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目的了解浙江省江山市农民无偿献血者血液检测不合格项情况,为采供血点从农民人群中选择低危献血者提供理论依据。方法选择2013-2015年浙江省江山市6 635名农民献血者,运用酶免疫分析系统检测血液HBs Ag、抗-HCV、抗-TP、抗-HIV;全自动生化分析仪测定ALT,并进行分组比较和统计学分析。结果 2013-2015年全部献血人群的总不合格率为1.28%,农民献血者的总不合格率为1.96%,两者比较差异有统计学意义(χ~2=13.50,P<0.01);农民献血者三年的不合格率比较差异有统计学意义(χ~2=32.18,P<0.01),不合格率呈逐年下降趋势。农民献血者中男女献血者总不合格率比较,差异无统计学意义(χ~2=1.54,P>0.05);不同年龄组的不合格率比较差异均无统计学意义(χ~2=3.32,P>0.05);不同职业人群的不合格率比较差异有统计学意义(χ~2=13.27,P<0.01),以在外务工农民不合格率最高(2.96%);不同职业人群的抗-TP、抗-HCV不合格率比较,差异均有统计学意义(χ~2=15.3、78.9,P<0.01)。结论 2013-2015年江山市农民献血者血液不合格率高于总献血人群,通过献血前积极开展宣传并重点进行健康教育指导,不合格率得到明显控制,特别加强对在外务工人员献血前征询和血液筛查,从低危的农民人群中采集血液,以保证血液安全。
Objective To understand the unqualified blood test of unpaid blood donors in Jiangshan City, Zhejiang Province, and to provide a theoretical basis for the selection of low-risk blood donors from farmer populations. Methods Blood donors from 6 635 peasants in Jiangshan City, Zhejiang Province during 2013-2015 were selected for detection of serum HBs Ag, anti-HCV, anti-TP and anti-HIV by enzyme immunoassay system. ALT was determined by automatic biochemical analyzer Comparison and statistical analysis. Results The total unqualified rate of all blood donors from 2013 to 2015 was 1.28%, and the total unqualified rate of farmer blood donors was 1.96% (χ ~ 2 = 13.50, P <0.01). The farmer The unqualified rate of blood donors in three years was statistically significant difference (χ ~ 2 = 32.18, P <0.01), the unqualified rate showed a declining trend year by year. There was no significant difference in the total unqualified rate of blood donors between male and female donors (χ ~ 2 = 1.54, P> 0.05). There was no significant difference in the failure rate among different age groups (χ ~ 2 = 3.32 , P> 0.05). There was significant difference in the failure rate among different occupational groups (χ ~ 2 = 13.27, P <0.01), with the highest unqualified rate of workers and peasants (2.96% TP, anti-HCV unqualified rate, the difference was statistically significant (χ ~ 2 = 15.3,78.9, P <0.01). Conclusion The blood failed rate of blood donors was more than that of the total blood donors in Jiangshan from 2013 to 2015. The pre-donation publicity and health education guidance were prior to the failure. The unqualified rate was obviously controlled. In particular, Blood screening, collecting blood from low-risk peasant populations to ensure blood safety.