街头献血与团体献血血液筛查指标对比与分析

目的统计分析南宁市街头献血与团体献血差异,为保障血液安全及制订招募策略提供依据。方法将2016年7月1日至2019年6月30日分为3个时段(2016年7月1日至2017年6月30为A时段,2017年7月1日至2018年6月30日为B时段,2018年7月1日至2019年6月30日为C时段),比较分析3个时段街头献血与团体献血在复检淘汰指标丙氨酸氨基转移酶(ALT)、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒螺旋体(TP)、人获得性免疫缺陷病毒(HIV)等项目的差异。结果2016年7月1日至2019年6月30日,南宁市无偿献血(全血)血液筛查指标淘汰率为1.69%,街头献血和团体献血血液筛查淘汰率为1.54%和1.84%,差异有统计学意义(P<0.05)。ALT和HBV感染是主要的淘汰项目;街头献血和团体献血ALT淘汰率分别为0.21%和0.36%,差异有统计学意义(P<0.05);街头献血和团体献血HBV的淘汰率分别为0.19%和0.21%,差异有统计学意义(P<0.05)。街头献血和团体献血在HCV、TP和HIV淘汰率比较,差异无统计学意义(P>0.05)。结论从血液筛查淘汰率指标评价,南宁市应该大力发展街头无偿献血。

Comparison and analysis of blood screening indexes for street blood donors and group blood donors

Objective To analyze the differences between street blood donors and group blood donors in Nanning and provides a basis for ensuring blood safety and formulating recruitment strategies.Methods Based on three periods from July 1,2016 to June 30,2019(the period from July 1,2016 to June 30,2017 was taken as time A,the period from July 1,2017 to June 30,2018 was taken as time B,and the period from July 1,2018 to June 30,2019 was taken as time C),the differences among ALT,HBV,HCV,TP,HIV and other items during the re-examination of street blood donors and group blood donors were analyzed and compared.Results From July 1,2016 to June 30,2019,the elimination rate of blood donors′(whole blood)blood screening index was 1.69%,while the elimination rate of street blood donors and group blood donors were 1.54%and 1.84%,the difference was statistically significant(P<0.05).The ALT exceeded and HBV infection are the main elimination items.The ALT elimination rate of street blood donors and group blood donors were 0.21%and 0.36%,the difference was statistically significant(P<0.05);the elimination rate of HBV were 0.19%and 0.21%,and the difference was statistically significant(P<0.05).There was no significant difference in the elimination rate of HCV,TP and HIV between street blood donors and group blood donors(P>0.05).Conclusion From the evaluation of blood screening elimination rate indicators,Nanning should vigorously promote street blood donors.