温州地区2007-2013年无偿献血标本HIV确证结果

HIV confirmed results analysis of blood donation in Wenzhou from 2007 to 2013

目的：回顾性分析温州地区2007-2013年无偿献血者艾滋病（HIV）感染情况,为采供血机构开展合理有效的无偿献血宣传、招募和检测工作提供依据。方法：依据《全国艾滋病检测技术规范（2009版）》和《血站技术操作规程（2012版）》对献血者标本进行检测。采用SPSS 16.0对数据进行统计分析（P〈0.05为差异有统计学意义）。结果：本地区无偿献血人群中HIV感染率为0.024%（130/53 9199）。男性献血者HIV阳性率为0.032%,明显高于女性献血者阳性率0.013%（χ^2=19.45,P〈0.01）;〉35~45岁献血者中HIV阳性率为0.053%,为各年龄段最高（χ^2=25.85,P〈0.01）;初中以下、高中/中专及学历不详献血者的阳性率分别为0.043%、0.024%和0.029%,明显高于大专以上学历组（χ^2=21.38,P〈0.01）。结论：温州地区无偿献血人群中HIV感染率呈增长态势,应加强献血前的健康征询和预防艾滋病的宣传力度（尤其是低学历青壮年男性等重点人群）,同时应该尽快采用核酸检测技术,以最大限度地降低窗口期感染的风险,保证临床用血的安全。

Objective：To retrospectively analyze HIV-infected blood donors in Wenzhou area from 2007 to 2013so as to provide evidence for rational and efficient blood donating,recruitment and testing.Method：Blood specimens were determined according to the National AIDS/HIV Test Technology Regulation（2009edition）and the Blood Stations Technology Operation Procedures（2012edition）.The SPSS 16.0was used to analyze the distribution of data.Comparisons between groups were analyzed by Chi-squared test（P〈0.05 had a significant difference）.Result：The rate of HIV infection of blood donors was 0.024%（130/539 199）in Wenzhou from 2007to2013.The HIV-positive rate of male donors was 0.032%,which was significantly higher than that of female donors（0.013%）（χ^2=19.45,P〈0.01）;the HIV-positive rate of35~45-year-old blood donors was 0.053%,which was the highest of all ages（χ^2=25.85,P〈0.01）;the positive rates of junior high school,high school/college and qualifications unknown donors were 0.043%,0.024% and 0.029%,respectively,which were significantly higher than that of a college education group（χ^2=21.38,P〈0.01）.Conclusion：The HIV infection rate of blood donors in Wenzhou showed a rising trend.In addition to strictly voluntary blood donor＇s anti-HIV screening,we must also seek to strengthen pre-donation health promotion and HIV prevention efforts（especially young men with low education and other key groups）,to ensure the safety of blood for clinical using.