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泉州地区献血人群ABO、Rh血型分布特点分析

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目的 探讨泉州地区献血人群ABO和Rh血型分布特点,丰富稀有表型资料库,以期指导采供血计划和无偿献血者招募策略的制订,保障泉州地区的临床用血。方法 收集2018-2022年泉州市190 195名献血者数据,分析其ABO和RhD血型分布特点,进行ABO血型Hardy-Weinberg吻合度检验,并对2022年8月至2024年4月本站RhD阴性标本进行RhC、c、E、e抗原分型检测,建立稀有表型资料库。结果 泉州地区献血人群ABO表现型O>A>B>AB,基因频率r>p>q,期望值与观察值差异有统计学意义,不符合Hardy-Weinberg遗传规律。汉族RhD阴性献血者占比0。44%,271名 RhD 阴性献血者中,共检出 6 种表现型:ccdee>Ccdee>CCdee>ccdEe>CcdEe>--dee;未检出 CcdEE、ccdEE、CCdEE、CCdEe,2例未检出C(c)抗原,RhC、c、E、e抗原频率由高到低均为e>c>C>E。结论 血型遗传规律不能真实反映献血人群的血型分布,根据研究所得的献血人群ABO和Rh血型分布特点可用来指导制订采供血计划和精准的无偿献血者招募策略,保障本地区的血液供应。
Distribution of ABO and Rh blood group among blood donors in Quanzhou
Objective Determining the distribution of ABO and Rh phenotypes among blood donors in Quanzhou and en-riching the rare phenotype database will allow us to ensure better management of blood stocks and good recruitment strategies for supplying Quanzhou with blood products.Methods The data of 190 195 blood donors in Quanzhou from 2018 to 2022 were collected to analyze the ABO and RhD blood group distribution characteristics,and the ABO blood group were performed Hardy-Weinberg equilibrium test;RhC,c,E and e antigen typing detections were performed on RhD-negative individuals from August 2022 to April 2024 to establish a rare phenotype database.Results O>A>B>AB and r>p>q in our blood donors were no-ticed.The differences between expected frequency and observed frequency were statistically significant which didn't accord with Hardy-Weinberg equilibrium rules.The frequency of RhD-Negative in Han nationality blood donors was 0.44%.We found 6 phenotypes among 271 RhD negative blood donors:ccdee>Ccdee>CCdee>ccdEe>CcdEe>-dee;no CcdEE,ccdEE,CCdEE,CCdEe were detected,and no C(c)antigen was detected in 2 cases.The frequency of RhC,c,E,e antigens was e>c>C>E respectively.Conclusion The genetic rules of blood group can not truly reflect the blood group distribution of blood donors.The ABO and Rh blood group distribution characteristics of blood donors obtained in this study can be used to guide the development of blood procurement plans and accurate recruitment strategies for blood donors,so as to ensure the blood supply in our region.

ABO blood groupRh blood groupblood group distributionallelic frequencyQuanzhou

侯志婷、林毅胜、丁培燕、陈吓燕、黄小静、章永明

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福建省泉州市中心血站,泉州 362000

ABO血型 Rh血型 血型分布 基因频率 泉州

2024

福建医药杂志
中华医学会福建分会

福建医药杂志

影响因子:0.525
ISSN:1002-2600
年,卷(期):2024.46(6)