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目的:了解南京地区自愿无偿献血人群的HIV流行病学特征,加强血液质量控制,为制定经血液艾滋病病毒传播防治策略提供依据。方法:回顾性分析2010-2014年南京地区无偿献血者的HIV感染情况和人群特征。结果:2010-2014年共检测南京地区献血者血液样本362 425人份,其中HIV确认阳性68例,阳性率为0.019%。经分析,不同年龄、文化程度组间差异无统计学意义(P>0.05),不同性别、职业组间差异有统计学意义(P<0.05),5年的变化趋势有统计学意义(P<0.05)。结论:应加强无偿献血相关知识宣传,特别是高危人群的健康教育,做好献血前的征询工作。为保证临床用血安全,应从低危人群中招募献血者,发展固定献血者队伍,减少血液报废。
Objective: To understand the epidemiological characteristics of HIV in voluntary blood donors in Nanjing, to improve blood quality control and provide the basis for the development of prevention and control strategies of blood HIV transmission. Methods: Retrospective analysis of HIV infection and population characteristics of unpaid blood donors in Nanjing during 2010-2014. Results: A total of 362 425 blood samples were collected from blood donors in Nanjing during 2010-2014, of which 68 were HIV-positive and the positive rate was 0.019%. After analysis, there was no significant difference between different age groups and educational level (P> 0.05). There was significant difference between different genders and occupational groups (P <0.05), and the trend of 5 years was statistically significant (P < 0.05). Conclusion: The publicity of knowledge about unpaid blood donation should be strengthened, especially for the health education of high-risk groups, and the consultation before blood donation should be done. In order to ensure clinical blood safety, blood donors should be recruited from low-risk groups to develop a contingent of blood donors to reduce blood waste.