摘要
目的 调查西安地区2006-2012年无偿献血者抗-HIV检测不合格情况及变化趋势,为今后采取有效预防措施,降低血液不合格率,提高临床输血安全提供可靠依据.方法 收集西安市中心血站2006-2012年无偿献血者血液标本共895 317份,采用两种不同厂家ELISA试剂对无偿献血者标本进行初筛检测.检测结果均为阳性或一阴一阳经再次复查为阳性者判定为该血液抗-HIV有反应性,按照《全国艾滋病检测技术规范》要求送西安市疾病预防控制中心做确认试验.对确认后的结果进行不同性别、不同血型、不同年龄、不同职业无偿献血者的抗-HIV检测结果进行回顾性统计和分析.结果 895 317份无偿献血标本,检出阳性标本2 958份,阳性率为0.33％,其中确认阳性数174,阳性率为0.02％.并且2006-2012年间不同年龄、不同年份、不同职业无偿献血者分布上的差异均具有统计学意义.HIV感染者男性（94.83％）明显多于女性（5.17％）,年龄分布主要集中于20-40岁,职业主要集中于自由职业或无业人群.血型分布符合陕西血型分布特点.结论 应加强采血前的筛查工作,以降低采集血液的不合格率.
Objective To investigate unqualified situation and trend of anti-HIV in Xi＇an area 200642012 voluntary blood donors, take effective measures to prevent, reduce blood unqualified rate, and provide a reliable basis for improve the safety of clinical blood transfusion. Methods Collected 895 317 samples of blood donors at Xi＇an central blood station from 2006 to 2012 ,and used two different ELISA reagents for screening test. The results that were positive or a negative and a positive after checked to be positive again for the blood was determined anti-HIV reactivity. Did confirmation test in Xi＇an CDC in ac- cordance with the ＂national HIV testing technical specifications＂. The detection results of blood donors＇s anti-HIV were clone retrospectively statistics and analysis according to different gender, different blood group, different age and different occupation. Results 2 958 specimens of 895 317 blood donors were positive （0.33%）,which confirmed the positive number was 174 （0.02 % ）. And there were statistical significance in the distribution of voluntary blood donation, for different ages, different years, different occupation from 2006 to 2012. HIV infection in men （94.83 % ） than women （5.17 % ）, age distribution,mainly concentrated in 20- 40 years old, occupation important focus on free occupation or unemployed population. Blood group distribution accorded with the Shaanxi blood group distribution. Conclusion Should strengthen the screening before blood sampling, in order to reduce the rate of unqualified blood collection.
出处
《现代检验医学杂志》
CAS
2014年第2期149-151,共3页
Journal of Modern Laboratory Medicine
关键词
无偿献血
血液检测
抗-HIV初筛阳性
voluntary blood donation
blood tests
anti-HIV positive screening
