2008-2012年浙江省江山市无偿献血者血液梅毒检测情况调查分析  

Survey of syphilis detection among non-remunerated blood donors in Jiangshan,Zhejiang,2008-2012

作　　者：王爱红[1] 毛雄伟[1] 王孝芳[1] 陈丽雯[1] 

机构地区：[1]江山市人民医院采供血点,浙江江山324100

出　　处：《疾病监测》2013年第8期632-634,共3页Disease Surveillance

摘　　要：目的了解浙江省江山市无偿献血者梅毒检测阳性情况,为血站选择低危无偿献血者提供理论依据。方法选择2008-2012年浙江省江山市25 450名无偿献血者,运用双抗原夹心酶联免疫吸附试验测定梅毒螺旋体抗体,并进行分组比较和统计学分析。结果江山市近5年无偿献血人群梅毒阳性率为0.84%(214/25 450),且各年份的阳性率比较差异无统计学意义(χ2=7.64,P>0.05);男女性别梅毒阳性率比较差异无统计学意义(χ2=1.18,P>0.05);不同年龄组的男女性别阳性率比较,只有51～58岁组男女性阳性率比较差异有统计学意义(χ2=4.32,P<0.05),其他年龄组男女性阳性率比较差异均无统计学意义(P>0.05);各年龄组的献血者阳性率比较差异有统计学意义(χ2=22.91,P<0.01);固定职业、农民和无固定职业者、本地和外地、献血车与血库献血者的阳性率分别进行比较差异均有统计学意义(P<0.01)。结论江山市无偿献血者的梅毒阳性率已处于较高水平,为了尽可能避免感染性血液的采集,献血前需做到有效征询,尽可能地排除高危行为史者;发展稳定的固定献血者队伍是血站选择低危献血者的必要措施。Objective To understand the infection status of syphilis among the non-remunerated blood donors in Jiangshan, Zhejiang province, and provide evidence for the selection of low risk blood donors. Methods Treponema paUidum antibodies were detected among 25 450 blood donors with linked enzyme immunosorbent assay in Jiangshan from 2008 to 2012. Results The positive rate in syphilis detection was 0. 84% （214/25 450） among the blood donors in Jiangshan during this period, the differences in annual positive rate had no statistical significance （X2 = 7. 64, P 〉0. 05）. The gender specific difference in positive rate had no statistical significance （X2 = 1.18, P 〉0.05）. Except the gender specific difference in age group 51 -58 years （X2 = 4. 32, P 〈0. 05）, the gender specific differences in other age groups had no statistical significance （ P 〉 0.05 ）. The age specific difference in positive rate had statistical significance （X2 = 22. 91, P 〈 0. 01 ）. The differences in positive rate among different populations had statistical significance （P 〈 0. 01 ）. Conclusion The positive rate in syphilis detection was high among the non-remunerated blood donors in Jiangshan, In order to ensure blood transfusion safety, it is necessary to conduct counseling before blood donation to screen low risk blood donors and collect blood from regular blood donors.

关 键 词：无偿献血者 梅毒 阳性 高危人群 输血安全 

分 类 号：R181.3[医药卫生—流行病学] R759.1[医药卫生—公共卫生与预防医学]