ALT 单项不合格献血者献血情况跟踪调查分析

摘要

Objective To investigate the situation of ALT-single-unqualified blood donors and the ALT test when they donated again.Methods There were 3 784 cases of ALT-single-unqualified blood donors from March 2009 to February 2010 enrolled in the study.Investigations were carried out to know the previous situation of blood donation.A 3-year tracking survey on those people was carried out,and the data was recorded and analyzed.Results The ALT-single-unqualified blood donors who participated in blood donation for the first time accounted for 58.14% (2 201/3 748).The 3-year follow-up showed that the returned blood donors accounted for 33.62% (1 272/3 784);1-year return accounted for 46.62%(593/1 272)which was the most;ALT-qualified donors accounted for 65.72%(836/1 272)of the retured donors.with the increase of the times of blood donation,the qualified rate of blood ALT increased.Conclusion More than half of the ALT-single-unqualified blood donors returned.There was a large proportion of returning donors participated in blood donation more than onece,and the qualification rate of ALT increased with the increase of do-nation times.In order to reduce the unqualified rate of ALT test,we should strengthen the propaganda and fixed blood donation team construction.%目的：了解 ALT 单项检测不合格献血者的归队情况，及再次献血的 ALT 检测情况。方法选取2009年3月至2010年2月 ALT 单项不合格的献血者3784例，并对其之前的献血情况进行调查。对该人群进行为期3年的归队再献血情况跟踪调查和统计分析。结果3784例 ALT 不合格献血者中首次参加无偿献血的占58．14％（2201/3748）。3年的跟踪调查发现，重新归队献血者所占比例为33．62％（1272/3784）；1年内重新归队的献血者比例最高，占重新归队献血者的46．62％；ALT 合格的献血者占总归队人数的65．72％（836/1272），随着献血次数增加，ALT 合格率也相应增加。结论 ALT 单项检测不合格的献血者归队人数过半，其中有较大比例的归队献血者多次参加了无偿献血，且 ALT 合格率随着献血次数的增加而增高。为降低ALT 不合格率应注重加强献血知识的宣传和固定献血队伍的建设。