Investigation on the distribution of Wenzhou area blood donors, group Kidd blood antigens
-
摘要: 目的:调查温州地区献血者Kidd血型人群分布状况,对Kidd血型不配合的输血风险进行评估。方法:随机抽取2013-03-2013-09温州地区献血者的血液标本672名作为研究对象,采用微量板法进行Kidd血型抗原的鉴定,再用血清学方法对可疑的Kidd血型抗原进行确认。结果:672名献血者中,Jka 和Jkb的基因频率分别为0.442 8和0.557 2。Jka和Jkb不配合的机率分别为0.214 1和0.157 6。经χ2检验,Kidd血型的观察值与期望值之间比较差异无统计学意义(P>0.05),Hardy-Weinberg吻合度良好。结论:温州地区献血者Kidd血型抗原分布具有多态性,在临床随机输血中Jka和Jkb不配合的机率合计为0.371 7,应引起高度重视,以保障临床输血安全。Abstract: Objective:To investigate the distribution of Wenzhou area blood donors, Kidd blood group antigens and assess transfusion mismatch risk of Kidd blood group.Method:From March 2013 to September 2013, randomly selecting 672 blood samples from Wenzhou area blood donors identified Kidd blood group antigens by microplate method.Then these suspicious Kidd blood group antigens were confirmed by serological method. Result:In 672 blood donors,the phenotype distribution of Kidd blood group was as following:Jk(a+b+)(47.77%)>Jk(a-b+)(31.84%)>Jk(a+b-)(20.39%),no Jk(a-b-) was found, The gene frequencyes of Jka and Jkb was 0.442 8 and 0.557 2 respectively.The rate of Jka and Jkb mismatches was 0.2141 and 0.1576 respectively.The differerence between the expected and observed values of the Kidd blood group was no statistical significance(P>0.05).Hardy-Weinberg,the goodness of fit test results were good. Conclusion:There is great different distribution among the gene frequencies of Kidd blood group antigens. The rate of Jka and Jkb mismatches in randomized clinical blood transfusion total 0.371 7,Attention should be paid to protect the safety of clinical transfusion.
-
Key words:
- blood donors /
- Kidd blood group /
- antigen /
- distribution
-
-
[1] KIM W D,LEE Y H.A fatal case of severe hemolytic disease of newbom associated with anti-JK (b)[J].J Korean Med Sci, 2006,21:151-154.
[2] VUCELIC D,SAVIC N,DJORD JEVIC R.Delayed hemolytic trans fusion reaction due to anti-Jk (a)[J]. Acta Chir Iugosl, 2005, 52:111-115.
[3] OKAMOTO T,HASHIMOTOM,SAMEJIMA H, et al.Mechanisms responsible for delayed and immediate hemolytic transfusion reactions in a patient with anti-E+Jk (b)+Di (b) and anti-HL.Aalloantibodies[J].Immunopharmacol Immunotoxicol,2004,26:645-652.
[4] 罗惠如,王晋萍,尚丽红,等.多次输血产生免疫性抗-Jka和抗-S引起溶血性输血反应1例[J].中华检验医学杂志,2004,27(1):10-10.
[5] 赵桐茂.人类血型遗传学[M].北京:科学技术出版社,1987:226-353.
[6] FENG M L,LIU D Z,SHEN W,et al.Establishment of an HPA-1 to 16typed platelet donor registry in China[J].Transfusion Medicine,2006,16:369-374.
[7] LOGDBERG L,REID M E,ZELINSKI T.Human blood group genes 2010:chromosomal locations and cloning strategies revisited[J]. Transfus Med Rev,2011,25:36-46.
[8] 姬艳丽,魏玲,王贞,等.广州地区无偿献血者人群中Jk (a-b-)表型筛选及分子遗传学研究[J].中国输血杂志,2012,25(3):216-219.
[9] TANI Y.NAKAKA R.OGAWA H.et al.The rare blood programe in Jappan[J].Chin J Blood Transfasion,2001,14:156-156.
[10] 王晨,陈和平,岳月琪,等.上海地区人群中部分稀有血型筛选[J].检验医学,2007,22(5):583-584.
[11] MENG Y,ZHOU X,LI Y,et al.A novel mutation at the Jk locus causing Jk null phenotype in a Chinese family[J].Sci china C Life Sci,2005,48:636-640.
[12] 洪缨,徐研,王欢,等.成都地区献血人群Jk (a-b-)表型筛查[J].中国输血杂志,2011,24(4):333-334.
[13] MEI LING L,YU HSUAN C,CHIA HUNG H,et al.Anefficient massive screening method of Jk (a-b-) phenotype by automatic bloodgrouping system[J].Vox Sang,2008,95:44-44.
[14] DEELERT S,THIPPAYABOON P,SRIWAI W,et al.Jk (a-b-) phenotypescreening by the urea lysis test in Thai blood donors[J].Blood Transfus,2010,8:17-20.
[15] 吴筱莹,何颖军,林志铭,等. Kidd血型抗原基因定型技术的建立与初步应用[J].广州医学,2011,32(23):3066-3068.
[16] 谭庆芬,孔庆芳,杨珊,等.柳州地区无偿献血者Kidd血型系统的分布调查[J].临床血液学杂志,2013,26(2):111-113.
[17] 宋宁,郑世荣,姚志强,等.四川地区汉族人群Kidd血型系统基因频率调查[J].中国输血杂志,2008,21(12):926-927.
[18] 赵晓明,李志强.上海地区汉族人群9个红细胞血型系统42种稀有血型抗原的基因多态性[J].临床输血与检验,2009,11(4):321-326.
[19] 洪缨,巩天祥,周昌华.等.成都地区献血人群Kell等9个血型系统抗原基因分型研究[J].中国输血杂志,2012,25(8):763-765.
[20] 傅启华,何吉,洪小珍,等.浙江汉族Kidd血型基因分型[J].中国输血杂志,2001,14(4):240-241.
[21] 许德义,彭明喜,董国飞,等. 250例Rh (D)阴性献血者MN、Rh、Kidd、Lewis血型基因频率遗传学多样性分析[J].中国优生与遗传杂志, 2009,17(2):31-33.
[22] 肖瑞卿,杨民,隆晓秋,等.Kidd血型系统Jk (a-b-)血型的调查研究[J].西南国防医药,2011,21(4):457-458.
[23] 周秀荚,迟玉丽,薛鹏,等.抗-Jka抗体合并抗-Mur抗体引起交叉配血不合一例[J].中华检验医学杂志,2010,33(10):985-985.
-
计量
- 文章访问数: 193
- PDF下载数: 178
- 施引文献: 0