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肺结核患者血型抗原频率分布特征及其易感性研究

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目的 探讨新疆地区肺结核患者ABO和Rh血型抗原频率分布特征及其易感性,为结核病防治提供依据。方法 收集新疆医科大学第八附属医院和新疆医科大学第一附属医院2014—2020年不同民族肺结核住院患者(n=32508,感染组)和健康体检/献血人群(n=15442,对照组)的相关信息,回顾性分析2组的ABO血型和Rh血型抗原频率分布特征。结果 1)新疆地区维吾尔族、汉族、哈萨克族、回族肺结核患病率构成比分别为51。11%、33。66%、9。09%、6。13%(P<0。05),女性的肺结核患病率(52。65%)高于男性(47。35%)(P<0。05);2)感染组B型抗原频率最高30。10%,AB型最低10。09%,频率分布特征:B型>O型>A型>AB型;对照组血型频率分布为O型>A型>B型>AB型;2组比较,维吾尔族为B型、哈萨克族为O型、回族和汉族A型频率均高于对照组(P<0。05);3)不同民族肺结核病患者血型频率分布:维吾尔族为B型>A型>O型>AB型,哈萨克族为O型>B型>A型>AB型,回族为A型>O型=B型>AB型,汉族为A型>B型>O型>AB型,且不同民族间比较有差异(P<0。05);4)肺结核患者RhD血型阳性总频率97。26%、阴性2。74%,其中RhD阴性为维吾尔族4。44%>哈萨克族2。13%>回族1。26%>汉族0。58%(P<0。05)。结论 新疆地区维吾尔族、汉族、哈萨克族、回族肺结核患病率构成比分别为51。11%,33。66%,9。09%,6。13%,其血型频率分布特征为B型>O型>A型>AB型,且维吾尔族B型、哈萨克族O型、回族A型和汉族A型的结核病发生频率较高,可能是肺结核发生的易感危险因素,为肺结核防控提供了新的思路。
Distribution characteristics of blood group antigen and susceptibility in patients with pulmonary tuberculosis
Objective To investigate the distribution characteristics and susceptibility of ABO and Rh blood group anti-gens in patients with pulmonary tuberculosis in Xinjiang,so as to provide a theoretical basis for the prevention and treatment of tuberculosis. Methods The clinical information of hospitalized patients with pulmonary tuberculosis from different ethnic groups (n=32508,infection group) and healthy people (n=15442,control group) in the Eighth Affiliated Hospital of Xin-jiang Medical University and the First Affiliated Hospital of Xinjiang Medical University from 2014 to 2020 was collected,and the frequency distribution of ABO and Rh blood group antigens in the two groups was analyzed retrospectively. Results 1) The constituent ratios of pulmonary tuberculosis prevalence in Uygur,Han,HaKazak and Hui people were 51.11%,33.66%,9.09% and 6.13% respectively,with significant difference (P<0.001). The prevalence rate of pulmonary tuber-culosis in females (52.65%) was higher than in males (47. 35%)(P<0. 05). 2) The frequency of type B antigen was highest at 30.10%,and the frequency of type AB antigen was the lowest at 10.09% in pulmonary tuberculosis group;The distribution of blood types was B type>O type>A type>AB type. In the control group,the distribution of blood types was O type>A type>B type>AB type. The frequency of type B in Uighur,type O in Kazak,type A in Hui and Han nationalities in the infection group was higher than that in the control group (P<0.001);3)The distribution of blood type among patients with pulmonary tuberculosis in different ethnic groups was Uygur B>A>O>AB,Kazak O>B>A>AB,Hui A>O=B>AB,Han A>B>O>AB,with significant difference between different ethnic groups(P<0.001). 4)The total positive rate of RhD blood group among pulmonary tuberculosis patients was 97.26%,while the negative rate was 2.74%. Among them,the Uyghur ethnicity has the highest frequency at 4.44%,followed by Kazakh at 2.13%,Hui at 1.26%,Han at 0.58%,with signifi-cant differences(P<0.05). Conclusion The proportion of pulmonary tuberculosis prevalence among Uygur,Han,HaKa-zak and Hui people were 51.11%,33.66%,9.09% and 6.13%,respectively. The distribution frequency of blood type was B>O>A>AB. Moreover,higher frequencies of tuberculosis in Uygur with type B,Kazak with type O,Hui with type A and Han with type A suggest that these blood types may be susceptible risk factors for pulmonary tuberculosis,which pro-vides new insights for the prevention and control of pulmonary tuberculosis.

pulmonary tuberculosisblood typeantigenfrequencysusceptibility

居敏、刘斌、宫晓燕、林国跃

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新疆医科大学第一附属医院输血科,新疆乌鲁木齐 830054

新疆医科大学第八附属医院检验科,新疆乌鲁木齐 830013

肺结核 血型 抗原 频率 易感性

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(12)