温州地区无偿献血人群中梅毒抗体阳性筛查和特征分析

doi:10.3969/j.issn.1006-5253.2021.01.018

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摘要

目的探究温州地区无偿献血人群中梅毒阳性筛查情况，分析其流行病学特征，为梅毒的防控提供科学依据。方法采用ELISA法检测2016—2018年温州地区无偿献血样本中梅毒抗体，分析献血者梅毒检出情况和流行病学特征。结果 2016—2018年温州地区共收到286 322份有效无偿献血样本，其中梅毒初筛阳性人数为1 011人，阳性率为0.35%。男性梅毒阳性率为0.35%，女性为0.36%，差异无统计学意义（P>0.05）。不同年龄组阳性率差别有统计学意义，两两比较结果提示31～45岁（0.40%）梅毒阳性率高于18～30岁（0.33%）和46～60岁组（0.31%）。不同职业分组阳性率差别有统计学意义，两两比较结果提示，其他（0.62%）>商业/个体户（0.38%）>教师/干部（0.16%）>学生（0.09%），P均<0.001。不同学历分组阳性率差别有统计学意义，两两比较结果提示初中及以下（0.53%）>高中/中技（0.37%）>大专及以上（0.24%），P均<0.001。不同血型、不同采血地点的梅毒阳性率差异无统计学意义（P>0.05）。结论根据温州地区无偿献血人群梅毒筛查特点，对女性、低年龄组、高年龄组、其他职业、商业/个体户、低学历人群进行重点防控，进一步降低人群梅毒发病率。

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	朱紫苗
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关键词 ：无偿献血, 梅毒, 流行病学, 筛查

Abstract：

Objective To explore positive screening rate of syphilis in the blood donors in Wenzhou, analyze its epidemiological characteristics and provide scientific basis for its prevention and control. Methods ELISA was used to detect the syphilis antibodies in the blood samples from voluntary donors in Wenzhou from 2016 to 2018. The detection and epidemiological characteristics of syphilis in the blood donors were analyzed. Results Totally 286 322 valid blood donation samples were received in Wenzhou from 2016 to 2018, of which 1 011 were positive in the primary screening of syphilis and the positive rate was 0.35%. There was lack of significance between the male (0.35%) and the female (0.36%) regarding the prevalence of syphilis (P>0.05). The positive rates of different age groups were significantly different. Results from pairwise comparison suggested that the positive rate of syphilis in the 31-45 years old group (0.40%) was significantly higher than that in the 18-30 years old group (0.33%) and the 46-60 years old group (0.31%). There were significant differences among different occupation groups and pairwise comparisons suggested: others (0.62%)>businessmen/the self-employed (0.38%)>teachers/cadres (0.16%)>students (0.09%), (P<0.001). There were significant differences among different education groups and pairwise comparisons suggested: junior high school and below (0.53%)>senior high School / technical secondary school (0.37%)>junior college and above (0.24%), (P<0.001). There was lack of significance among different blood types, different blood collection sites regarding the prevalence of syphilis (P>0.05). Conclusion According to the characteristics of syphilis in Wenzhou, the key prevention and control measures should be taken for the female, low age group, high age group, other occupations, businessmen/selfemployed, and low education population, so as to further reduce the incidence of syphilis among the population.

Key words： free blood donation')" href="#">

free blood donation syphilis epidemiology screening

收稿日期: 2020-05-20

通讯作者: 朱紫苗，Email:zmwzh83@163.com

引用本文:

朱紫苗，刘燕飞，谢步飞，蔡淑锋，张锋. 温州地区无偿献血人群中梅毒抗体阳性筛查和特征分析[J]. 中国医院统计, 2021, 28(1): 73-77.
Zhu Zimiao, Liu Yanfei, Xie Bufei, Cai Shufeng, Zhang Feng.. Screening rate of syphilis antibody and its characteristics in blood donors in Wenzhou. journal1, 2021, 28(1): 73-77.

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http://manu58.magtech.com.cn/Jwk_zgyytj/CN/10.3969/j.issn.1006-5253.2021.01.018 或 http://manu58.magtech.com.cn/Jwk_zgyytj/CN/Y2021/V28/I1/73

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