输血前梅毒螺旋体抗体与HIV和HBsAg及丙型肝炎病毒抗体检测的应用研究

Application research of detecting treponema pallidum antibody,human immunodeficiency virus antibody,hepatitis B surface antigen and hepatitis C virus antibody before transfusion

目的分析和研究梅毒螺旋体抗体(TP)、人类免疫缺陷病毒抗体(HIV)、乙型肝炎表面抗原(HBsAg)及丙型肝炎病毒抗体(HVC)检测在输血前检查中的必要性。方法选取2019年6月—2021年6月商丘市第一人民医院输血科需要输血的80例患者作为研究对象,并对患者的梅毒螺旋体抗体、人类免疫缺陷病毒抗体、乙型肝炎表面抗原、丙型肝炎病毒抗体进行检查,并对患者的检查结果进行深入分析。结果80例患者检测结果显示,11例检测出梅毒螺旋体抗体,8例患者检测出人类免疫缺陷病毒抗体阳性、15例检测出乙型肝炎表面抗原阳性、12例检测出丙型肝炎病毒抗体阳性;人类免疫缺陷病毒抗体、乙型肝炎表面抗原及丙型肝炎病毒抗体检测出阳性患者例数中,有输血病史显著高于无输血史患者(P<0.05)。结论在输血前,对患者的梅毒螺旋体抗体、人类免疫缺陷病毒抗体、乙型肝炎表面抗原、丙型肝炎病毒抗体检测具有较高的必要性,有利于减少院内感染及医护人员的感染,避免医患纠纷,及时发现患者的感染性疾病。

Objective To analyze and study the necessity of detection of treponema pallidum antibody,human immunodeficiency virus antibody,hepatitis B surface antigen and hepatitis C virus antibody in pre-transfusion examination.Methods From June 2019 to June 2021,80 patients who needed blood transfusion in our hospital were taken as the research object,and the examination of treponema pallidum antibody,human immunodeficiency virus antibody,hepatitis B surface antigen and hepatitis C virus antibody of these patients were examined,and the examination results of the patients were deeply analyzed.Results The results of 80 patients showed that treponema pallidum antibody was detected in 11 cases,human immunodeficiency virus antibody was detected in 8 cases,hepatitis B surface antigen was detected in 15 cases and hepatitis C virus antibody was detected in 12 cases;The number of patients with positive antibodies to human immunodeficiency virus,hepatitis B surface antigen and hepatitis C virus was significantly higher than those without blood transfusion history(P<0.05).Conclusion Before blood transfusion,treponema treponema antibody,human immunodeficiency virus antibody,hepatitis B surface antigen and hepatitis C virus antibody are highly necessary,which is beneficial to reduce nosocomial infection and infection of medical staff,avoid doctor-patient disputes and timely find infectious diseases in patients.