2005～2013年贵港市无偿献血者血液检测不合格结果分析

Analysis of unqualified blood from 2005 to 2013 in Guigang,Guangxi

目的了解本市无偿献血者血液检测不合格情况,以便采取有效的控制措施,采集更加安全的无偿献血者血液,减少血液浪费。方法对本市2005～2013年无偿献血者ALT、HBsAg、抗-HCV、抗-HIV、抗-TP的检测结果进行回顾性分析。结果本市2005～2013年5项血液检测不合格率为3.921%,年度不合格率比较差异有统计学意义（P〈0.05）。血液检测5项指标不合格率由高到低依次为ALT（2.336%）＞抗-TP（0.752%）＞HBsAg（0.745%）＞抗-HCV（0.195%）＞抗-HIV（0.070%）。结论加强献血者献血前咨询、排除、献血前的初筛检测和献血后的血液检测是提高血液安全的重要环节。发展低危、固定的无偿献血者是保证充足的血液资源及血液安全的根本。

Objective To study the current situation of unqualified blood via screening tests for blood donations; and to take effective measures to collect more secured blood from voluntary blood donors in order to reduce the rate of blood waste.Methods A retrospective analysis was performed to investigate the blood screening results of ALT,HBsAg,anti-HCV,anti-HIV and anti-TP that collected from blood donations from 2005 to 2013. Results The total fraction defective that counted from 2005 to 2013 was 3. 921%,with significant differences： χ2= 266. 21,P 0. 01. The fraction defective of five blood screening test results ranked from high to low were as follow： ALT（ 2. 336%） anti-TP（ 0. 752%） HBsAg（ 0. 745%） anti-HCV（ 0. 195%） anti-HIV（ 0. 070%）. Conclusion It is an important way to improve blood safety by strengthening the pre-donation consultation,deferral strategy,screening blood pre and after blood donation. Recruitment of low-risk or fixed blood donors is the base of the adequate blood resources to improve blood safety.