湖南省1997～2001年临床用血抽检结果分析  

Analysis of results of sample surveys of blood for clinical use in Hunan Province from 1997 to 2001

作　　者：佘鸥[1] 邓军卫[2] 余启华[1] 

机构地区：[1]湖南省临床检验中心,长沙410008 [2]中南大学湘雅第二医院医学实验中心

出　　处：《中华医院管理杂志》2002年第11期659-661,共3页Chinese Journal of Hospital Administration

摘　　要：目的　加强血液质量管理 ,确保临床用血安全 ,有效控制输血传播性疾病 (TTD)的发生。方法　采用随机抽样检测方法 ,对 1 997～ 2 0 0 1年湖南省 1 4个市 (州 )中心血站、基层血站及中心血库等采供血 (浆 )机构已经过复检合格的临床用血 ,按照年用血量 1 0 %的比例 ,对乙型肝炎表面抗原 (HBs Ag)、丙型肝炎抗体 (Anti HCV)、艾滋病抗体 (Anti HIV)、梅毒 (RPR)及丙氨酸氨基转移酶 (ALT) 5项指标进行再次检定。结果　共抽检了 6 2 1 1例血样本 ,总阳性率达 7 89‰。其中送检的阳性率为 7 78‰ ,现场采样抽检的阳性率为 9 35‰。HBsAg阳性率为 2 59‰ ,Anti HCV阳性率为 3 86‰ ,Anti HIV初筛阳性率为 0 64‰ (经WesternBlot试验确认为阴性 ) ,ALT≥ 2 5IU为 0 81‰ ,梅毒检测均为阴性。Objective To strengthen the control of blood quality, ensure the safety of blood for clinical use and effectively contain the occurrence of transfusion transmitted disease. Methods Using the method of random sample survey, appraisal was made once again of the blood for clinical use in the blood stations of 14 cities(regions) of Hunan Province in 1997～2001, blood that had passed reexamination by relevant blood collecting and supplying institutions. The appraisal, conducted in the proportion of 10% of the yearly use of blood, focused on 5 indexes, including HBsAg, Anti HCV, Anti HIV, RPR, and ALT. Results 6 211 blood samples were checked, with the total positive rate being 7.89‰. Among theses, the positive rate of samples sent for testing was 7.78‰, the positive rate of samples collected and tested on the spot was 9.35‰, the positive rate of HBsAg was 2.59‰, the positive rate of Anti HCV was 3.86‰, the positive rate of Anti HIV after primary screening was 0.64‰(ascertained to be negative through Western Blot testing), the rate of ALT≥25 IU was 0.81‰, and the testing of syphilis was all negative. Conclusion Serious problems remain to be solved with regard to the safety of blood for clinical use.

关 键 词：湖南 1997-2001年 临床用血 抽检结果分析 输血传播性疾病 输血管理 

分 类 号：R457[医药卫生—治疗学]