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目的:分析全血采集中产生不良反应的诱因,探讨相应对策。方法:收集2011年1月~12月街头献血出现反应者278例,对发生献血反应的原因及预防进行分析。结果:278例献血反应者中,中轻度献血不良反应以精神紧张等心理因素为主要诱因;中度献血不良反应以精神紧张、空腹、疲劳或睡眠不佳等心理生理因素共同作用为主要诱因;重度不良反应以晕针、晕血、植物神经功能紊乱为主要诱因。结论:出现献血反应者多为精神因素所致。血站提供良好温馨的献血环境、医护人员娴熟过硬的穿刺技术、高质量的接待和护理都是预防和降低献血反应的关键环节。
Objective: To analyze the causes of adverse reactions in whole blood collection and to explore the corresponding countermeasures. Methods: A total of 278 responders in the street blood donation from January to December in 2011 were collected. The causes and prevention of blood donation reaction were analyzed. Results: Of the 278 blood donors who responded to the adverse reactions, moderate to severe adverse reactions such as mental stress were the main causes. Adverse reactions to moderate blood donation were mainly caused by psychological factors such as stress, fasting, fatigue or poor sleep ; Severe adverse reactions to faint needle, halo blood, autonomic dysfunction as the main incentive. Conclusion: Most blood donors are caused by mental factors. Blood stations provide a good and warm blood donation environment, skilled medical staff puncture, high quality reception and care are all key steps to prevent and reduce blood donation response.