Analysis of the detection of irregular antibodies in blood donors in Changzhou area from 2015 to 2018
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摘要: 目的:研究2015—2018年常州地区不规则抗体的检出情况。方法:对2015—2018常州地区无偿献血者标本进行ABO和Rh(D)血型的检测,采用盐水介质法将ABO正反定型不符、O细胞有反应和Rh(D)初筛阴性的标本送输血研究室确认,输血研究室对送检的标本进行不规则抗体筛查鉴定。结果:244 770例献血者血液样本中共检出145例ABO正反定型不符和O细胞有反应标本,经输血研究室确认不规则抗体127例,阳性率0.052%;833例Rh(D)筛查阴性标本,其中Rh(D)阴性标本的不规则抗体数为11例,阳性率0.004%。不规则抗体中以MNS血型系统为主,其中抗-M抗体占抗体总数的47.1%。结论:对无偿献血者进行不规则抗体的筛查鉴定对降低输血不良反应,保障临床用血安全具有重要意义。Abstract: Objective:To study the detection of irregular antibodies in Changzhou from 2015 to 2018.Method:The blood samples of ABO and Rh(D)were collected from the unpaid blood donors in Changzhou area from 2015 to 2018.The samples were inconsistent with ABO,O-cell response and Rh(D)negative screening were sent to the blood by saline medium method.The laboratory confirmed that the blood transfusion laboratory performed irregular antibody screening and identification on the specimens sent for examination.Result:A total of 145 ABO positive and negative inconsistencies and O cell-reactive specimens were detected in blood samples of 244 770 blood donors.127 cases of irregular antibodies were confirmed by transfusion laboratory,the positive rate was 0.052%;833 cases were negative for Rh(D)screening.In the specimen,the number of irregular antibodies in the Rh(D)negative specimen was 11,and the positive rate was 0.004 %.Among the irregular antibodies,the MNS blood group system was the main one,and the anti-M antibody accounted for 47.1% of the total number of antibodies.Conclusion:Screening and identification of irregular antibodies in unpaid blood donors is of great significance in reducing adverse reactions of blood transfusion and ensuring clinical blood safety.
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[1] 许亚莉,吴继博,王宝燕,等.多中心联合筛查红细胞血型不规则抗体的大数据分析[J].中国输血杂志,2018,31(8):823-825.
[2] 黄金环,梁义安,周先果.献血者不规则抗体分析[J].中国输血杂志,2011,24(6):516-517.
[3] 宋任浩,何路军,常缨.献血人群红细胞血型意外抗体的检出率及分布情况[J].检验医学与临床,2014,11(2):186-190.
[4] 陈倩,张志良,唐秋萍.海南地区无偿献血者不规则抗体筛查结果分析[J].中国输血杂志,2015,28(4):416-418.
[5] 吕蓉,邢昕,赵阳,等.合肥地区无偿献血者不规则抗体筛检及抗体鉴定结果分析[J].中国输血杂志,2014,27(7):709-711.
[6] 张慧贤,赵倩,王艳彬,等.石家庄地区献血者Rh阴性血清学表型分布及不规则抗体检测情况[J].临床血液学杂志,2017,30(10):800-801.
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