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目的:了解阳江市5年来互助献血的开展情况及存在问题,探讨解决互助献血引发的社会矛盾,消除弊端。方法:统计2007—2011年互助献血人数、比率及血液检测结果,并与同期自愿献血人数、比率及血液检测结果进行比较。同时分析比较互助献血人群退出及新加入自愿献血的情况。结果:互助献血人数占无偿献血比率12.4%,互助献血人数比率从2008年的6.2%上升到2011年的19.5%,差异有统计学意义(P<0.01),而同期自愿无偿献血人数比率呈下降趋势;互助献血和自愿无偿献血的血液检测总不合格率和单项不合格率(HB-sAg、抗-HCV、抗-TP、ALT)的比较均差异有统计学意义(均P<0.01);互助献血人群中首次献血者比率为72.4%,首次献血者和多次献血者血液不合格率差异有统计学意义(P<0.01);参加互助献血后退出自愿献血者每年增加的人数比率与往年相比和同期由互助献血新加入自愿献血每年减少的人数比率与往年相比均差异有统计学意义(均P<0.01)。结论:互助献血的血液安全潜在风险比自愿无偿献血者高,同时积累的矛盾对自愿无偿献血产生了比较明显的负面影响。
Objective: To understand the development and problems of mutual aid and blood donation during the past five years in Yangjiang City, to explore and solve the social conflicts caused by mutual aid and blood donation and to eliminate malpractice. Methods: Statistics on the number of blood donors, rates of blood donation and blood tests in 2007-2011 were compared with those of voluntary blood donation and blood test in the same period. At the same time, we analyzed the situation of mutual donation blood donation and new voluntary blood donation. Results: The rate of blood donation to blood donation was 12.4%, and the rate of donation to blood donation increased from 6.2% in 2008 to 19.5% in 2011 (P <0.01), while the proportion of volunteer blood donation decreased in the same period (P <0.01). There was significant difference between the total unqualified rate of blood test and the unqualified rate (HBsAg, anti-HCV, anti-TP and ALT) The percentage of first blood donors among mutual aid blood donors was 72.4%, the difference of blood unqualified rates between first donors and multiple donors was statistically significant (P <0.01); the annual increase of voluntary donors after participating donors’ Compared with the same period, the proportion of newly-added volunteer blood donors decreased by mutual aid blood donation was significantly different from that of previous years (all P <0.01). Conclusion: The blood safety potential of mutual aid blood donation is higher than that of voluntary unpaid blood donors. At the same time, the contradictions accumulated have a significant negative impact on voluntary blood donation.