六安地区不同无偿献血人群血液检测结果的比较分析

Contrast and Analysis of Blood Tests on Different Voluntary Blood Donors in Lu’an City

目的分析无偿献血者4项检验指标结果,寻求确保血液安全的对策。方法对六安2007～2009年市区与采血点无偿献血者的血液检测结果进行统计分析。结果 3年比较,市区与采血点HBsAg差异有统计学意义,抗-HCV、抗-HIV、梅毒阳性率差异无统计学意义,总体呈上升趋势。其中梅毒阳性率远高于发达城市和周边城市,值得考虑献血前的筛查。结论为确保血液安全,减少血液资源浪费,除严格按照操作规程进行检测,选择较好的试验方法和试剂,提高检测的特异性和灵敏度,确保检测的准确性外,还应认真做好献血前的健康征询工作,加强献血前的宣传教育,吸引更多健康的人参加到无偿献血的行列,不断壮大献血队伍。逐步建立一支固定献血者队伍,实现真正的无偿自愿献血,才能更好地保护用血者、献血者和血站工作人员的安全。

Objective To explore the method to ensure blood safety by analyzing the status of four infection indices for unpaid blood donation.Methods The blood test results of unpaid blood donators in Lu’an from 2007 to 2009 were retrospectively analyzed with statistical methods.Results During the past three years,the positive rate of four infection indices for unpaid blood donation had a ascend trend.The statistical difference was found in the positive rate of HBsAg,but not in Anti-HCV,Anti-HIV and TP,between blood samples from the urban district and from other blood donation stations.The positive rate of infection of TP was much higher than that of developed cities and the surrounding areas,and a serious screening test before donation was needed.Conclusion The strict standard testing methods and scientific assessment system can improve the accuracy of tests and ensure the blood safety.The consulting service and health education for voluntary blood donors is also necessary for safe blood supply.