CAJ | 학술논문

目的：了解无锡地区无偿献血者血液传染性指标检测现状，以便采取有针对性的措施阻断经血液传播疾病。方法对2005～2012年无锡地区（不包括县、区）无偿献血血液标本329254（人）份的检测结果作回顾性统计分析。结果8年来，无锡地区无偿献血者的 HBsAg、抗-HCV、抗-HIV 及抗-TP 四项检测阳性率分别为0.587％，0.452％，0.212％和0.509％，总阳性率为1.76％，不同年份间的抗-HCV、抗-HIV及抗-TP阳性率差异有统计学意义（χ2＝40.74～138.24，P值均＜0.01），2011～2012年 HBsAg 阳性率有明显升高，与以往年份比较差异有统计学意义（χ2＝47.56，52.34，P＜0.01），同时四项感染性指标的阳性人数在不同的性别、年龄和职业中有着不同比例的分布。结论多数指标阳性率逐年呈下降趋势，但个别指标仍有上升趋势，应进一步做好不同人群的科学无偿献血的宣传工作，确保血液安全。
목적：료해무석지구무상헌혈자혈액전염성지표검측현상，이편채취유침대성적조시조단경혈액전파질병。방법대2005～2012년무석지구（불포괄현、구）무상헌혈혈액표본329254（인）빈적검측결과작회고성통계분석。결과8년래，무석지구무상헌혈자적 HBsAg、항-HCV、항-HIV 급항-TP 사항검측양성솔분별위0.587％，0.452％，0.212％화0.509％，총양성솔위1.76％，불동년빈간적항-HCV、항-HIV급항-TP양성솔차이유통계학의의（χ2＝40.74～138.24，P치균＜0.01），2011～2012년 HBsAg 양성솔유명현승고，여이왕년빈비교차이유통계학의의（χ2＝47.56，52.34，P＜0.01），동시사항감염성지표적양성인수재불동적성별、년령화직업중유착불동비례적분포。결론다수지표양성솔축년정하강추세，단개별지표잉유상승추세，응진일보주호불동인군적과학무상헌혈적선전공작，학보혈액안전。
Objective To understand the Wuxi area index detection of infectious blood donors in the blood situation,in order to take targeted measures to block the blood-borne diseases.Methods From 2005 to 2012,Wuxi area (not including county, district)blood donation blood samples 329 254 (person)copies of the test results were retrospectively analyzed.Results 8 years,Wuxi unpaid donors HBsAg,anti-HCV,anti-HIV,and anti-TP four tested positive rates were 0.587%,0.452%, 0.212% and 0.509%,the total positive rate was 1.76%.Different years of anti-HCV,anti-HIV and anti-TP positive rate difference was statistically significant (χ2= 40.74~138.24,P<0.01).From 2011 to 2012 HBsAg positive rate was signifi-cantly increased,and compared with the previous year,difference was statistically significant (χ2=47.56,52.34,P<0.01), while four the number of positive indicators of infection in different sex,age and occupation with different proportions of dis-tribution.Conclusion The positive rate of most indicators declined year by year,but there was still an upward trend in indi-vidual proj ects.Should further improve the different groups of scientific blood donation advocacy work to ensure blood safe-ty.