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目的了解唐山地区6年来血液检测不合格原因及发展趋势,探讨其规律及对策,最大限度地降低血液报废,节约血液资源。方法用唐山现代管理软件回顾性统计分析本地区2010年1月—2015年12月无偿献血者标本检测结果,主要是针对血液中的谷丙转氨酶(ALT)、乙肝表面抗原(HBsAg)、丙型肝炎病毒(抗-HCV)、抗艾滋病病毒抗体(抗-HIV)、血量不足、梅毒螺旋体抗体。结果本地区无偿献血者血液不合格率8.53%,其中HBsAg、抗-HCV、抗-HIV、梅毒和ALT不合格率分别为0.33%、0.29%、0.01%、0.48%、0.89%,脂肪浆占到5.72%,所占比例最高。2015年抗-HIV阳性率高于其他年份(P0.05),但与2010年的阳性率比较差异无统计学意义(P>0.05)。结论唐山市近5年无偿献血者的血液不合格率2015年最高,2013年最低。应加大卫生保健宣传,降低无偿献血的不合格率。
Objective To understand the causes and trends of unqualified blood tests in Tangshan over the past six years and to explore its rules and countermeasures to minimize blood waste and save blood resources. Methods Retrospective statistical analysis of the modern management software in Tangshan from January 2010 to December 2015 in our country was carried out. The results of blood tests for ALT, HBsAg, Hepatitis virus (anti-HCV), anti-HIV antibody (anti-HIV), hypovolemia, Treponema pallidum antibody. Results The blood unqualified rate of unpaid blood donors in this area was 8.53%. The unqualified rates of HBsAg, anti-HCV, anti-HIV, syphilis and ALT were 0.33%, 0.29%, 0.01%, 0.48% and 0.89% To 5.72%, the highest proportion. The positive rate of anti-HIV in 2015 was higher than that in other years (P <0.05), but there was no significant difference between the positive rate and the year of 2010 (P> 0.05). Conclusion The blood unqualified rate of blood donors in Tangshan City in recent 5 years was the highest in 2015 and the lowest in 2013. Health care publicity should be stepped up to reduce the unqualified rate of blood donation.