巴中市2013—2015年无偿献血血液检测不合格率分析

Bazhong in 2013—2015 Unpaid Blood Donation Blood test not Qualified Rate Analysis

目的将2013—2015年巴中市无偿献血的血液标本5项输血传染性指标检测不合格率进行统计分析,评价无偿献血前初筛检测丙氨酸氨基转移酶(ALT)、乙型肝炎病毒表面抗原(HBs Ag)和梅毒螺旋体抗体(抗-TP)后降低检测不合格率效果,以减少血液报废,节约有限血液资源和降低输血风险。方法在血站管理信息9.0系统对2013年1月—2015年7月巴中市无偿献血血液检测ALT、HBs Ag、抗-TP、丙型肝炎病毒抗体(抗-HCV)、人类免疫缺陷病毒抗原/抗体(HIVAg/Ab)不合格率进行统计分析。结果血液检测总不合格率和ALT、HBs Ag、抗-TP单项检测不合格率逐年下降,且ALT、HBs Ag、抗-TP单项检测不合格率均低于1%以下。结论在无偿献血前进行初筛检测ALT、HBs Ag和抗-TP不但能降低单项检测不合格率,还能降低血液检测总不合格率,既能节约有限血液资源,又降低输血风险。

Objective Will be to 2013 - 2015 bazhong unpaid blood donation 5 infectious indicators to detect blood trans- fusion of blood specimen qualified rate statistical analysis, evaluation of unpaid blood donation before early screening to de- tect alanine aminotransferase （ALT）, and hepatitis b virus surface antigen （HBsAg） and treponema pallidum antibody （anti - TP） after reduction of fraction defective effect, to reduce blood scrap, save the limited resources and reduce blood transfu- sion risk. Methods In blood bank management information system on January 1, 2013 - 9.0 on July 31, 2015, bazhong unpaid blood donation blood test ALT, HBsAg, anti - TP antibody （anti - HCV）, hepatitis c virus, human immunodeficiency virus antigen/antibody （HIVAg/Ab） fraction defective for statistical analysis. Results Total fraction defective blood tests and ALT, HBsAg, anti - TP individual test not qualified rate decline year by year, and ALT, HBsAg, anti-TP single test pass rate below 1%. Conclusion The detection of early before the unpaid blood donation to sieve the ALT, HBsAg and anti - TP can not only reduce the fraction defective item detection, also can reduce the blood test total fraction defective, can not only save blood limited resources, and reduce the risk of blood transfusion.