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血小板单采术对自愿献血者血液学指标的影响:一项为期八个月的回顾性数据分析

Effect of plateletpheresis on haematological values in voluntary donors: a retrospective data analysis over an eight-month period.

作者信息

Ahmetović-Karić Gorana, Ćatović-Baralija Elma, Mehić Kenan

机构信息

Department for Hemapheresis with Tissue Bank, Blood Transfusion Institute of the Federation of Bosnia and Herzegovina.

出版信息

Med Glas (Zenica). 2024 Feb 1;21(1):16-22. doi: 10.17392/1690-23.

Abstract

Aim To analyse changes in haematological values after plateletpheresis in donor population with regard to donor safety. Methods A retrospective study was conducted on first time and repeated healthy donors over a period of eight months in the Blood Transfusion Institute in the Federation of Bosnia and Herzegovina in Sarajevo. A total of 75 plateletpheresis procedures performed using Amicus continuous flow cell separator were evaluated. Various pre- and post-donation haematological values were measured in all donors: haemoglobin concentration (Hb), haematocrit (Hct), red blood cell count (RBC), platelet count (PLT), white blood cell count (WBC), mean platelet volume (MPV), mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), and mean corpuscular haemoglobin concentration (MCHC). Results A significant decrease in post-donation Hb, Hct, RBC, PLT, MCHC (p<0.000) and WBC (p=0.003), and a significant increase in MPV (p=0.011) and MCV (p<0.000) was found. Percentage reduction of haematological parameters Hb, Hct, RBC, PLT, WBC and MCHC decrease of 6.6%, 6.5%, 5.9%, 24%, 4.6% and 0.3%, respectively, in their respective count was noted postdonation. Eight (11%) donors had a post-procedure platelet count less than 150x10e9/L. Twenty two donors (29%) experienced mild side effects due to hypocalcaemia. Conclusion Plateletpheresis procedures are generally safe and well tolerated, without evident associated clinical manifestations on healthy donors.

摘要

目的 分析献血人群中血小板单采术后血液学指标的变化,以评估献血者安全性。方法 对波斯尼亚和黑塞哥维那联邦萨拉热窝输血研究所8个月内首次及重复献血的健康献血者进行回顾性研究。共评估了使用Amicus连续流动细胞分离器进行的75次血小板单采程序。测量了所有献血者献血前后的各项血液学指标:血红蛋白浓度(Hb)、血细胞比容(Hct)、红细胞计数(RBC)、血小板计数(PLT)、白细胞计数(WBC)、平均血小板体积(MPV)、平均红细胞体积(MCV)、平均红细胞血红蛋白含量(MCH)和平均红细胞血红蛋白浓度(MCHC)。结果 发现献血后Hb、Hct、RBC、PLT、MCHC(p<0.000)和WBC(p=0.003)显著降低,MPV(p=0.011)和MCV(p<0.000)显著升高。献血后血液学参数Hb、Hct、RBC、PLT、WBC和MCHC的计数分别降低了6.6%、6.5%、5.9%、24%、4.6%和0.3%。8名(11%)献血者术后血小板计数低于150×10⁹/L。22名(29%)献血者因低钙血症出现轻度副作用。结论 血小板单采程序总体安全且耐受性良好,对健康献血者无明显相关临床表现。

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