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丙氨酸氨基转移酶检测在血液筛查中的价值分析

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目的 研究丙氨酸氨基转移酶(ALT)检测在血液筛查中的重要作用.方法 90 份无偿献血者血液标本,根据丙氨酸氨基转移酶检测结果不同将丙氨酸氨基转移酶检测阳性标本(>50 U/L)10 份设为观察组,检测阴性标本(≤50 U/L)80 份设为对照组.对两组均进行血液筛查.观察 90 份血液标本的丙氨酸氨基转移酶分布水平,比较观察组与对照组丙型肝炎病毒(HCV)、乙型肝炎病毒表面抗原(HBsAg)阳性率.结果 90 份无偿献血者的血液标本中,HBsAg阳性以及抗丙型肝炎病毒(anti-HCV)阳性情况下,丙氨酸氨基转移酶水平多≤20 U/L;病毒核酸检测(NAT)联检阳性,鉴别为阴性,丙氨酸氨基转移酶水平多≤50 U/L.观察组HCV、HBsAg阳性率分别为 40.00%、60.00%,高于对照组的 33.75%、53.75%,但差异无统计学意义(P>0.05).结论 在面向血站采集血液标本进行全面血液筛查期间,在血液筛查重要性不断突出的背景下,血液检测安全性也呈现出一定的提升趋势.但是丙氨酸氨基转移酶的检测价值比较有限,因此除了要做好丙氨酸氨基转移酶的检测外,还要做好血液筛查中输血五项指标等的检测,才能为临床提供更多的依据,及时筛出异常血液样本.
Analysis of the value of alanine aminotransferase detection in blood screening
Objective To study the important role of alanine aminotransferase(ALT)in blood screening.Methods 90 blood specimens from unpaid donors were collected.According to the different results of alanine aminotransferase detection,10 positive specimens(>50 U/L)were set as the observation group,and 80 negative specimens(≤50 U/L)were set as the control group.Blood screening was performed in both groups.The distribution of alanine aminotransferase in 90 blood specimens were observed,and the positive rates of hepatitis C virus(HCV)and hepatitis B virus surface antigen(HBsAg)were compared between the observation group and the control group.Results In 90 blood specimens from unpaid donors,alanine aminotransferase levels were mostly≤20 U/L in HBsAg-positive as well as anti-hepatitis C virus(anti-HCV)positive cases;positive nucleic acid testing(NAT)associations were identified as negative,and alanine aminotransferase levels were mostly≤50 U/L.The positive rates of HCV and HBsAg in the observation group were 40.00%and 60.00%,which were higher than 33.75%and 53.75%in the control group,but the differences were not statistically significant(P>0.05).Conclusion During the period of comprehensive blood screening for blood specimens collected from blood stations,the safety of blood testing has also shown a certain trend of improvement in the context of the increasing importance of blood screening.However,the detection value of alanine aminotransferase is relatively limited,so in addition to the detection of alanine aminotransferase,the detection of the five indicators of blood transfusion and other indicators in blood screening should also be done well,so as to provide more evidence for clinical practice and screen out abnormal blood specimens in time.

Blood screeningAlanine aminotransferaseDetectionBlood station

赵睿、王一清、王玲玲

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266300 青岛市中心血站

血液筛查 丙氨酸氨基转移酶 检测 血站

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(8)
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