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西安地区去白悬浮红细胞容量参考区间的确定与分析

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目的 本研究旨在建立本中心去白细胞悬浮红细胞容量内部质量控制标准,以指导成分制备,加强内部质控,提高血液制剂的质量。方法 抽取本中心 2023 年 3-8 月使用 2 个厂家去白细胞型塑料血袋采集的全血1 523袋,分别称取过滤前及过滤后的重量,依据公式及测定的比重计算全血采集量、过滤损耗容量及产品容量。依据数据分布特征确定去白悬浮红细胞容量参考范围,分析全血采集量、过滤损耗容量及产品容量在两个厂家之间的差异。比较近一年去白细胞悬浮红细胞质控容量数据及另抽取的 100 袋去白细胞悬浮红细胞与参考区间的差异,验证参考区间的有效性。结果 样本总体全血采集量中位数为 402。0 mL,过滤损耗容量中位数为 41。4 mL;去白悬浮红细胞容量均数为 322。5 mL,其中使用厂家A去白细胞型塑料血袋的全血采集量(A:中位数 404。4 mL;B:中位数397。7 mL,P<0。01)及去白悬浮红细胞产品容量(A:均值 331。4 mL;B:均值 312。0 mL,P<0。01)均更高,且过滤损耗容量更低(A:中位数 39。5 mL;B:中位数 46。6 mL,P<0。01);去白悬浮红细胞容量数据标准差为 19。6,则去白悬浮红细胞容量参考区间为284。1~360。9 mL。验证样本及质控抽检数据均与区间样本无差异(P>0。05)。结论 根据实际情况,将本中心去白细胞悬浮红细胞的容量标准确定为 284。1~360。9 mL。
Determination and analysis of reference interval of leukocyte-depleted suspended red blood cell volume in Xi'an
Objective To establish the internal quality control standard of leukocyte-depleted suspended red blood cell volume in our center,so as to guide the preparation of components,strengthen the internal quality control and improve the quality of blood preparations.Methods A total of 1 523 bags of whole blood collected using two manufacturers'leukocyte-depleted blood bags from March to August 2023 at our center were extracted.The blood before and after filtration were weighed,and the volume of whole blood collected,the volume of filtration loss and the product volume based on the formula and measured specific gravity were calculated.According to the data distribution characteristics,the reference range of leu-kocyte-depleted suspended red blood cell volume was determined,and the differences of whole blood collection volume,fil-tration loss capacity and product capacity between the two manufacturers were analyzed.The quality control data of leuko-cyte-depleted red blood cells over the past year with the difference between another 100 bags of these cells and the reference interval were compared,and the effectiveness of reference interval was validated.Results The median whole blood collec-tion volume in the sample size was 402.0 mL,with a median filtration loss of 42.4 mL,and an average volume of leukocyte-depleted suspended red blood cells at 322.5 mL.The whole blood collection volume(A:median 404.4 mL;B:median 397.7 mL,P<0.01)and the volume of leukocyte-depleted suspended red blood cell products(A:mean 331.4 mL;B:mean 312.0 mL,P<0.01)using manufacturer A's leukocyte-depleted blood bag were both higher,with a lower filtration loss capacity(A:median 39.5 mL;B:median 46.6 mL,P<0.01).The standard deviation of the volume of leukocyte-depleted suspended red blood cell was 19.6,and the reference interval was 284.1-360.9 mL.The validation samples and quality control sampling data showed no difference from the interval samples(P>0.05).Conclusion According to the actual situation of our center,the volume standard of leukocyte-depleted suspended red blood cells in our center is determined to be 284.1-360.9 mL.

leukocyte-depleted suspended red blood cellrational use of bloodcapacity reference interval

曹鑫、平娜娜、丁谨、彭鹏、刘娜、张彧彤、冯娜

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陕西省血液中心 质管科,陕西 西安 710000

去白细胞悬浮红细胞 合理用血 容量参考区间

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(9)