• 中国科学论文统计源期刊
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临床输血与检验

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (6): 562-564.DOI: 10.3969/j.issn.1671-2587.2016.06.017

• 临床输血 • 上一篇    下一篇

15 959例术前及输血前患者感染性指标检测结果分析

陈姗, 欧阳春 ,李丽娟   

  1. 430033 武汉，湖北省第三人民（中山）医院输血科（陈姗，欧阳春）；院感科（李丽娟）
  • 收稿日期:2016-04-20 出版日期:2016-12-20 发布日期:2016-12-23
  • 通讯作者: 欧阳春，（E-mail） ouyangchunok@163.com。
  • 作者简介:陈姗（1982–），女，湖北武汉人，主管技师，学士，主要从事临床输血研究，（E-mail）cshan33518@163.com。

Clinical Analysess of Serological Markers in Patients with Infectious Diseases before Operation and Blood Transfusion

CHEN Shan，OU Yang-chun，LI Li-juan.   

  1. NO.3 People's Hospital of Hubei Province，Hubei，Wuhan，430033
  • Received:2016-04-20 Online:2016-12-20 Published:2016-12-23

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摘要： 目的 对术前及输血前患者进行感染性指标检测和分析，了解患者感染情况以避免医疗纠纷，并为医院感染控制提供必要依据。方法 回顾性分析2013年1月～2014年6月本院术前及输血前患者15 959例，所有患者样本采用化学发光法进行乙型肝炎病毒表面抗原（HBsAg）、丙型肝炎病毒抗体（抗-HCV）、人免疫缺陷病毒抗体（抗-HIV）及苍白密螺旋体抗体（抗-TP）检测。结果 在15 959例患者中，1 630例HBsAg阳性，阳性率10.21％，为4项指标中最高。消化肝病科是肝炎的高发科室，HBsAg和抗-HCV阳性率分别为34.59％和8.72％。混合感染以HBsAg 合并TP感染最高，构成比为43.37％，HIV合并HBsAg感染1例，合并TP感染2例。不同性别患者感染性指标中，除抗-HCV，其他3项指标显示不同性别患者之间的差异有统计学意义（P<0.05）。结论 对患者进行术前和输血前感染性指标的检测不仅可为医疗纠纷提供证据，而且可为预防和减少医院感染和医务人员职业暴露的发生提供管理依据，对患者和医疗机构均有十分重要的意义

关键词: 输血, 感染性疾病, 职业暴露 , 医院感染

Abstract: Objective To analyze the results of serum markers of HBsAg，anti-HCV，anti-HIV，and anti-TP in patients of preoperation and blood transfusion. in order to avoid medical disputes，and to provide reference for control of hospital infection. MethodsThe clinical data of 15 959 patients before operation or blood transfusion from January 2013 to June 2014 were retrospectively analysized. All detections were performed by chemiluminescence. Result 1 630 of 15 959 patients suffered from HBV infections，showing 10.21% of positive rate of HBsAG，which is the highest in the four indicators. The positive rate of HBV and HCV infection in digestive medicine were 34.59% and 8.72%. Overlapping infections were mostly observed between HBV and TP with 43.37%. Anti- HIV was positive in7 patients，1 case was co-infected with HBV，and 2 cases with Treponema pallidum （TP）. Three infectious indicators of patients varied inh genders （P<0.05）except for anti-HCV. Conclusion The detection of the four serological markers of infectious dideases in patients of pre-surgery or –blood transfusion may help to discover infections and provide evidence for the potential medical disputes，reduce and prevent the occurrence of hospital infections and occupational exposure of medical staff.

Key words: Blood transfusion , Infectious disease, Occurrence exposure , Nosocomial infection

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