输血前检测血源性传染病指标情况分析2053例

To Analyse the Detection Results of Blood Transmissible Disease Parameters of 2053 Patients before Blood Transfusion

目的调查输血前患者血源性传染病的血清指标检测情况,分析血源性传染病感染情况,探讨检测的必要性及其意义。方法回顾性调查和分析了2053例患者输血前传染性疾病指标检测的情况,酶联免疫吸附法(ELISA)检测血清乙型肝炎病毒表面抗原、艾滋病毒抗体、丙型肝炎抗体;TRUST试验检测患者感染梅毒螺旋体情况。结果乙型肝炎感染率最高,HBsAg阳性167例,感染率8.13%;HCV感染率1.36%;HIV感染率0.05%;TRUST阳性率为0.29%。结论通过检测输血前血源性传染病指标有助于临床疾病诊治,预防控制患者和医务人员被血源性疾病感染的可能性,对安全输血监控、明确疾病传播责任、减少医疗纠纷有重要意义,对医患双方均有积极作用。

Objective The detection results of blood transmissible disease parameters of patients were investigated before blood transfusion ; the infected conditions of blood transmissible disease were analyazed; the necessity and significance of the detections were studied. Methods The detection results of blood transmissible disease parameters of 2 053 patients before blood transfusion were retrospectively investigated and analysed; hepatitis B virus, AIDS virus and hepatitis C virus were detected by enzyme linked immunusorbent assay （ELISA） ; the infected condition of microspironema pallidum was detected by TRUST assay. Results The infection rate of hepatitis B virus was the highest, HBsAg was positive in 167 patients, the infection rate was 8.13% ;the infection rate of HCV was 1.36% ;the infection rate of HIV was 0.05% ;the positive rate of TRUST was 0.29%. Conclusion The detection of blood transmissible disease parameters of patients before blood transfusion benefited the diagnosis and treatment of clinic diseases, the prevention and control of the possibility infected by blood transmissible disease in patients and medical members. It is useful for the monitoring of safe blood transfusion, important for identity of duty in propagation of disease and the reduction of medical dissatisfaction, and beneficial for medical members and patients.