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Effects of oral calcium dosage and time on sodium citrate response during platelet collection from blood donors |
LIANG Lihua CHEN Chaohong CHEN Cunyi LIANG Jiezhen LIAO Junyan LIANG Ting LIANG Weiying |
Zhaoqing Central Blood Station, Guangdong Province, Zhaoqing 526020, China |
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Abstract Objective To investigate the effect of oral calcium time and dose on sodium citrate reaction during platelet collection by blood donors. Methods A total of 400 blood donors who participated in platelet donation from April 2020 to March 2021 in Zhaoqing were selected as the research objects, they were divided into A, B, C, D group by random number table method, with 100 cases in each group. Group A was the control group, no intervention measures were taken before and during collection. Group B took 20 ml calcium orally 30 min before collection. In group C, 20 ml calcium was taken orally 10 min before collection. In group D, 20 ml calcium was taken orally 10 min before blood collection, 10 ml calcium was added in the middle of collection and 10 min before the end of collection. The incidence of sodium citrate reaction in four groups were observed until the end of collection. The effects of different oral calcium time and dose on the response of blood donors to sodium citrate were compared. Results There was significant difference in the incidence of sodium citrate reaction among the four groups, and the difference was statistically significant (P<0.001). The incidence of sodium citrate reaction in group A and group B was higher than that in group D, the differences were statistically significant (χ2=19.198, P<0.001; χ2=10.288, P=0.001). There were no significant differences in the incidence of sodium citrate reaction between group A and group B, between group A and group C, between group B and group C, and between group C and group D (χ2=1.754, P=0.185; χ2=5.570, P=0.018; χ2=1.276, P=0.259; χ2=4.712, P=0.030). Conclusion Taking blood 10 min after taking 20 ml of calcium, and taking 10 ml of calcium in the middle of collection and 10 min before the end of blood collection can effectively reduce sodium citrate reaction.
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[1] |
张燕林.单采血小板献血者枸橼酸盐反应分析及对策[J].中国实用医药,2013,8(33):258-259.
|
[2] |
安宝文,何家田,李加恒,等.2012年国产葡萄糖酸钙口服溶液评价性抽验结果与质量评价[J].医药导报,2015,34(3):395-399.
|
[3] |
邓云芳,符雪丽,黄彦.葡萄糖酸钙对枸橼酸钠中毒反应的效果分析[J].广州医科大学学报,2017,45(5):60-62.
|
[4] |
顾瑞芳,孙霄芳.口服葡萄糖酸钙预防机采血小板致枸橼酸钠中毒的效果观察[J].中国输血杂志,2001,4(1):33-34.
|
[5] |
周远,徐星星.机采口服葡萄糖酸钙给药时间探讨[C]//.中国输血协会第九届输血大会论文专辑,2018:173-174.
|
[6] |
孙琼芝.单采血小板献血不良反应调查[J].临床输血与检验,2014,16(4):427-428.
|
[7] |
于晓燕,周倩.单采血小板后机体血细胞、血浆蛋白及电解质水平变化的研究进展[J].临床输血与检验,2016,18(6):611-613.
|
[8] |
中华人民共和国卫生部,中国国家标准化管理委员会.献血者健康检查要求(GB 18467-2011)[S].中华人民共和国国家标准,2011.
|
[9] |
张军,周倩.2017—2019年北京地区移动单采血小板数据分析[J].中国输血杂志,2020,33(10):1090-1092.
|
[10] |
屈璐,冯飞.对2016~2018年海南省内无偿献血现状的调查分析[J].当代医药论丛,2019,17(15):41-43.
|
[11] |
杨京娟.献血者机采血小板中发生抗凝剂过敏反应的原因探析[J].西南国防医药,2015,25(10):1075-1078.
|
[12] |
杨俊鸿,黄霞,何涛,等.献血不良反应监测进展[J].临床输血与检验,2020,22(5):556-560.
|
[13] |
曾仁钦.献血不良反应原因分析及预防对策[J].中国医药科学,2020,10(12):185-187.
|
[14] |
许少英.2012-2017年广东省无偿献血者分布情况分析[J].热带医学杂志,2019,19(8):1062-1064.
|
[15] |
李庆凤,张微,钟思程.葡萄糖酸钙在机采血小板过程的应用及对预防枸橼酸钠中毒反应发生的影响[J].山西医药杂志,2020,49(8):958-961.
|
[16] |
师玉红.探讨口服钙剂预防枸橼酸钠反应的最佳服用时间[J].中国现代药物应用,2013,7(23):239-240.
|
|
|
|