王桂娟

摘  要：目的  研究卡式微柱凝胶试验与传统检验方法在输血检验的应用价值。方法  本次纳入2019年2月～2019年12月期间本院接收的3000例输血检验患者展开研究，按照随机数字表法分为两组，对照组1500例实施传统检验方法，观察组1500例应用卡式微柱凝胶试验法。将两组的一次性检验准确率、不良反应发生率、操作医生满意度进行比对。结果  观察组患者ABO正定型、ABO反定型、RhD阴性的一次性检验准确率均高于对照组，差异具有统计学意义（P<0.05）;观察组的输血不良反应发生率低于对照组，观察组操作医生的满意度高于对照组，差异具有统计学意义（P<0.05）。结论  卡式微柱凝胶试验应用在输血检验中的准确率、灵敏度均更优，有助于提高输血安全性及操作医生满意度。

关键词：输血检验;卡式微柱凝胶试验;准确率;灵敏度

中图分类号：R457.1    文献标识码：A    文章编号：1009-8011（2021）-2-0007-03

Abstract： Objective  To study the application value of cassette microcolumn gel test and traditional testing methods in blood transfusion testing. Methods  In this study，3000 blood transfusion test patients received in our hospital from February 2019 to December 2019 were included in the study. They were divided into two groups according to the random number table method. 1500 cases of the control group implemented traditional test methods， and 1500 cases of the observation group Application of cassette microcolumn gel test method. The two groups'one-time test accuracy rate，adverse reaction rate，and operating doctor's satisfaction were compared. Results  The accuracy of one-time tests of ABO positive stereotype， ABO negative stereotype，and RhD negative in the observation group were higher than those in the control group，and the difference was statistically significant（P<0.05）;the incidence of adverse blood transfusion reactions in the observation group was lower than that in the control group The satisfaction of operating doctors in the observation group was higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion  The cassette microcolumn gel test has better accuracy and sensitivity in blood transfusion testing， which helps to improve the safety of blood transfusion and the satisfaction of operating doctors.

Keywords： blood transfusion test;cassette microcolumn gel test;accuracy;sensitivity

输血是临床救治中的重要方法[1]，有助于患者血液循环的稳定以及维持生命体征[2]，但是输入的血液同自身血液存在差异易导致不良反应的发生，故为了保证输血效果，一般在输血前对患者的血型进行鉴定以及交叉配血。传统的血液检测方法存在操作复杂、检测准确率不高等问题[3]，因此选择更加理想的检验方法十分重要。本文就卡式微柱凝胶试验在临床输血检验中的效果进行观察，以传统检验方法为对照，旨在提高检验准确性和输血安全性，正文阐述如下。

1  资料与方法

1.1  一般資料

根据随机数字表法将泰安市中医医院接收的3000例进行输血患者分为对照组、观察组，选取时间：2019年2月～2019年12月。对照组1500例，男800例，女700例;年龄20～63岁，平均（41.75±3.46）岁;疾病史：妊娠史410例，传染病史120例，感染病史240例，输血史900例，短期多次输血史90例，妊娠合并输血史100例。观察组1500例，男804例，女696例;年龄21～64岁，平均（41.80±3.52）岁;疾病史：妊娠史413例，传染病史122例，感染病史238例，输血史897例，短期多次输血史92例，妊娠合并输血史103例。……