陕西省城固县无偿献血人群的HIV检测结果分析

刘诚

（陕西省城固县医院，陕西汉中，723200）

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摘要：

目的 分析陕西省城固县无偿献血人群的HIV检测结果，以保障临床输血安全。方法 采用整群抽样的方法，选择2015年1月至2015年12月陕西省城固县无偿献血者为研究对象，共计2600例，详细调查无偿献血人群的分布情况，同时进行HIV检测与确诊的三级流程操作与分析。结果 在2600例献血者中，HIV检出15例，检出率为0.58%，其中男性8例，女性7例;年龄最小24岁，最大45岁，平均年龄(35.33±2.12)岁;血型：A型5例，B型4例，O型5例，AB型1例;初次献血者13例，重复献血者2例。据Cox多元回归分析显示，受教育年限(≤12 年)、居住地(城乡结合处)、职业(自由职业)与献血次数(>1次)是导致HIV检出阳性的主要独立危险因素(P<0.05)。结论 本地区无偿献血人群的HIV检测阳性比例较高，且HIV检测阳性与受教育年限、居住地、职业与献血次数等密切相关，需加强预防管理。

关键词：无偿献血人群；艾滋病毒；危险因素

中图分类号：R181.3文献标志码：A文章编号：2096-1413(2017)04-0107-02

The analysis of HIV test results in unpaid blood donors in Chenggu county

LIU Cheng

(The Chenggu County Hospital in Shaanxi, Hanzhong 723200, China)

ABSTRACT: Objective To investigate the HIV test results of unpaid blood donors in Chenggu county, so as to ensure the safety of clinical blood transfusion. Methods From January 2015 to December 2015, a total of 2600 cases of local voluntary blood donors were selected as research objects according to cluster sampling method. The distribution of the blood donors was investigated, and the operation and analysis of the HIV detection and diagnosis of three stages of were taken. Results In the 2600 cases of blood donors, 15 cases were detected with HIV. The detection rate was 0.58%, with 8 cases of male and 7 cases of female cluded. The youngest researcher was 24 years old, while the oldest was 45 years old, and the average age was (35.33±2.12). Blood types: 5 cases with type A, 4 cases with type B, 5 cases with type O, 1 case with type AB. The first blood donors were 13 cases, 2 cases were repeated blood donors. The Cox multiple regression analysis showed that the years of education(≥12), residence(combination of urban and rural), occupation(liberal professions) and blood donation time (＜1) were the main independent risk factors of HIV positive. Conclusion HIV positive ratio of blood donation in Chenggu county is relatively high, and it closely related to the years of education, residence, occupation and blood donation time. It needs to strengthen prevention and management.

KEYWORDS: unpaid blood donors; HIV; risk factors

参考文献：

[1] 郭秀伟,周丽英.聊城市外来务工人员艾滋病防治知识态度行为及HIV感染状况[J].职业与健康,2012,28(22):2705-2708.

[2] 倪志敏,徐丹戈,蒋鸣孝,等.男男性接触者异性性行为特征及影响因素研究[J].浙江预防医学,2015,27(1):14-16.

[3] SEANG S,BOUTOLLEAU D,BURREL S,et al.Long-term follow-up of HIV-infected patients once diagnosed with acyclovir-resistant herpes simplex virus infection[J].Int J STD AIDS,2014,25(9):676-682.

[4] 王成,杨立刚,杨斌,等.外来务工人员梅毒和HIV抗体检测及相关知识和行为调查[J].中华疾病控制杂志,2012,16(12):1104-1105.

[5] 王浩,张娜,薛付忠,等.山东省艾滋病病毒感染者及艾滋病患者空间流行特征[J].山东大学学报:医学版,2015,53(2):81-86.

[6] 刘聪,许骏,刘普林,等.2008-2011 年武汉市某艾滋病项目实施情况分析[J].医学与社会,2015,28(1):45-47.

[7] 韩英.苏州地区外来务工人员梅毒和HIV感染情况及预防知识的调查分析[J].中国性科学,2013,22(11):37-39.

[8] 陆华湘,朱宇佳,吴兴华,等.广西部分地区老年男性嫖客商业性行为特征及HIV感染相关危险因素研究[J].中华流行病学杂志,2015,36(1):31-34.

[9] 廖丽梅,田桂敏.清远市中心血站2011-2015年血液报废情况分析[J].中国现代医生,2016,54(8):124-126.

[10] 贠赟,杨洁.2010-2014年某市无偿献血人群HIV、梅毒感染情况的结果分析[J].中国医药指南,2016,14(11):85-86.