2012～2016年衡阳市无偿献血者血液检测情况调查分析

目的 了解本地区不同人群无偿献血者血液检测情况，为制定招募安全血源、减少血液浪费的策略提供依据。方法 收集无偿献血者197588份标本的检测结果，并对其进行统计分析。结果 血液检测总不合格率呈逐年下降趋势，各项目检测不合格率从高到低排序为ALT＞HBsAg＞抗-HCV=抗-TP＞抗-HIV，不合格率在献血人群的年龄、性别、职业、学历分布差异上均有统计学意义（P＜0.05），其中男性高于女性，25～44岁献血人群高于其他年龄组，农民最高，学生最低。学历越低，检测不合格率越高。结论 重点招募低危献血者，加强献血前征询和快筛，加强ALT和HBsAg献血前初筛质量管理以减低血液检测的不合格率，并保证血液安全。

Investigation analysis of blood test of unpaid blood donors in Hengyang City from 2012 to 2016

Objective To understand the blood test of unpaid blood donors in different populations of the region,and to provide the basis for the strategy of recruiting safe blood source and reducing blood waste.Methods The test results of 197588 samples of unpaid blood donors were collected and analyzed statistically.Results The total unqualified rate of blood test showed a declining trend year by year.The unqualified rate of each item was ALT>HBsAg>anti-HCV=anti-TP>anti-HIV.The unqualified rate was significant different in the age,sex,occupation and educational distribution of blood donors(P<0.05).Among them,the unqualified rate of male was higher than that of female,and the unqualified rate of blood donation group aged 25-44 was higher than that of other age group,with farmer of the highest and the student of the lowest.The lower the degree,the higher the unqualified rate.Conclusion Recruiting the low-risk blood donors mainly,strengthening consultation and fast screening before blood donation,and strengthening screening quality management before blood donation of ALT and HBsAg,to reduce the blood test unqualified rate and ensure blood safety.