血液透析患者经血液传播疾病的调查分析

Investigation and analysis of blood-borne diseases in hemodialysis patients

目的了解血液透析患者经血液传播疾病的危险因素,为制定相应的预防控制措施提供依据。方法对2010年3月20-30日在某医院进行血液透析治疗的81例患者具有经血液传播疾病的现状进行调查,并分析相关的危险因素。结果 81例血液透析患者中乙型肝炎病毒感染者占7.4%,丙型肝炎病毒感染者占19.8%,未进行艾滋病病毒和梅毒病原体检查者分别占2.5%、7.4%,有35.0%的患者在>2所医院进行过血液透析治疗。结论对于血液透析患者必须严把每一个治疗和管理环节,且对首次血液透析患者,要按规定进行相关经血液传播疾病的筛查,以防止医院感染的发生。

OBJECTIVE To learn the risk factor of blood-borne diseases in hemodialysis patients and provide evidence for the establishment of the prevention and control measures.METHODS A prospective study of blood-borne diseases was conducted in 81 patients who went through hemodialysis in our hospital from Mar.20,2010 to Mar.30,2010.The correlative risk factors were analyzed statistically.RESULTS Among 81 hemodialysis patients,hepatitis B virus infectors accounted for 7.4%,and hepatitis C virus infectors accounted for 19.8%.A total of 2.5% and 7.4% of the hemodialysis patients did not take HIV tests and syphilis tests,while 35.0% of the patients had hemodialysis in more than two hospitals.CONCLUSION Strict control must be applied to each step in the treatment and management of hemodialysis patients.Relevant screening for blood-borne diseases must be conducted for the first-time hemodialysis patients to avoid nosocomial infection.