信阳市16429例输血前患者梅毒检测结果分析

Result analysis on syphilis detection of 16 429 blood recipients in Xinyang

目的探讨信阳市拟输血人群梅毒的流行特征,减少医疗纠纷及预防院内感染。方法收集该院16 429例输血前患者的性别、年龄、文化程度和职业等资料,并对各类患者人群梅毒抗体检测结果进行统计学分析。结果共检出137例阳性患者,阳性率为0.83%,其中男70例,占男性患者0.74%,女67例,占女性患者0.96%,男女患者阳性率差异无统计学意义(P>0.05)。不同年龄组梅毒感染率差异有统计学意义(P<0.05),经线性趋势检验梅毒感染率随年龄增加而升高(P<0.01)。不同文化程度间梅毒感染率也有差异,文化程度越高感染率越低。职业分布以无职业者和农民感染率最高,学生感染率最低。结论不同输血人群梅毒感染率也不尽相同,应加强对输血前患者梅毒检测。

Objective To explore the syphilis epidemiological characteristics of blood recipients in Xinyang,reduce medical disputes and prevent hospital infection.Methods The gender,age,occupation,education and other data of 16 429 blood recipients in our hospital were collected.Then we performed statistical analysis on the test results of syphilis antibodies to all kinds of people.Results Out of 16 429 samples,137cases were detected positive,the prevalence was 0.83%.Among them,there were 70 males,accounting for 0.74% male patients,67 females,accounting for 0.96% female patients,and there was no significant difference between the male and female patients（P〈0.05）.Syphilis infection in different age groups had significant difference（P〈0.05）.Meanwhile,linear trend test suggested that syphilis infection rate increased with age（P〈0.01）.Different cultural level also had different infection rate of syphilis,the higher cultural level,the lower infection rate.Among non-employed persons and farmers the prevalence of syphilis was highest.In contrast,the prevalence was lowest among students.Conclusion Syphilis infection rates were not the same among different kinds of people,and the syphilis test should be strengthened to blood recipients.