2007年高雄捐血中心乳糜血症盛行率

Prevalence of Chylomicronemia among Blood Donors of Kaohsiung Blood Center during 2007

高雄捐血中心位於台灣南部，轄區範圍包含高雄市、高雄縣、屏東縣、澎湖縣，以民國96年為例轄區內人口數3,743,227人，捐血人次311,133人（含分離術及全血），國民捐血率是8.31％。高雄市為現代化工商都會區，居民職業以工、商、服務業為主，高雄縣與屏東縣鄉鎮地區居民仍以農業維生，澎湖縣民職業以漁業為大宗。為了解高雄捐血中心乳糜血發生率現況，我們將96年度所有捐血人次資料納入統計分析，以卡方檢定後發現捐血人中乳糜血的發生率男性約為女性的4倍；體重較重者乳糜血的發生率較高，年齡在30歲以上者有較高的乳糜血發生率；ALT值異常者乳糜血發生率較高；乳糜血的發生率與血型類別及居住地區無明顯相關，但與職業類別有關，農漁業者乳糜血發生率為3.7％最高，次為勞工者2.3％，最低者為學生0.4％。

Kaohsiung Blood Center lies in the southern part of Taiwan. The areas under whose coverage include Kaohsiung City, Kaohsiung County, Pingtung County, and Penghu County. During the year of 2007, there were 3,743,227 people within the jurisdiction of Kaohsiung Blood Center, among which 311,133 people have ever been donating, and donation rate was 8.3%. Kaohsiung City is a modernized metropolis district, and residents make a living mainly by industry, commerce and service industry. The residents of rural areas of Kaohsiung and Pingtung County live on agriculture and those of Penghu County on fishery. To realize the prevalence of chylomicronemia in Kaohsiung Blood Center, we reviewed all the donors data from computerized database in 2007, and employed chi-square test to define the statistical difference. We found the prevalence of chylomicronemia of men is 4 times as much as that of women; the heavier one weighs the more potential incidence of chylomicronemia one has, and donors above 30 y/o and with abnormal ALT values have higher incidence of chylomicronemia. The prevalence of chylomicronemia is irrelevant to blood type and residential areas but occupation makes a difference, and the highest prevalence belongs to people in farming and fishery up to 3.7%, secondary laborers 2.3% and the lowest students 0.4%.