2008～2012年余姚市孕产妇RhD血型调查与干预  

Investigation and intervention Rh D blood type of maternal from 2008 to 2012 year in Yuyao

作　　者：伍华东 钱浓浓 

机构地区：[1]余姚市献血办公室,浙江余姚315400 [2]余姚市妇幼保健所

出　　处：《中国输血杂志》2014年第5期518-519,共2页Chinese Journal of Blood Transfusion

摘　　要：目的调查余姚市孕产妇血型分布情况，为制定RhD阴性孕产妇血液管理干预模式提供参考。方法采用微板快速检测法对2008—2012年余姚市55226名孕产妇RhD抗原初筛，初筛阴性者采用间接抗球蛋白法确认。结果经初筛和确认试验，余姚市孕产妇RhD阴性率为2．91‰（161／55226），在161例RhD阴性中，O型占40．99％（66／161）、A型占22．98％（37／161）、B型占27．95％（45／161）、AB型占8．07（13／161），本地孕产妇占39．13（63／161）、流动人口孕产妇占60．87％（98／161）。自体血备血率：本地Rh阴性孕产妇与流动孕产妇分别为96．1％傩98．5％；自体血输率：本地孕产妇与流动孕产妇分别为34．4％船82．6％（P〈0．01）。结论开展孕产妇RhD血型产前检查有助于有针对性进行宣传教育和心理干预，对母婴安全具有有积极意义。Objective To investigate the blood type distribution of maternal in Yuyao, and provide a reference for formulation the intervention model of Rh negative maternal blood management. Methods It use microplate rapid detection method for screening Rh D antigen of 55 226 people maternal from 2008 to 2012 year in Yuyao, by using indirect anti-globulin method to confirm negative-screening. Results After screening test and confirmation test, the Rh D negative rate of maternal was 2.91‰（ 161 to 55 226）,in 161 cases Rh D negative,there were 40.99% ,22.98% ,27.95% ,8.07% accounted for O,A, B, AB type, respectively, ;the rate of local maternal ,floating population were 40.99% ,60.87%, there was statistically signifi- cant between local maternal and floating population maternal in the rate of autologous blood reinfusion undergoing cesarean, after blood management intervention, there was no statistically significant between two group in the autologous blood preparation rate of confirmed Rh D negative maternal （ P 〉 0. 05 ）. Conclusion It is positive significance for maternal and children safety to carry out maternal Rh D blood type prenatal targeted publicity education and psychological.

关 键 词：孕产妇 RHD血型 筛查 自体输血 输血干预 

分 类 号：R457.1[医药卫生—治疗学] R719.8[医药卫生—临床医学]