2010—2012年济南市无偿献血者血液筛查结果分析

Analysis of blood test results among blood donors in Jinan from 2010 to 2012

目的对近3年济南市无偿献血者的血液筛查结果进行分析,探讨降低血液报废率、确保血液安全的方法。方法对2010—2012年济南市无偿献血者血液样本进行ALT、HBsAg、抗-HCV、抗-HIV、抗-TP及NAT等项目的检测。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果血液筛查总阳性率为2.74%,各年阳性率比较差率有统计学意义(χ2=342.12,P<0.05),其中ALT和HBsAg阳性为不合格的最主要原因,NAT阳性占一定比例。结论应继续加强无偿献血的宣传和征询工作,加强采血前对献血员进行ALT和HBsAg初筛,开展采血前抗-TP的初筛工作,减少血液的报废;开展病毒核酸检测,进一步加强血液安全。

Abstract： Objective To analyze the blood test results of blood donors in recent years in Jinan City,find a good method of reducing the waste of blood and ensure the safty of blood. Methods All the samples, collected from 2010 to 2012 were tested with ALT, HBsAg, anti - HCV, anti - syphilis, anti - HIV, and NAT. Enumeration data were analysis with chi - square test, and there were significant differences when P 〈 0.05. Results The general positive rate is 2.74% ,in every year, the positive rates had signticant difference （X2 = 342.12,P 〈 0.05） ,in which, ALT and HBsAg positive are the prima- ry. NAT positive accounts for certain proportion. Conclusions Rapid ALT,HBsAg and TP detection prior to blood collec- tion are suggested. NAT can strengthen blood safety.