摘要
目的分析影响部队团体献血ABO血型初筛检测错误的原因,提出改进措施,提高准确性。方法采用回顾性调查的方法,对本血站2006年1月-2015年12月部队团体献血482批次68 074人次ABO血型初筛错误进行统计,采用SPSS统计软件对相关因素进行分析。结果 10年ABO血型初筛检测错误272人次(0.40%),与不同批次采血人数分级比较无差异(P>0.05);夏季ABO血型初筛的错误率(0.54%)高于其它季节(P<0.05);B抗原漏检所致误判率(34.95%)高于其它原因。结论部队团体献血人数的增加与ABO血型初筛错误率无关,影响因素主要为试剂效价、环境温度及人为因素。组织团体献血应合理安排工作流程,严格操作规范、加强人员责任心,最大限度的降低血型初筛错误率。
Objective To analyze the reasons for false detection in the initial ABO blood type screening during the group army donation and to offer some improvement measures to lower the error rate.Methods A retrospective study was conducted on ABO blood type screening data from a total of 68 074 whole blood donations from 482 army blood donation groups, from January 2006 to December 2015 in Zhangzhou Blood Station of PLA. These data were analyzed by SPSS.Results For ten years, the number of error in initial screening of ABO blood type was 272 （0.40%）. There was no differences in the rates of error among different blood donation groups （P〉 0. 05 ）. The error rate of ABO blood type during summer （ 0. 54% ） was higher than other seasons （ P〈0. 05）. The error rate induced by the lack of detection of B antigen （ 34. 95%） was higher than other reasons, resulting in the wrong judgment of the blood type.Conclusion The results show no associa- tion between the increasing population of the army blood donation groups and the rate of errors in ABO blood type during ini- tial screening. The main factors are the titer of reagent, the environment temperature and anthropic factors. To minimize errors during the procedure of blood donation groups, possible improvements, including arranging the work flow reasonably, standardizing the operation process and strengthening the responsibility of the staff, should be taken into account.
作者
罗火桔
王凌峰
罗舒婷
LUO Huoju WANG Lingfeng LUO Shuting(Blood Transfusion Department of The 175th Hospital of PIA/ Dongnan Hospital of Xiamen University, Zhangzhou 363000, China)
出处
《中国输血杂志》
北大核心
2017年第5期521-522,共2页
Chinese Journal of Blood Transfusion
关键词
团体献血
无偿献血
血型
初筛检测
错误率
blood donation group
voluntary blood donation
ABO blood type
initial screening
error rate
