝州）的血液服务情况。阿坝州是藏区第三大区域，也是羌族主要聚居地。我们基于2013年至2018年的数据，对阿坝州13个县的献血、献血者、筛查及血液供应情况进行了全面调查。还利用地理和人口数据来分析不同地区血液服务的差异。献血者总数为19,047人。在过去6年里，献血量增长了29%，临床用血量增长了45%。献血率为3.4‱，人均用血量为1.04毫升，均显著低于全国平均水平，且献血量随海拔升高而减少。需要注意的是，藏族和羌族的献血率远低于汉族人口。此外，实验室检测中血液的报废率高于全国平均水平，尤其是在海拔较高的县。阿坝州的献血量和用血量逐年增加，但血液短缺仍是一个重要问题。此外，输血传播疾病的患病率相对较高，这可能与教育程度较低以及不利的地理和医疗条件有关。
