CAJ | 학술논문

目的：分析安阳地区首次无偿献血志愿者与互助献血者的血液检验结果，以提高临床对不同类型献血者特点的认知，提高输血安全性。方法选取2013年1～12月安阳地区31363例首次无偿献血志愿者（首次献血组）及1046例互助献血者（对照组），比较血液检测情况，并分析影响献血者血液质量的相关因素。结果首次献血组不合格1160例，不合格率为3．70％；对照组不合格17例，不合格率为1．62％；两组不合格率比较差异有统计学意义（ P＜0．05）。不合格血液检验结果比较显示，首次献血组中不合格献血者丙氨酸氨基转移酶（ALT）、丙型肝炎病毒抗体（抗‐HCV）、人类免疫缺陷病毒抗体（抗‐HIV）、乙型肝炎病毒表面抗原（HBsAg）及梅毒阳性的构成比分别为37．67％、12．59％、8．79％、31．38％、9．57％，而在互助组中分别为29．41％、17．65％、5．88％、35．30％、11．76％，且两组ALT 阳性献血者构成比比较差异有统计学意义（ P＜0．05）。两组不合格献血者性别、年龄、工种分布上比较差异均有统计学意义（P＜0．05）。结论首次无偿献血志愿者血液检验不合格发生率较高，需要加强输血前的筛查和管理，以保证输血安全。
목적：분석안양지구수차무상헌혈지원자여호조헌혈자적혈액검험결과，이제고림상대불동류형헌혈자특점적인지，제고수혈안전성。방법선취2013년1～12월안양지구31363례수차무상헌혈지원자（수차헌혈조）급1046례호조헌혈자（대조조），비교혈액검측정황，병분석영향헌혈자혈액질량적상관인소。결과수차헌혈조불합격1160례，불합격솔위3．70％；대조조불합격17례，불합격솔위1．62％；량조불합격솔비교차이유통계학의의（ P＜0．05）。불합격혈액검험결과비교현시，수차헌혈조중불합격헌혈자병안산안기전이매（ALT）、병형간염병독항체（항‐HCV）、인류면역결함병독항체（항‐HIV）、을형간염병독표면항원（HBsAg）급매독양성적구성비분별위37．67％、12．59％、8．79％、31．38％、9．57％，이재호조조중분별위29．41％、17．65％、5．88％、35．30％、11．76％，차량조ALT 양성헌혈자구성비비교차이유통계학의의（ P＜0．05）。량조불합격헌혈자성별、년령、공충분포상비교차이균유통계학의의（P＜0．05）。결론수차무상헌혈지원자혈액검험불합격발생솔교고，수요가강수혈전적사사화관리，이보증수혈안전。
Objective To analyze results of blood test for first‐time blood donation volunteers and mutual‐aid blood donors in Anyang area ,in order to improve cognition of characteristics of different blood donors and safety of blood transfusion .Methods A total of 31 363 cases of first‐time blood donation volunteers(first‐time blood donation group) and 1 046 cases of mutual‐aid blood donors(control group) from January to December 2013 in Anyang area were collected .The results of blood tests were compared and related factors affected qualities of blood were analysed .Results A total of 1 160 cases of donors in the first‐time blood donation group were failed to pass the blood test and the unqualified rate was 3 .70% ,in the control group 17 cases of donors failed to pass the blood test and the unqualified rate was 1 .62% ;the difference was statistically significant (P<0 .05) .The test results of unqual‐ified blood samples shown that in the first‐time blood donation group the constituent ratios of alanine aminotransferase(ALT) ,anti‐body to hepatitis C virus(anti‐HCV) ,antibody to human immunodeficiency virus(anti‐HIV) ,hepatitis B surface antigen(HBsAg) and syphilis positive blood donors were 37 .67% ,12 .59% ,8 .79% ,31 .38% and 9 .57% respectively ,and those in the control group were 29 .41% ,17 .65% ,5 .88% ,35 .30% and 11 .76% respectively .The constituent ratio of ALT positive blood donors between the two groups had statistically significant difference(P<0 .05) .There were statistically significant differences in gender ,age and occu‐pations between unqualified blood donors in the two groups(P<0 .05) .Conclusion The first‐time blood donation volunteers might have relatively higher unqualified rate in blood test ,it is necessary to enhance blood screening and management before transfusion , in order to ensure safety of blood transfusion .