Research on the value of irregular antibody testing in blood transfusion testing
输血检验上用以不规则抗体检验所起到的价值研究

摘要

目的 分析在输血检验上用不规则抗体检验的医学价值。方法 选择2023年4月-2023年10月半年内于我院接受输血治疗的住院患者180例，所有患者均在输血前行不规则抗体检验，观察患者不规则抗体检验阳性率，同时观察不规则抗体检验的各项特征以及记录输血后发生的不良反应。结果 本组患者中阳性例数10例（5.55%），类型主要以抗-M抗体、抗D-抗体、抗C-抗体为主，而不规则抗体检验特征以存在有血液病、肿瘤以及妊娠女性为主，阳性率高于普通人群，而输血不良反应主要以过敏和非溶血性的发热反应为主。结论 输血前应用不规则抗体检验可筛查出不规则抗体阳性人群，受众多为有血液病、肿瘤以及妊娠者等类型，可识别风险，且为输血方案提供理论支持，能提高输血安全，避免患者出现过敏以及非溶血性的发热。

Abstract

Objective To analyze the medical value of irregular antibody test in blood transfusion test.
Methods a total of 1802023 patients who received blood transfusion in our hospital from April to October were selected. All patients were 2023 irregular antibody test before blood transfusion, the positive rate of irregular antibody test, the characteristics of irregular antibody test and adverse reactions after blood transfusion were observed.
Results 10 cases (5.55%) were positive, the types were mainly anti-m antibody, anti-d-antibody and anti-c-antibody, the irregular antibody test was characterized by the presence of hematological diseases, tumor and pregnancy, the positive rate was higher than that of the general population, while the adverse reactions of blood transfusion were mainly allergic and non-hemolytic febrile reactions.
Conclusion   the application of irregular antibody test before blood transfusion can screen out irregular antibody positive population, and the audience are mainly people with hematological disease, tumor and pregnancy, which can provide theoretical support for blood transfusion scheme, can improve the safety of blood transfusion, to avoid patients with allergies and non-hemolytic fever.