Distribution of phenotype and blood type antigen in RhD negative blood donors in Suzhou
-
摘要: 目的:分析苏州地区Rh阴性血型抗原分布特点及表现型规律,为临床输血提供理论依据。方法:选取苏州市中心血站2015—2018年无偿献血者344 367例,运用盐水试管法初筛为RhD阴性样本869例,再用抗人球蛋白微柱凝胶卡式法对其确认,用盐水试管法进行C、c、E、e抗原检测以确定表型。结果:初筛869例RhD阴性标本中有844例标本(97.12%,844/869)确证阴性,占本地区献血者0.25%(844/344 367);D变异型25例(2.88%,25/869),占本地区献血者0.007%(25/344 367),其中以ccEe频率最高(40%,10/25);RhD阴性样本中以ccee、Ccee表现型居多,占比56.40%(476/844)、32.70%(276/844);e、c的抗原频率最高,分别为98.93%(835/844)、95.85%(809/844);RhD阴性献血者主要为A、O、B血型,AB型最少。结论:苏州地区RhD阴性献血者主要表现型为ccee、Ccee,D变异型中ccEe频率最高。对RhD阴性血液样本的定型及对D变异型的筛查,有助于保障本地区临床输血安全,为苏州市稀有血型库的建立提供参考依据。Abstract: Objective:To investigate the characteristic and distribution of phenotype and blood type antigen in RhD negative blood donors in Suzhou,and provide a theoretical basis for clinical blood transfusion.Method:869 blood samples of RhD negative were screened among the 344 367 blood donors from 2015 to 2018 in Suzhou blood center,and confirmed by the anti-human globulin microcolumn gel card and serologic blood tests for phenotypes.Result:869 RhD negative specimens were confirmed to be RhD negative 844(97.12%,844/869),accounting for 0.25%(844/344 367)of the donors in the region;D variant phenotypes 25(2.88%,25/869),accounting for 0.007%(25/344 367),ccEe(40%,10/25)had the highest frequency.The RhD negative were mostly ccee and Ccee phenotypes,accounting for 56.40%(476/844) and 32.70%(276/844),and the e and c antigen occupied higher antigen frequencies,98.93%(835/844)and 95.85%(809/844)respectively.RhD negative phenotypes were mostly A,O,B types.Conclusion:The main phenotypes of RhD negative blood donors in Suzhou were ccee and Ccee,and the ccEe frequency was the highest in D variant.The characteristic of RhD negative blood samples and the screening of D variant would help to ensure the safety of clinical blood transfusion and provide reference for the establishment of rare blood bank in Suzhou.
-
Key words:
- RhD negative /
- D variant /
- RhD negative phenotype /
- rare blood bank
-
-
[1] Jukuppam G,Krishna D,Jaya V,et al.Prevalence of principal Rh blood group antigens in blood donors at the blood bank of a tertiary care hospital in southern India[J].J Clin Diagn Res,2016,10:EC07-10.
[2] 孙昌魁,徐群,吕红娟,等.济南地区RhD阴性献血人群D变异型及Rh表现型研究[J].中国预防医学杂志,2018,19(2):137-139.
[3] 胡丽华.临床输血学检验[M].3版,北京:人民卫生出版社,2012:24-25.
[4] 赵桐茂.人类血型遗传学[M].北京:科学出版社,1987.
[5] 马红丽,郑备战,吴文静.洛阳地区初筛RhD阴性献血者Rh血型抗原分布情况[J].中国输血杂志,2016,29(4):408-409.[FL)]
-
计量
- 文章访问数: 281
- PDF下载数: 877
- 施引文献: 0