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目的探讨浙江省沿海地区无偿献血者保密性弃血现状,为进一步改进献血招募策略和保密性弃血机制提供依据。方法对2005年1月-2014年12月浙江省沿海地区血站保密性弃血献血者的基本资料和保密性弃血原因等数据进行统计和分析。结果浙江省沿海地区血站保密性弃血发生比例平均约0.022%,呈逐年递增之势;保密性弃血人群ALT不合格率与抗-HIV确认阳性率显著高于非保密性弃血人群;18-30岁之间的已婚男性国家工作人员和自由职业者是保密性弃血的主要群体;保密性弃血原因以多个性伴侣和性病史为主。结论献血后的良心回告对提高输血的安全性非常重要,须加大宣教力度,采取全方位、多元化渠道,从源头杜绝高危行为献血者。
Objective To explore the confidential blood abandoning status of unpaid blood donors in the coastal areas of Zhejiang Province and to provide evidence for further improvement of blood donation recruitment strategies and confidential blood abandonment mechanisms. Methods From January 2005 to December 2014, the data of confidential blood donation blood donors and the causes of confidential blood abandonment were collected and analyzed in the coastal areas of Zhejiang Province from January 2005 to December 2014. Results The confinement rate of confinement of blood banks in coastal area of Zhejiang Province was about 0.022% on average, showing an increasing trend year by year. The positive rate of ALT failure rate and anti-HIV confirmation in confidential abandonment patients was significantly higher than that in non-confidential abandonment patients. Married male national staff and freelancers between the ages of 18 and 30 are the major group of confidential bloodsheds; Confidentiality The causes of bloodshed are dominated by multiple sexual partners and a history of sexually transmitted diseases. Conclusion The report of conscience after blood donation is very important to improve the safety of blood transfusion. It is necessary to step up the propaganda and adopt a comprehensive and diversified channel to eliminate high-risk blood donors from the source.