无偿献血者血型鉴定准确率调查分析  

Investigation of Accuracy of Blood Group Examination on Blood Donors

作　　者：何子毅[1] 王德文[1] 叶柱江[1] 钟炽辉[1] 唐斯[1] 邹文涛[1] 李慧敏 刘赴平[1] 

机构地区：[1]东莞市中心血站输血研究室,广东东莞523930 [2]东莞太平人民医院检验科,广东东莞523900

出　　处：《现代检验医学杂志》2010年第1期122-124,共3页Journal of Modern Laboratory Medicine

基　　金：广东省卫生厅科技计划项目（项目编号：B2009273）.

摘　　要：目的调查分析该站连续3年无偿献血者血型鉴定经过初检、复检和确认后的准确率，为东莞地区实现电子交又配血提供必要数据支持。方法收集2006-2008年186069人次无偿献血者的血型检测结果，分析ABO／RhD血型经过初检、复检和确认后发生血型错误的概率扣非技术因素导致错误的频率，比较重复献血者和初次献血者血型鉴定的错误率，文献调查血型初检发生错误的频率范围。结果AB0血型鉴定复检后错误率（0．009％）明显低于初检的错误发生率（0．08％）（P〈0．05），确认试验后发生错误率为0，且明显低于初检和复检（P〈0．05）。重复献血者血型鉴定错误率明显低于初次献血者（P〈0．05）。文献调查AB0、血型初检发生错误的频率范围为0．04％～1．16％。结论血型鉴定经过初检、复检和确认后发生错误的概率为0，重复献血者血型鉴定准确率高于初次献血者，满足电子配血对献血者血型鉴定准确率100％的要求，该地区具备开展电子配血的首要条件。Objective To investigate the accuracy of blood group examination during first examination,second examination and affirmate test on blood donors from 2006 to 2008 years in Dongguan station,and in order to provide necessity data support for implementation electronic cross matching in the future in Dongguan area. Methods The error rate of 186 069 blood donors＇group examination results from 2006 to 2008 years were analyzed retrospectively in every stage during first examination,second examination and affirmate test,and the error rate of blood group examination between the fixation blood donors and first blood donors were analyzed. The error rate range of first examination in literature were investigated also. Results The error rate of second blood group examination were lower than first blood examination obviously（P〈 0.05） ,and the error rate of affirmate test of blood examination were 0,which were all lower than first examination and second examination obviously （P〈0. 05）. The error rate in fixed blood donors were lower than first blood dinors （P〈0. 05）,and the error rate ranger were 0.04% to 1.16% in first blood examination in chinese literature. Conclusion The error rate of blood group examination were 0 during first examination,second examination and affirmate test from 2006 to 2008, The accuracy of blood group examnitaion in fixed blood donors were higher than first blood donors,which are meet to carry out elsctronic cross matching in the future in Dongguan area.

关 键 词：无偿献血者 血型鉴定 准确率 调查分析 

分 类 号：R457.11[医药卫生—治疗学]