郑州地区无偿献血者献血前检测不合格原因分析  

Analysis of blood donor pre-donation deferral in Zhengzhou

作　　者：刘敏[1] 司天宁 金新莉[1] 温涛[1] LIU Min;SI Tianning;JIN Xinli;WEN Tao(Henan Provincial Red Cross Blood Center,Zhengzhou 450012,China.)

机构地区：[1]河南省红十字血液中心,河南郑州450012

出　　处：《中国输血杂志》2022年第9期977-979,共3页Chinese Journal of Blood Transfusion

基　　金：河南省医学科技攻关计划项目(RKX202101005)。

摘　　要：目的通过分析2015~2018年全血献血者献血前Hb、ALT、HBsAg、TP检测不合格情况,以期识别低危人群,优化血液筛查,为无偿献血宣传、招募及征询工作提供相关理论依据。方法献血前采取硫酸铜目测法、干化学法和金标法对郑州市无偿献血者进行Hb、ALT、HBsAg、TP检测。结果2015~2018年共登记意愿献全血者685469人次,献血前血液检测总不合格70146人次,占10.2%(70146/685469);其中Hb、ALT、HBsAg、TP检测不合格率分别为1.75%(11996/685469)、7.78%(53329/685469)、0.60%(4113/685469)、0.10%(685/685469)。Hb不合格者中男性占2.5%(17137/685469),女性占97.5%(668332/n);ALT不合格者中男性占85.9%(588818/685469),女性占14.1%(96651/685469)。结论捐献全血者献血前检测以ALT淘汰为主,其次为Hb;Hb不合格率逐年上升,献血前血液检测Hb不合格者以女性为主,ALT不合格者以男性为主。通过采取有针对性的措施,加强无偿献血的宣传教育,规范采供血过程的各类操作,ALT、HBsAg、TP及总不合格率呈逐年下降趋势,减少了不合格血液的产生。Objective To identify low-risk donor population and optimize blood screening,recruitment and consultation strategies via retrospectively analyzing the unqualified results of Hb,ALT,HBsAg,TP before whole blood donation from 2015 to 2018.Methods Pre-donation examinations of Hb,ALT,HBsAg and TP were conducted by copper sulfate method,dry chemical method,and TPPA etc.Results A total of 70146 out of 685469 blood donors in Zhengzhou city from 2015 to 2018 were deferred due to unqualified pre-donation.The unqualified rates of Hb,ALT,HBsAg and TP were 1.75%(11996/685469),7.78%(53329/685469),0.60%(4113/685469)and 0.10%(685/685469),respectively.For Hb deferral,2.5%(17137/685469)were male and 97.5%(668332/685469)female;for ALT deferral,85.9%(588818/685469)male and 14.1%(96651/685469)female.Conclusion The causes of pre-donation deferral in whole blood donors were mainly ALT,then Hb.Hb deferral showed an increasing trend and dominated by female donors,while ALT deferral was dominated by male donors.The overall unqualified rate of ALT,HBsAg and TP,however,are decreasing year by year through taking targeted measures,strengthening the publicity and education of blood donation,standardizing the blood collection and supply process.

关 键 词：献血者 血液检测 丙氨酸氨基转移酶 血红蛋白 

分 类 号：R457.1[医药卫生—治疗学] R446[医药卫生—临床医学]