CAJ | 학술논문

目的：分析苏州市无偿献血者HIV感染的流行病学特征，为招募合适的无偿献血者提供合理的应对措施。方法回顾性分析2002～2013年苏州市无偿献血者的HIV感染情况和人群特征。结果2002~2013年无偿献血者共计755643人次，其中HIV感染者51例，阳性率为6.75/10万。其中2013年的检出率最高，为23.25/10万；其次是2012年，为9.71/10万；2006年较低，为1.66/10万。各年间比较差异有统计学意义（χ2＝37．96，P＜0．01）。51例HIV 感染者中男性42例，女性9例，男女性别比例接近5：1；年龄以18～30岁为主，为60．79％；未婚为主，为62．75％；职业以职员为主，为56．86％；文化程度以高中、中专及以下为主，为50．98％；个人献血者占70．59％。结论苏州市无偿献血人群中HIV感染率近年来呈逐年上升趋势，采血机构应加强无偿献血者特别是青壮年人群的献血前的健康咨询，严格进行HIV筛查，为临床安全输血提供保障。
목적：분석소주시무상헌혈자HIV감염적류행병학특정，위초모합괄적무상헌혈자제공합리적응대조시。방법회고성분석2002～2013년소주시무상헌혈자적HIV감염정황화인군특정。결과2002~2013년무상헌혈자공계755643인차，기중HIV감염자51례，양성솔위6.75/10만。기중2013년적검출솔최고，위23.25/10만；기차시2012년，위9.71/10만；2006년교저，위1.66/10만。각년간비교차이유통계학의의（χ2＝37．96，P＜0．01）。51례HIV 감염자중남성42례，녀성9례，남녀성별비례접근5：1；년령이18～30세위주，위60．79％；미혼위주，위62．75％；직업이직원위주，위56．86％；문화정도이고중、중전급이하위주，위50．98％；개인헌혈자점70．59％。결론소주시무상헌혈인군중HIV감염솔근년래정축년상승추세，채혈궤구응가강무상헌혈자특별시청장년인군적헌혈전적건강자순，엄격진행HIV사사，위림상안전수혈제공보장。
Objective To analyze the epidemic characteristics of volunteer blood donors with HIV infection in Suzhou city, in order to make countermeasures to recruit appropriate volunteer blood donors. Methods Infectious situation and population characteristics of volunteer blood donors with HIV infection were explored by a retrospective analysis method in Suzhou city between 2012 and 2013. Results Among 755 643 volunteer blood donors from 2002 to 2013, 51 donors were HIV infection, the positive rate was 6.75/100000, and the highest detection rate was found in 2013 (23.25/10万), following as 2012 for 9.71/100000, and the lowest was 1.66/100000. There was a statistically significant differ-ence among these years(χ2=37.96, P<0.01). 42 cases of 51 cases with HIV infection were men, the other 9 were women, sex ratio between male and female was nearly 5:1. The donors with 18 to 30 years old (60.79%) were predominant pop-ulation, unmarried people were as high as 62.75%, the staff were 56.86%, the donors with high school, technical sec-ondary school degrees and following degrees primarily accounted for 50.98%, and individual donors accounted for 70.59% of HIV infections. Conclusion There is an upward trend of HIV infection rate from voluntary blood donors in Suzhou in recent years. Blood collection organization should strengthen the health consultation of voluntary blood donors before the blood donation, especially among young adults, strict screening for HIV, which guarantee for clinical safety of blood transfusion.