芜湖地区无偿献血者归队分析及探讨  

Analysis and Discussion on the Return of Unpaid Blood Donors in Wuhu Area

作　　者：潘洁[1] PAN Jie(Wuhu Central Blood station , Wuhu 241000)

机构地区：[1]安徽省芜湖市中心血站,241000

出　　处：《临床输血与检验》2019年第2期146-149,165,共5页Journal of Clinical Transfusion and Laboratory Medicine

摘　　要：目的探讨反应性献血者归队的方法及可行性,寻求血源流失与血液安全的平衡。方法筛选符合本站归队条件的既往献血者重新采集标本(时间间隔≥6个月),先进行常规ELISA检测及NAT检测,若均无反应性,则送检省血液中心进行确证实验及补充实验。结果 2014年1月～2018年4月共计召回献血者166例,其中63例标本在本站常规检测不合格,不合格项目同既往屏蔽项。103例ELISA检测及NAT检测均无反应性标本送检省血液中心,其中83例确证阴性,可以归队。83例中31例再次献血,13例多次献血。结论目前ELISA检测+NAT实验结合确证实验,很大程度保证血液安全,又使得部分假反应献血者,尤其是灰区及弱阳性的假反应献血者得以再次回归献血者队伍,对促进无偿献血发展有着重大意义。Objective To explore the method and feasibility of returning reactive blood donors and seek the balance between blood loss and blood safety. Methods Screening of previous blood donors who meet the conditions for returning to the site to re-collect specimens (Screening of always eligible for this site back to collect blood donors specimens)(time interval ≥6 months ). Routine ELISA and NAT detection first,if there is no reactivity,the blood will be sent to the provincial blood bank for confirmation experiments and supplementary experiments.(makes the province blood center and added Confirmatory tests). Results From January 2014 to April 2008,a total of 166 recalled blood donors were selected, of which 63 specimens were unqualified in routine testing,and unqualified items were the same as previous screening items.(Dating from January 2014 to April 2018,a total of 166 cases of recalled blood donors were recalled,among which 63 cases of samples failed the routine test of this site,and the unqualified items were the same as the previous shielding items.) 103 cases of non-reactive specimens which detected by ELISA and NAT were sent to the provincial blood center. 83 of them were confirmed to be negative and could return to the team.(All 103 cases of ELISA test and NAT test were sent to the provincial blood center without reactive samples,of which 83 cases were confirmed negative and could be returned to the team.) 31of the 83 people donated blood again and 13 of them donated blood several times.(In 83 case,31 cases were again donate blood and 13 cases were donated multiple times.) Conclusion At present,the ELISA test and the NAT test combined with the confirmatory test could ensure blood safety to a large extent.(the combination of ELISA test and NAT test with confirmatory test ensures the safety of blood to a large extent.)This makes it possible for some of the fake reaction donors,especially the gray area and the weakly positive fake blood donors,to return to the blood donor team again,(It also enables some blood do

关 键 词：反应性献血者 假反应性 献血者归队 确证实验 

分 类 号：R193.2[医药卫生—卫生事业管理]