海南地区无偿献血者血液筛查不合格情况分析

发布时间：2018-02-24 02:48

本文关键词： 不合格献血人群血液筛查海南地区　出处：《海南医学》2017年06期 　论文类型：期刊论文

【摘要】：目的了解海南地区无偿献血者血液筛查不合格分布情况,探索其规律,为制定无偿献血招募策略提供依据。方法收集海南地区2011-2015年丙氨酸转氨酶(ALT)、乙肝表面抗原(HbsAg)、丙肝抗体(抗-HCV)、梅毒、人类免疫缺陷病毒抗体(抗-HIV)五项血液筛查结果数据,统计分析血液筛查不合格率及其在不同人群中的分布情况。结果 2011-2015年海南地区无偿献血者血液筛查总不合格率为4.45%;五项血液筛查不合格率由高到低依次为ALT(1.62%)HbsAg(1.29%)梅毒(0.82%)抗-HCV(0.44%)抗-HIV(0.27%);不合格率在性别、年龄、文化程度、职业和献血类型分布上差异均有统计学意义(P0.05);ALT、HbsAg和梅毒三项不合格率在性别、年龄、文化程度、职业和献血类型分布上差异均有统计学意义(P0.05);抗-HCV项目不合格率除性别外,在年龄、文化程度、职业和献血类型分布上差异有统计学意义(P0.05);抗-HIV项目不合格率在性别、年龄分布上差异有统计学意义(P0.05),但在文化程度、职业和献血类型分布上差异无统计学意义(P0.05)。结论本地区ALT和HbsAg是血液筛查不合格的最主要因素,加强ALT和HbsAg献血前初筛质量管理是降低血液筛查不合格率、保证血液安全的有效手段。
[Abstract]:Objective to investigate the distribution of blood screening substandard in free blood donors in Hainan, and to explore its regularity. Methods five blood screening results were collected in Hainan from 2011 to 2015, including alanine aminotransferase (alt), hepatitis B surface antigen (HBs), hepatitis C antibody (anti-HCV, syphilis, human immunodeficiency virus antibody (anti-HIV)). Results the total unqualified rate of blood screening of free blood donors in Hainan area from 2011 to 2015 was 4.45; the unqualified rate of five blood screening items from high to low was alt 1.62HbsAg1.29). Anti- HCV0.44) Anti--HIV-0.27%; the rate of nonconformity is in the sex, There were significant differences in the distribution of age, education, occupation and blood donation type. There were three unqualified rates of HbsAg and syphilis in sex, age and education. There were significant differences in the distribution of blood donation type and occupation (P 0.05), the unqualified rate of anti-HCV project was significantly different in age, education, occupation and blood donation type except gender, and the unqualified rate of anti-HIV project was significant in sex. There was significant difference in age distribution (P 0.05), but there was no significant difference in education level, occupation and blood donation type distribution. Conclusion ALT and HbsAg are the main factors of blood screening failure. Strengthening the quality management of primary screening before blood donation by ALT and HbsAg is an effective means to reduce the unqualified rate of blood screening and ensure blood safety.
【作者单位】：海南省血液中心临床输血研究室;
【分类号】：R446.6;R193.3

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