济南市2009-2013年街头无偿献血者血液检测结果分析  

Analysis of blood detection results of volunteer blood donors from 2009 to 2013 in Jinan City

作　　者：韩雪莹 陈秀莲 刘正敏 李华 孙秀艳 宋冬华[3] 

机构地区：[1]济南市血液供保中心,济南250001 [2]北京红十字血液中心检验科 [3]山东省肿瘤医院手术室

出　　处：《临床血液学杂志（输血与检验）》2015年第2期322-325,共4页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的：对济南市街头无偿献血者血液检测结果进行回顾性统计分析，以对献血招募，减少血液报废制定策略提供理论支持。方法：对2009—2013年街头无偿献血者血液ALT、HBsAg、抗-HCV、抗-HIV、抗-TP检测结果统计，并分别对不同性别、年龄段群体不合格情况进行统计学分析。结果：共检测街头无偿献血者标本151105例，5项指标检测不合格者5090例，总不合格率3．37％；2009年不合格率最高（4．74％），2013年不合格率最低（2．73％）；各检测项目不合格率由高到低分别为：ALT（1．53％），抗-HCV（0．57％），抗-TP（0．57％），HB-sAg（0．49％），抗-HIV（0．21％）；男性献血群体不合格率（3．86％）高于女性群体（2．45％），两者相比，差异有统计学意义（χ^2=209．708，P〈0．01）；不同年龄段比较，18～30岁不合格率最低（2．91％），其次为31～40岁（3．81％），41～60岁不合格率最高（5．11％），三者相比差异有统计学意义（χ^2=266．395，P〈0．01）。结论：ALT不合格仍然是血液淘汰的主要原因，应加强街头ALT初筛工作，不同群体淘汰原因各有差异，献血员招募过程中对不同群体应采取针对性的措施。Objective：To provide theoretical support for recruitment of blood donors and to reduce blood discard rates by retrospective analysis of blood detection results among volunteer blood donors in Jinan City. Method： Blood detection results of the 5 indicators including ALT, HBsAg, anti-HCV, anti-HIV, anti-TP from blood donors of Jinan during 2009 to 2013 were collected and analyzed, and the positive samples were counted and analyzed by different year, age, sex, etc. Result：Totally 151 105 blood samples were detected during the past five years, among which 5 090 samples were unqualified with a total unqualified rate 3.37%. The unqualified rate of 2009 was the highest（4.74%）, and that of 2013 was the lowest（2.73%）. The unqualified rate of the five indicators from high to low were： ALT（1.53%）, anti-HCV（0.57%）, anti-TP （0.57%）, HBsAg（0.49%） and anti-HIV （0.21%）. The unqualified rate of male group（3.86%） was significantly higher than that of female group （2.45%）, χ^2=209. 708, P（0.01. As to the difference between different age group, the unqualified rate of the 18-30 years group was the lowest（2.91%）, that of 31-40 years group second（3.81%）, and the 41-60 years group had the highest unqualified rate（5.11%）. The difference between them was significant, χ^2 = 266. 395, P〈0.01. Conclusion.. The high ALT unqualified rate took the first place among blood discard reasons. ALT screen measures should be enhanced. We should take targeted actions to different groups because of their different discard factors in our blood donor recruitment work.

关 键 词：无偿献血 血液检测 ALT HBsAg 抗-HCV 抗-HIV 抗-TP 

分 类 号：R457.1[医药卫生—治疗学]