首页|商丘地区151429例无偿献血人群乙型肝炎表面抗原及核酸检测阳性率结果分析

商丘地区151429例无偿献血人群乙型肝炎表面抗原及核酸检测阳性率结果分析

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目的:分析商丘地区 151 429 例无偿献血人群乙型肝炎表面抗原(HBsAg)及核酸检测(NAT)阳性率结果.方法:收集2021 年 6 月至 2023 年 5 月商丘地区 151 429 例(151429 份)无偿献血人群的资料,统计其HBsAg及核酸检测阳性率,比较不同特征无偿献血人群HBsAg与NAT阳性率,分析乙型肝炎病毒(HBV)-DNA反应性标本乙肝五项检查情况.结果:151 429 份标本中HBsAg阳性 566 份,占 37.38/万,HBsAg阴性 150 863 份,HBV-DNA反应性标本检出 74 份,检出率为 4.91/万.男性、外地、初次无偿献血者的HBsAg和NAT阳性率均高于女性、本地、多次无偿献血者,46~60 岁无偿献血者HBsAg和NAT阳性率均高于 26~45 岁、18~25 岁者,且26~45 岁者高于 18~25 岁者,差异有统计学意义(P<0.05).74 例HBV-DNA反应性标本中,单抗HBs阳性 28 例(37.84%),全阴性 8例(10.81%),HBsAg阳性 10 例(13.51%),抗HBe抗HBc阳性与抗HBs抗HBe抗HBc阳性 13 例(17.57%).结论:商丘地区无偿献血人群HBsAg阳性率为37.38/万,HBsAg阴性者仍有4.91/万被检出为NAT阳性,主要人群为男性、26~60岁、外地、初次无偿献血者.
Analysis of positive rate results of hepatitis B surface antigen and nucleic acid detection in 151429 voluntary blood donors in Shangqiu area
Objective:To analyze positive rate results of hepatitis B surface antigen(HBsAg)and nucleic acid detection(NAT)in 151 429 voluntary blood donors in Shangqiu area.Methods:The data of 151 429 voluntary blood donors(151 429 copies)in Shangqiu area from June 2021 to May 2023 were collected.The positive rates of HBsAg and NAT were statistically analyzed.The positive rates of HBsAg and NAT in the voluntary blood donors with different characteristics were compared.The hepatitis B five test conditions in the hepatitis B virus(HBV)-DNA reactive specimens were analyzed.Results:Among the 151 429 samples,566 were HBsAg positive,accounting for 37.38/10 000,150 863 were HBsAg negative,and 74 were HBV-DNA reactive,with a detection rate of 4.91/10 000.The positive rates of HBsAg and NAT in male,non-local and first-time voluntary blood donors were higher than those in female,local and multiple voluntary blood donors;the positive rate of HBsAg and NAT in the voluntary blood donors aged 46-60 years old was higher than that in those with 26-45 years old and 18-25 years old,and that in those with 26-45 years old was higher than that in those with 18-25 years old;and the differences were statistically significant(P<0.05).In the 74 cases of HBV-DNA reactive samples,28 cases(37.84%)were HBs positive,8 cases(10.81%)were all negative,10 cases(13.51%)were HBsAg positive,13 cases(17.57%)were anti-HBe anti-HBc positive and anti-HBs anti-HBe anti-HBc positive.Conclusions:The positive rate of HBsAg in the voluntary blood donors in Shangqiu area was 37.38/10 000,and 4.91/10 000 of HBsAg negative samples are still detected as NAT positive.The main population are male,26-60 years old,non-local,and first-time voluntary blood donors.

Voluntary blood donationHepatitis B virusNucleic acid detectionPositive

王子文、齐静雯

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商丘市中心血站检验科,河南 商丘 476000

商丘市第一人民医院检验科,河南 商丘 476000

无偿献血 乙型肝炎病毒 核酸检测 阳性

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(11)
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