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目的分析2008~2012年郑州市无偿献血者梅毒感染情况,确定低危献血人群,提高血液质量,确保输血安全。方法对2008~2012年郑州市813 755名无偿献血者的梅毒检测结果进行回顾性分析,并对其性别、年龄、职业及教育程度等资料进行统计分析。结果郑州市813 755名献血者检出梅毒阳性者共2 315份,梅毒阳性率0.28%,且呈逐年递增趋势。男性无偿献血者459 664人份,梅毒阳性数为1 251人份,阳性率为0.27%;女性无偿献血者354 901人份,梅毒阳性数为1 064人份,阳性率为0.30%。女性阳性率高于男性,且均呈上升趋势。18~29岁的无偿献血者梅毒阳性率最低,且随着年龄递增阳性率也递增。4种职业中学生的阳性率最低为0.09%,自由职业者最高为0.31%。按教育程度统计,初中及以下阳性率最高为0.33%,大专及以上最低为0.24%。采用TPPA法确证后符合率为76%。结论 2008~2012年郑州地区无偿献血者梅毒阳性率呈明显的上升趋势,有一定的假阳性,且女性阳性率显著高于男性,教育程度越高,阳性率越低,职业中学生阳性率最低,自由职业者最高。
Objective To analyze the syphilis infection in unpaid blood donors in Zhengzhou from 2008 to 2012, identify the low-risk blood donors, improve blood quality and ensure blood transfusion safety. Methods A retrospective analysis was made on the syphilis results of 813 755 unpaid blood donors in Zhengzhou from 2008 to 2012. The data of sex, age, occupation and educational level were statistically analyzed. Results A total of 2 315 syphilis positive cases were detected in 813 755 blood donors in Zhengzhou City. The positive rate of syphilis was 0.28%, showing an increasing trend year by year. There were 459 664 male unpaid blood donors, with a positive number of syphilis of 1 251 and a positive rate of 0.27%. There were 354 901 unpaid blood donors and 1,064 positive syphilis patients with a positive rate of 0.30%. The positive rate of women than men, and both showed an upward trend. The syphilis positive rate of unpaid blood donors from 18 to 29 years old was the lowest, and the positive rate increased with age. The lowest positive rate was 0.09% among 4 occupational high school students and 0.31% among freelance students. By education level statistics, the highest positive rate of junior high school and below is 0.33%, and the lowest is 0.24% of junior college or above. After using TPPA method, the coincidence rate was 76%. Conclusion The positive rate of syphilis in unpaid blood donors from Zhengzhou in 2008 ~ 2012 showed a significant upward trend with some false positives, and the positive rate of female was significantly higher than that of male. The higher the level of education, the lower the positive rate and the lowest rate of occupational middle school students. The highest freelance.