2019年-2021年焦作地区无偿献血人员ALT检测不合格率分析  

Analysis of unqualified rate of ALT test among unpaid blood donors in Jiaozuo area from 2019 to 2021

作　　者：张卓新 韩惠云[1] 来祝檩[1] 张志超 Zhang Zhuoxin;Han Huiyun;Lai Zhulin;Zhang Zhichao(Department of Laboratory Medicine,Jiaozuo Central Blood Stat ion,Jiaozuo,Henan 454000;Department of Laboratory Medicine,Zhoukou Center for Disease Control and Prevention,Zhoukou,Henan 466000)

机构地区：[1]河南省焦作市中心血站,河南焦作454000 [2]河南省周口市疾病预防控制中心,河南周口466000

出　　处：《首都食品与医药》2021年第22期89-91,共3页Capital Food Medicine

基　　金：河南省医学科技攻关项目(项目编号:201900210);课题名称:化学发光酶免疫分析法与酶联免疫吸附法检测乙肝病毒标志物比较。

摘　　要：目的探究2019年-2021年焦作地区血站检验无偿献血人员丙氨酸氨基转移酶(ALT)检测不合格率的原因。方法对2019年-2021年焦作地区血站检测出ALT不合格的121例无偿献血人员展开回顾性分析,探讨ALT检测不合格的原因。结果经过比较分析发现ALT升高发生率男性(98例)大于女性(23例),其中男性不合格率为80.99%,女性不合格率为19.01%,18-25岁的不合格占33.06%,26-35岁不合格占42.98%,36-45岁不合格占17.36%,46-55岁不合格占6.60%,秋季ALT不合格率(38.02%)>夏季(22.31%)>冬季(21.49%)>春季(18.18%),ALT不合格人群肝炎指标阳性率(5.79%)显著比ALT检测合格人群(0.11%)高(P<0.05).结论对2019年-2021年焦作地区血站检验无偿献血人员ALT检测不合格率进行回顾性研究发现,夏秋季节丝26-35岁的男性无偿献血人员ALT检测不合格率最高,因此要加强对ALT不合格献血人群的追踪调查、献血宣传,并不断扩大及持续保留固定献血者队伍.通过多种渠道积极宣传献血前注意事项、有效征询及血液初筛对降低血液检测不合格率有重要意义,对降低血液资源浪费及保障血液安全同样意义重大。Objective To explore the reasons for the unqualified rate of alanine aminotransferase(ALT)test for unpaid blood donors in Jiaozuo area from 2019 to 2021.Methods A retrospective analysis of 121 unpaid blood donors whose ALT was unqualified in the blood station of Jiaozuo area from 2019 to 2021 was carried out to explore the reasons for the unqualified ALT test.Results After comparative analysis,the incidence of elevated ALT in men(98 cases)was greater than that in women(23 cases).Among them,the unqualified rate was 80.99% for males,19.01% for females,and 33.06% for 18-25 year-old.42.98% are unqualified aged 26-35,17.36% are unqualified aged 36-45,6.60%are unqualified aged 46-55,ALT unqualified rate in autumn(38.02%)>summer(22.31%)>winter(21.49%)>spring(18.18%),the positive rate of hepatitis indicators in the ALT unqualified population(5.79%)was significantly higher than that of the ALT qualified population(0.11%)(P<0.05).Conclusion A retrospective study on the unqualified rate of ALT test for unpaid blood donors in Jiaozuo area from 2019 to 2021 found that male unpaid blood donors aged 26 to 35 in the summer and autumn season have the highest unqualified rate for ALT test,strengthen the unqualified ALT test The follow-up investigation and blood donation publicity of blood donors should continue to expand and continue to retain a fixed team of blood donors.Actively promoting the precautions before blood donation,effective consultation and preliminary blood screening through multiple channels are of great significance to reducing the rate of unqualified blood tests,as well as to reducing the waste of blood resources and ensuring blood safety.

关 键 词：丙氨酸氨基转移酶 焦作地区 无偿献血人员 血站 不合格 

分 类 号：R446.112[医药卫生—诊断学]