摘要
目的探讨绍兴市血液筛查反应性献血者归队情况,分析影响归队成功的因素及归队献血者存在的风险。方法选取2017年10月至2023年10月绍兴市中心血站进入归队检测流程的献血者219人。分析血液筛查反应性献血者归队情况及其归队成功的影响因素,跟踪成功归队献血者后续献血检测情况。结果219人进入归队检测流程的献血者中,成功归队124人,归队成功率56.62%;参加归队的以男性、重复献血者为主(分别为62.56%、81.28%),30~<40岁、核酸反应性、屏蔽时间6~12个月献血者比例最高(分别为37.90%、38.36%、42.01%)。不同性别、年龄、献血次数归队成功率的比较,差异均无统计学意义(P>0.05),ELISA抗原/抗体反应性献血者和核酸反应性献血者、不同屏蔽时间献血者归队成功率的比较,差异均有统计学意义(P<0.05)。124人成功归队者中,有54人(43.55%)再次参加献血,核酸反应性献血者归队成功后再次献血检测呈反应性的比例高于ELISA抗原/抗体反应性献血者(23.53%比2.70%),差异有统计学意义(P<0.05)。结论男性、重复献血者、30~<40岁、核酸反应性、屏蔽时间6~12个月献血者进入归队程序意愿更强,ELISA抗原/抗体反应性献血者归队成功率高于核酸反应性献血者,核酸反应性献血者归队风险较高,需要特别慎重。
Objective To explore the reentry of reactive blood donors in blood screening test in Shaoxing,the factors affecting the success of the reentry and the risks associated with the successful reentry of blood donors were analyzed.Methods A total of 219 blood donors who applied for reentry in Blood Center of Shaoxing from October 2017 to October 2023 were selected.The results of the reentry and the factors affecting the success of the reentry were analyzed,and the screening results of the successful reentry of blood donors were analyzed when they donated again.Results A total of 124 of the 219 blood donors who applied for reentry were successful,and the rate of successful reentry was 56.62%.The main reentry of blood donors were male and repeat blood donors(62.56%and 81.28%respectively),the aged from 30 to 39,reactivity on nucleic acid test and the shielding time from 6 to 12 months were the highest(37.90%,38.36%and 42.01%respectively)in all blood donors who applied for reentry.There was no significant difference in the successful reentry rate among blood donors of different gender,different age and different blood donation times(P>0.05).There were significant difference in the successful reentry rate between antigen/antibody reactive blood donors on ELISA and reactive blood donors on nucleic acid test,and between different shielding time(P<0.05).A total of 54 of the 124 blood donors who were successful reentry(43.55%)donated again,while the proportion of the nucleic acid reactive blood donors who were tested reactive again after successfully reentry was higher than that of ELISA antigen/antibody reactive blood donors(23.53%vs.2.70%),and the difference was statistically significant(P<0.05).Conclusions The blood donors who are male,repeat blood donation,the age between 30 to 39 years old,nucleic acid reactivity,shielding time between 6 to 12 months are more willing to enter the reentry procedure.The successful reentry rate of antigen/antibody reactive blood donors on ELISA is higher than that of on nucleic acid test.The risk of the reentry of reactive blood donors on nucleic acid test is higher,and need to be cautious.
作者
朱守兵
孙建杨
陆盈
Zhu Shoubing;Sun Jianyang;Lu Ying(Department of Quality Management,The Blood Center of Shaoxing,Shaoxing 312000,China;不详)
出处
《北京医学》
CAS
2024年第10期873-877,共5页
Beijing Medical Journal
