4600例拟输血患者输血前4项传染病指标检测结果分析

Analysis of indicators of four infectious diseases in 4600 patients before blood transfusion

目的:了解拟输血患者输血前传染病感染状况,减少因输血引起的医疗纠纷并探讨有关检查项目设置的必要性。方法:对4 600例拟输血患者采用酶联免疫吸附试验(ELISA)检测其血清中乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(抗-HCV)、人类免疫缺陷病毒抗体(抗-HIV)、梅毒螺旋体抗体(抗-TP)4项常见传染病指标。结果:在4 600例患者中,HBsAg阳性348例(7.57%)、抗-HCV阳性116例(2.52%)、抗-HIV阳性(经省CDC确诊)1例(0.0 002%)、TP阳性77例(1.67%)。检测阳性总数为542例,总阳性率为11.78%。结论:对受血者进行输血前检测,可以减少医院感染,降低职业暴露的危险,加强医护人员的自我保护,减少因输血引起的医疗纠纷。

Objective：To investigate the patients＇ infection status of infectious diseases before blood transfusion so as to reduce blood transfusion in medical malpractice, and explore the need for the inspection project settings. Method：4 600 patients about to be transfused were selected, and serum hepatitis B virus surface antigen （ HBsAg）, hepatitis C virus antibody （anti-HCV）, human immunodeficiency virus antibody （anti-HIV）, Treponema pallidum antibody （anti-TP） of four common infectious disease targets were detected by enzyme-linked immu- nosorbent assay （ELISA）. Result：Among 4 600 patients, HBsAg-positive cases were 348 （7.57 % ）, anti-HCV positive were 116 （2. 52%） ,anti-HIV positive （confirmed by the provincial CDC） was 1 （0. 0 022%） ,and TP-positive were 77 （1.67%） . A total of 542 patients were tested positive,with total positive rate of 11.78%. Conclusion： Detection before transfusion may reduce infection, decrease the risk of occupational exposure, strengthen medical staff self-protection and reduce medical malpractice caused by blood transfusion.