城区常住人口献血者与其他类型献血者复检结果差异性讨论  

Discussion on the differences among re-inspection results of urban blood donors and other types of blood donors

作　　者：韩璐[1] 蔡雁[1] 许婷婷[1] 

机构地区：[1]武汉血液中心,湖北武汉430030

出　　处：《中国输血杂志》2015年第3期301-303,共3页Chinese Journal of Blood Transfusion

摘　　要：目的为了调查亲友互助、流动人口、城区常住人口、远城区常住人口和学生5种类型献血者传染性指标复检情况的差异性,以细化工作。方法我们分别调查分析了2013年武汉市亲友互助、流动人口、城区常住人口、远城区常住人口和学生5种献血人群的HBs Ag、抗-HCV、抗-HIV和梅毒抗体4项传染性指标的复检阳性率。结果亲友互助类型献血者的HBs Ag和梅毒抗体2项指标阳性率明显高于城区常住人口献血者;流动人口类型献血者的抗-TP和远城区常住人口类型献血者的HIV抗体的阳性率也明显高于城区常住人口献血者;学生类型的献血者的阳性率在抗-HIV和梅毒两项上明显低于城区常住人口,HBs Ag和抗-HCV与城区常住人口持平。结论综合5项传染性指标,学生类型的献血者是最低危的献血者,其次是城区常住人口类型献血者,再次是流动人口和远城区常住人口类型献血者,最次的是亲友互助类型献血者。可以以学生和城区常住人口为主要的献血人群,远城区常住人口和流动人口作为血源补充,初检时对此部分的献血者加强性病和静脉药瘾方面的问诊和体检,必要时可加测抗-HIV和梅毒抗体的快速检测。Objective To investigate the differences among re-inspection results of five types of blood donors： relatives,migrants,urban residents,suburban residents and students. Methods The positive re-inspection rates of four infectious indicators in five types of blood donors in Wuhan in 2013 were investigated： HBs Ag,HCV antibodies,HIV antibodies and TP antibodies. Results The positive rates of HBs Ag and HCV antibodies of relatives as blood donors were significantly higher than those of urban residents. The positive rates of TP antibodies of the migrants and the HIV antibodies of the suburban residents were significantly higher than those of urban residents. The positive rates of HIV antibodies and TP antibodies of students were significantly lower than those of urban residents,while the positive rates of HBs Ag and HCV antibodies of both students and urban residents did not vary. Conclusion After a comprehensive analysis conducted on the five infectious indicators,student blood donors exhibited the lowest risk to donate blood,followed by urban residents,migrants people,suburban residents and relatives. Students and urban residents can be considered as the main source of blood donors,while suburban residents and migrants can be considered as supplement to the blood resource. Among suburban residents and migransts,consultation and physical examinations of sexually transmitted diseases and intravenous drug addiction should be enforced in the initial survey. The HIV antibodies and TP antibodies can be rapidly detected additionally if necessary.

关 键 词：城区常住人口献血者 其他类型献血者 复检结果 

分 类 号：R193.3[医药卫生—卫生事业管理] R446.11[医药卫生—公共卫生与预防医学]